HAND SURGERY

Expert Hand & Wrist
Surgery

From carpal tunnel and trigger finger to complex trauma repair — specialist hand and wrist surgery performed personally by a consultant plastic surgeon.

OUR SERVICES

Hand Surgery Procedures

Prof. Hindocha’s hand surgery expertise spans the full spectrum — from Dupuytren’s contracture, carpal tunnel syndrome and trigger finger to complex traumatic injuries, tendon repairs and congenital hand deformities. With over 20 years of experience, GMC registration and BAAPS membership, patients can expect the highest standards of surgical care, thorough assessment and personalised aftercare at every stage.

01 · CARPAL TUNNEL SYNDROME

Relief from Pain, Numbness & Weakness

Carpal tunnel syndrome causes pain, tingling and weakness in the hand and wrist. Prof. Hindocha offers both open and endoscopic carpal tunnel release — providing rapid, lasting relief with minimal recovery time.

02 · CONGENITAL CONDITIONS

Expert Care for Congenital Hand Conditions

Congenital hand differences affect function, appearance and development. Prof. Hindocha provides specialist surgical correction to optimise hand function and appearance, working closely with patients and families throughout.

03 · CUBITAL TUNNEL SYNDROME

Relieve Elbow & Ulnar Nerve Compression

Cubital tunnel syndrome occurs when the ulnar nerve is compressed at the elbow, causing pain, tingling and weakness in the ring and little fingers. Surgical decompression provides effective, lasting relief.

04 · DUPUYTREN'S DISEASE

Straighten Your Fingers, Regain Function

Dupuytren’s disease causes progressive finger curling that makes everyday tasks difficult. Prof. Hindocha offers a range of surgical and minimally invasive treatments to restore full finger extension and hand function.

05 · TENDON INJURY

Restore Strength and Full Hand Function

Flexor and extensor tendon injuries in the hand require specialist surgical repair for full recovery. Prof. Hindocha provides primary repair, tendon grafting and staged reconstruction with dedicated post-operative rehabilitation.

06 · GANGLION CYSTS

Remove Ganglion Cysts Safely and Effectively

Ganglion cysts are fluid-filled lumps that commonly arise around joints and tendons of the hand and wrist. Prof. Hindocha performs surgical excision to remove the cyst completely, minimising the risk of recurrence.

07 · HAND FRACTURES

Precise Fixation for Optimal Recovery

Hand and finger fractures require expert management to restore full function and alignment. Prof. Hindocha provides both conservative and surgical treatment, including internal fixation with plates, screws and wires where needed.

08 · JERSEY FINGER

Restore Flexion After Tendon Avulsion

Jersey finger is a flexor tendon avulsion injury commonly occurring in contact sport. Prompt surgical repair is essential for a full recovery. Prof. Hindocha provides primary repair and staged reconstruction for delayed presentations.

09 · MALLET FINGER

Correct Drooping Fingertip Effectively

Mallet finger is caused by injury to the extensor tendon at the fingertip, resulting in an inability to straighten the end joint. Treatment ranges from splinting to surgical repair for bony mallet injuries.

10 · THUMB BASE SURGERY

Relieve Thumb Arthritis, Restore Grip

Arthritis at the base of the thumb causes pain and weakness that affects everyday activities. Prof. Hindocha offers trapeziectomy and ligament reconstruction to relieve pain and restore a strong, functional grip.

11 · TRIGGER FINGER

Smooth, Pain-Free Movement Restored

Trigger finger causes painful locking and catching that limits daily hand function. Prof. Hindocha provides surgical pulley release — a reliable procedure with rapid recovery and excellent long-term outcomes.

ACCEPTING NEW PATIENTS

Hand surgery consultations

available now.

Book a consultation for carpal tunnel syndrome, trigger finger, Dupuytren’s contracture or hand reconstruction. We’ll assess your condition and recommend the most effective surgical or non-surgical pathway.

SPECIALIST HAND SURGERY

Hand & Wrist Conditions We Treat

Prof. Hindocha offers expert surgical and non-surgical management for a comprehensive range of hand and wrist conditions, from common conditions such as carpal tunnel syndrome to complex trauma and tendon repairs.

Carpal Tunnel Syndrome

Compression of the median nerve causing numbness, tingling and weakness in the hand. Surgical release provides long-term relief.

Dupuytren’s Contracture

Thickening of the palmar fascia causing fingers to curl. Treated with collagenase injection, needle fasciotomy or surgical fasciectomy.

Trigger Finger

Inflammation of the flexor tendon sheath causing a finger to lock or click. Treated with injection or surgical release.

De Quervain’s Tenosynovitis

Inflammation of the tendons at the base of the thumb, causing pain with gripping. Treated with steroid injection or surgical release.

Ganglion Cysts

Fluid-filled lumps arising from joint or tendon sheaths — most commonly at the wrist. Removed surgically for permanent resolution.

Hand Trauma & Tendon Repair

Emergency and elective repair of tendon injuries, fractures, dislocations and complex hand trauma following accidents.

RECOGNISING THE SIGNS

When Should You See a Hand Surgeon?

Many hand conditions worsen over time if left untreated. Surgical intervention — when indicated — can prevent permanent nerve, tendon or joint damage. You should consider seeking a surgical opinion if you experience any of the following:

❆Persistent numbness, tingling or weakness in the hand or fingers
❆Fingers that lock, click or cannot fully straighten
❆A lump or swelling on the wrist, palm or finger
❆Pain or stiffness affecting daily activities such as gripping, typing or driving
❆Symptoms that have not responded to physiotherapy or injection treatment

EXPERT SURGICAL CARE

Hand Surgery Techniques: What to Expect

Modern hand surgery is precise, minimally invasive where possible and performed under appropriate anaesthesia for your comfort. Here is an overview of the main techniques:

Open Carpal Tunnel Release

A small incision in the palm allows direct division of the carpal ligament, instantly relieving pressure on the median nerve. A highly reliable procedure with excellent long-term outcomes.

