At Circle, we have surgeons, orthopaedic and plastic, who
specialise exclusively in hand surgery. Many of our surgeons are
eminent in their field with a wealth of experience and have
significant National and International profiles.
Virtually the whole spectrum of hand surgery is managed,
treating patients above the age of three. This covers congenital
hand surgery, elective reconstruction after trauma, surgery of
deterioration of joints, tendons and ligaments, as well as surgery
of the nerves. The surgery of nerve compressions, e.g. carpal
tunnel syndrome, is the single commonest area of treatment.
Some of our hand services are also available on the NHS through
Choose and Book
The hand surgeon uses a variety of tools to arrive at a
diagnosis and to plan customised, effective treatment. It is an
important aspect of hand surgery that the patient be involved in
resolving the problem since many/most conditions require compliance
and collaboration, as well as a commitment to hand therapy and
The most important tool is the clinical assessment of the
patient, including a careful history and examination. This may
require supplementation by investigation which may include one or
- MRI scan
- CT Scan
Hand surgeons work in close collaboration with hand therapists.
Rehabilitation is often as important as the surgery itself and this
must be understood and planned for from the outset.
Treatment is selected from a range of conservative management,
splintage, injection, a modification of activity and, ultimately,
surgery and rehabilitation.
Most hand surgery is performed under a regional block where the
patient is awake but the arm or hand can be anaesthetised at
various levels, from shoulder to digit. Patients may prefer general
anaesthesia or this will be recommended by the surgeon. Most
patients are treated as outpatients with a minority staying
All hand surgery benefits from elevation of the hand following
operation. In general the hand needs to be held above the level of
the heart, with, or without, use of a sling. Most hand surgery will
involve resting the hand and a period of inactivity after