Hand and Wrist Conditions

Mr. Richard Sinnerton FRCS, FRCS (Tr & Orth)

Mr Richard Sinnerton, a shoulder and elbow specialist trained in London and France, established a successful Upper Limb Unit at Ashford/St. Peters Hospital. He now practices independently, treating various shoulder and elbow conditions with a focus on personalized solutions using innovative technologies. Recognised for his expertise in Reverse Geometry Shoulder Replacements, Sinnerton contributes to the field and guides patients from the initial visit to a return to full functionality.

Hand wrist surgery west byfleet.jpeg

Common hand conditions

Mr Richard Sinnerton’s comprehensive approach encompasses the treatment of various shoulder and elbow conditions arising from accidents, overuse, sports injuries, or arthritic and congenital issues. Integrating cutting-edge medical technologies with traditional methods, he tailors solutions to individual concerns.

Widely recognized for his pioneering use of Reverse Geometry Shoulder Replacements, he addresses complex and debilitating shoulder problems that lacked solutions until recent years. Sinnerton not only imparts his expertise to fellow surgeons but has also been invited by a leading orthopaedic journal to pen the definitive article on shoulder replacement. Collaborating closely with specialized theater nurses, anaesthetists, and physiotherapists, he ensures comprehensive patient care, guiding individuals from their initial visit to a return to full and pain-free functionality.

Carpal tunnel syndrome

What is carpal tunnel syndrome?

Carpal tunnel syndrome is caused when the median nerve is compressed as it passes through the carpal tunnel, which is an opening in the wrist that is formed of the carpal bones and the transverse carpal ligament.

What are the symptoms of carpal tunnel syndrome?

The most common symptoms of carpal tunnel syndrome include:

  • Tingling or pins and needles feeling in one or both hands.
  • Pain or numbness in one or both hands.
  • Symptoms may be worse at night and interfere with sleep.
  • Feeling of swelling in fingers on the affected hand.
  • Weakness when gripping objects.

What is the treatment?

Treatment for carpal tunnel syndrome may include:

  • Splinting of the hand.
  • Steroid injection.
  • Workstation changes.
  • Exercises.
  • Surgery, to ease the compression on the nerves in the carpal tunnel.

Trigger finger release

What is trigger finger?

Trigger finger is a condition that affects the tendons which are used to flex the fingers and thumb, making it difficult to bend those that are affected. Trigger finger can also result in the fingers or thumbs becoming stuck in the bent position. The condition is caused when the tendon that controls the finger or thumb cannot glide smoothly in the sheath that surrounds it.

What are the symptoms of trigger finger?

Symptoms include pain, stiffness and clicking in the affected finger or thumb

What is the treatment?

Treatment for this condition includes:

  • Rest.
  • Anti-inflammatory pain relief.
  • Splinting.
  • Steroid injections to reduce the swelling.
  • Surgery on the affected hand to help the affected tendon move freely.

De Quervains release

What is De Quervains?

De Quervain’s syndrome is a painful condition affecting the tendons on the side of the wrist, the most common cause is overuse and repetitive movement.

What are the symptoms of De Quervains?

The symptoms associated with De Quervains include:

  • Pain near the base of thumb.
  • Swelling near the base of the thumb.
  • Difficulty when moving the thumb or the wrist, especially when gripping or pinching.

What is the treatment?

The treatment for De Quervains includes:

  • Applying ice or heat to the affected area.
  • Taking anti- inflammatory medications (NSAID).
  • Rest and avoiding activities which cause pain.
  • Wearing a splint.
  • Surgery to widen the tendon.

Dupuytren’s surgery

What is Dupuytren’s Contracture?

The exact cause of Dupuytren’s is unknown, it is believed to be hereditary, although could be caused by smoking, drinking excessive alcohol or having a condition such as epilepsy or diabetes.

What are the symptoms of Dupuytren’s Contracture?

Dupuytren’s mainly affects the ring and little fingers and you can have it in both hands at the same time.

It tends to start with a lump, dimples or ridges on your palm and eventually may cause your finger to get stuck in a bent position.

What is the treatment?

There are three main treatments for Dupuytren’s, which are as follows:

  • Fasciectomy – an incision is made along the palm and affected finger to enable the surgeon to straighten it.
  • Needle fasciotomy – several insertions are made along the palm and the finger with a needle to loosen and straighten the affected finger.
  • Dermafasciectomy – a similar procedure to fasciectomy only an additional area of skin is removed from elsewhere in the body and used to replace the removed skin.

Steroid Injections

Steroid injections are anti-inflammatory medicines used to treat a range of conditions and are commonly used to treat painful and swollen joints before any surgical intervention.

Mr. Richard Sinnerton – Consultant Orthopaedic Surgeon
Book an appointment online

Other Services

Shutterstock
Private GP appointments
Shutterstock
Sexual Health Clinic
Shutterstock
Travel clinic

Clinic Locations

Rapid access, convenient and quick appointments.

West Byfleet Health Centre
Ground Floor
Madeira Road
West Byfleet
Surrey KT14 6DH
01932 344004

Private GP Clinic, Sunningdale, (Opposite Fego’s)
3 Broomfield Hall Buildings
London Road
Sunningdale
Ascot
Berks SL5 0DP
01344 624020

Private GP Clinic
Stanton House (on one-way to Reigate Centre)
1 Castlefield Road
Reigate
Surrey RH2 0SA
01737 238688