Whether you are dealing with a recent injury, persistent nerve symptoms, or a hand or wrist problem that has not improved as expected, the first step is understanding the underlying cause. My approach combines careful clinical examination with specialist knowledge of anatomy, nerve function and movement to guide the most appropriate treatment.
Many patients I see have persistent symptoms despite previous assessment or treatment, or have symptoms for which the diagnosis remains uncertain. My approach is to return to the clinical examination and consider the problem as a whole — looking at anatomy, nerve function, movement and the pattern of symptoms. The aim is to understand the underlying problem as precisely as possible and use that understanding to guide the most appropriate treatment.
Every service below starts the same way — with getting your diagnosis right, using my own clinical methods wherever they apply, before we ever talk about treatment.
The starting point is a careful assessment to understand the problem and establish the diagnosis. This includes considering anatomy, function, movement and the pattern of symptoms, with imaging and other investigations used selectively when they add meaningful information.
Assessment and surgical treatment of hand and wrist conditions, including ligament injuries, instability, fractures, arthritis and other conditions affecting function. Depending on the condition, treatment may include arthroscopic, minimally invasive or WALANT techniques.
Specialist assessment and treatment of peripheral nerve compression and entrapment in the upper and lower limb. When surgery is indicated, the aim is to decompress the affected nerve while preserving normal anatomy and function.
Assessment of peripheral nerve symptoms that may be intermittent, position-dependent or difficult to demonstrate with conventional investigations. Detailed clinical examination, anatomy and dynamic nerve function are central to the diagnostic process.
Assessment of symptoms including pain, weakness, numbness and tingling where peripheral nerve involvement is suspected, with careful evaluation of the affected nerve and possible site or sites of compression.
Specialist assessment and treatment of hand, wrist and peripheral nerve conditions in competitive and recreational athletes, with particular attention to function, recovery and return to sport.
If you would like an assessment or specialist opinion regarding a hand, wrist or peripheral nerve condition, you can arrange an in-person or online consultation.
