Mr Sathyamoorthy delivers the latest and most up-to-date treatments for hand pain and discomfort. He is a leading consultant orthopaedic surgeon and specialist in the treatment of hand problems. Working across Abergele, North Wales, Wrexham and Chester, Mr Sathyamoorthy treats private patients for carpal tunnel syndrome, Dupuytren’s disease, ganglion cyst removal, trigger finger release, Dequervain’s tenosynovitis and arthritis related problems in the hand.
Carpal tunnel decompressions
Carpal tunnel syndrome is a pressure on a nerve in the wrist. It causes feelings of tingling, numbness and pain in hands and fingers. If your GP has referred you to a specialist for surgery, the procedure is very straightforward. Local anaesthetic is applied to the wrist and the carpal tunnel is released by dividing a ligament to relieve the pressure on the nerve. The operation takes around 20 minutes and you will be able to return to your normal activity within a month.
A ganglion cyst could occur in any joint in the body, but is most likely to occur on the wrist, hand and fingers. The cyst can range in size up to the size of a golf ball. While harmless, they can cause pain and discomfort and could take years to disappear if not treated. Ganglion cyst surgery may be performed under local or general anaesthetic. Once the cyst is removed you may need to wear a sling for a few days to protect your arm and reduce swelling and discomfort.
Dequervain’s syndrome is a painful condition affecting the tendons on the thumb side of the wrist. Pain gets worse when lifting the thumb, is tender to touch, can be swollen and click or snap the tendons. If referred for surgery for Dequervain’s, you will be treated under local anaesthetic and the surgeon will widen the tendon tunnel, to allow you to move your thumb without pain.
Dupuytren’s contracture (Dupuytren’s disease) is caused when connective tissue contraction prevents you from fully extending your finger. You may notice the growth of nodules on the palm of your hand, dimples, thicker skin and tenderness. If your doctor refers you for surgical correction (fasciectomy) it may be done under local, regional or general anaesthetic. The Dupuytren’s operation will depend on the severity of your condition and will involve either cutting or completely removing the connective tissue.
Trigger finger release
Trigger finger is a painful condition which causes a finger or thumb to catch or lock in place when bending or straightening the finger. This is usually treated initially by giving an injection in the hand. In the worst cases you may be referred for surgery where the surgeon will cut through and release the tendon from the sheath and allow your finger to move freely again. Trigger finger release surgery will be performed under local anaesthetic and usually takes less than 10 minutes.