Needle / Collagenase Treatment

For Dupuytren’s contracture, collagenase injection dissolves the thickened cord, allowing the finger to be straightened under local anaesthetic — without the need for open surgery.

Tendon & Nerve Repair

Divided tendons or nerves are repaired under magnification using specialist microsurgical technique. Early repair gives the best functional outcomes.

Ganglion & Cyst Excision

Ganglia are excised under local or regional anaesthesia in a day-case procedure. Surgical removal carries a lower recurrence rate than aspiration alone.

AFTER YOUR HAND SURGERY

Recovery, Rehabilitation & Return to Activities

Recovery after hand surgery varies by procedure. Prof. Hindocha will provide a detailed post-operative plan tailored to your specific operation and lifestyle needs.

Splinting & Protection

Most hand surgery requires a period of splinting to protect the repair and promote healing. Splinting duration ranges from a few days (trigger finger release) to several weeks (tendon repair).

Hand Therapy

A structured hand therapy programme with a specialist hand physiotherapist is essential following most hand procedures. Exercises restore range of motion, strength and functional grip.

Returning to Work & Driving

Return to work timelines depend on your procedure and job type. Carpal tunnel release: desk work within 1–2 weeks. Tendon repair: up to 12 weeks for manual roles. Driving: when safe to grip and react — your surgeon will advise.

Every patient receives a personalised aftercare plan. Follow-up appointments are included as standard. Contact our team at any time during recovery if you have concerns.

WHAT OUR PATIENTS SAY

Patient Experiences

Here is what our hand surgery patients have shared about their experience with Prof. Hindocha.

I had suffered from carpal tunnel for years before finally having surgery with Prof. Hindocha. The relief was almost immediate. I can now sleep through the night without pain and my hand strength has returned completely. I only wish I had done it sooner.

B.K.Carpal Tunnel Release Patient

My trigger finger had become so severe I could barely use my hand. Prof. Hindocha performed the release under local anaesthetic and the improvement was immediate. The recovery was quick and straightforward. Exceptional care.

J.O.Trigger Finger Release Patient

Prof. Hindocha treated my Dupuytren's contracture with collagenase injection and my finger straightened completely. The whole process was done in clinic without any surgery or significant downtime. Outstanding result.

E.H.Dupuytren's Treatment Patient

I had a large ganglion on my wrist for several years. Prof. Hindocha removed it precisely and the wound has healed beautifully. He was extremely thorough in his explanation of the procedure and the recovery has been smooth.

M.F.Wrist Ganglion Excision Patient

Following a work injury, I needed tendon repair surgery. Prof. Hindocha's skill and the subsequent hand therapy programme gave me back full function in my hand. The level of care from consultation through to discharge was outstanding.

R.C.Tendon Repair Patient

I was referred to Prof. Hindocha with De Quervain's tenosynovitis that had not responded to injections. The surgical release was a day-case procedure and I was back to full activity within four weeks. Excellent experience throughout.

S.T.De Quervain's Release Patient

FREQUENTLY ASKED QUESTIONS

Your Questions, Answered

We have answered the most common questions patients ask about hand and wrist surgery, recovery and rehabilitation.

What are the signs that I need carpal tunnel surgery?

Surgical release is typically recommended when carpal tunnel syndrome causes persistent or worsening numbness, tingling or weakness in the hand, particularly at night; when nerve conduction studies confirm significant median nerve compression; or when symptoms have not adequately responded to splinting, steroid injection or other conservative measures. Prof. Hindocha will review your nerve conduction results and symptoms before recommending surgery.

Is hand surgery performed under local or general anaesthetic?

The majority of hand surgery procedures — including carpal tunnel release, trigger finger release and ganglion excision — are performed comfortably under local anaesthetic as day-case procedures. Regional (wrist block) anaesthesia is used for more extensive procedures. General anaesthetic is available for patients who prefer it or for more complex cases.

How long is recovery after hand surgery?

Recovery depends on the procedure. Carpal tunnel release typically requires 2 to 4 weeks before returning to light activities; trigger finger release has a similar timeline. Tendon repairs require longer immobilisation — typically 4 to 6 weeks in a splint, followed by a structured hand therapy programme. Prof. Hindocha will provide a personalised recovery timeline at your pre-operative appointment.

Will I need physiotherapy or hand therapy after surgery?

Hand therapy is an essential part of recovery following most hand surgery procedures, particularly tendon repairs, Dupuytren’s surgery and complex trauma. A specialist hand therapist will guide you through exercises to restore movement, strength and grip function. For simpler procedures such as carpal tunnel or trigger finger release, formal hand therapy may not be required, though exercise guidance will be provided.

Can Dupuytren's contracture be permanently cured with surgery?

Surgery significantly improves finger extension and function in Dupuytren’s contracture, but the condition can recur over time in some patients. Fasciectomy (surgical removal of the affected tissue) has a lower recurrence rate than needle fasciotomy or collagenase injection. Prof. Hindocha will discuss the most appropriate treatment for the stage and extent of your Dupuytren’s disease.

How soon can I return to work after hand surgery?

Return to work depends on your procedure and the nature of your job. For desk-based roles, most patients can return within 1 to 2 weeks following carpal tunnel or trigger finger surgery. Manual workers will typically require 4 to 12 weeks depending on the procedure. Prof. Hindocha will provide specific guidance based on your individual situation.