I am a Consultant Hand and Upper Limb Surgeon and my NHS practice is based at the Brighton and Sussex University Hospital Trust; this includes Haywards Heath Princess Royal Hospital and The Royal Sussex County Hospital.
I specialise in the following areas of Orthopaedics:
Hand, wrist and elbow conditions, injuries (including soft tissue sports injuries) and treatments, including:
If you have had a painful wrist for quite some time and it has failed to respond to measures such as rest, physiotherapy or splinting, it is possible that an arthroscopy may help treat your wrist, or at least help to diagnose the cause of your pain. Scans can be helpful but do not always find the cause as the structures in the wrist are very small. There are 2 rows of bones in the wrist and we look in between both rows to fully inspect the joint.
Some things may be treated there and then while you have the arthroscopy but some conditions need more major surgery and the arthroscopy helps your surgeon to plan this. In this case, your surgeon can better inform you what you can expect in the future should you need further surgery.
The operation is done as a day case, under a general anaesthetic. During the operation, your hand is prepared with antiseptic solution and a tourniquet is put on your arm, similar to a blood pressure cuff. Your arm is supported gently from the fingers so your wrist can be moved and examined inside and out. After the operation your hand will be bandaged for the first 5 to 7 days. Small dressings keep the wounds covered up and your own GP practice can inspect these at 7 to 14 days after your operation. Painkillers are often not needed, but you will be given some in case.
You will be encouraged to keep your hand elevated for the first few days after surgery and to move all of your fingers straightaway.
It is a straightforward operation. Most people return to work after 1 to 2 weeks unless a repair has been carried out that needs more protection.
If you have any questions about your operation please don’t hesitate to ask your Surgeon when you sign your consent form.