We use cookies to help provide you with the best possible online experience.
By using this site, you agree that we may store and access cookies on your device. Cookie policy.
Cookie settings.
Functional Cookies
Functional Cookies are enabled by default at all times so that we can save your preferences for cookie settings and ensure site works and delivers best experience.
3rd Party Cookies
This website uses Google Analytics to collect anonymous information such as the number of visitors to the site, and the most popular pages.
Keeping this cookie enabled helps us to improve our website.
Elbow, Hand and Wrist (including surgery)
What is Elbow, Hand and Wrist Care?
Our elbows, hands and wrists are essential for nearly everything we do; from everyday tasks like writing, cooking, driving to work, hobbies, and sports. When problems arise, they can have a major impact on quality of life.
Our specialist team provide expert outpatient care and surgery for a wide range of conditions affecting the elbow, hand, and wrist. Whether it’s a painful injury, a long-standing problem, or an urgent issue, we’re here to help you regain comfort, movement, and function.
How we can help
Our specialists can diagnose and treat many problems, including:
- Carpal tunnel syndrome and other nerve compression conditions
- Trigger finger and thumb
- Ganglion cysts
- Dupuytren’s contracture
- Sports and overuse injuries
- Tendon injuries and disorders
- Fractures and dislocations of the hand, wrist, and elbow
- Ligament injuries (including wrist instability)
- Elbow conditions such as tennis elbow and golfer’s elbow
Our Elbow, Hand and Wrist services
At Estuary View Private Medical Services, we provide a full range of outpatient assessments and surgical treatments, such as:
- Diagnosis and management of hand, wrist, and elbow conditions
- Non-surgical treatments, including splinting, injections, and therapy referral
- Day-case and outpatient surgery for common conditions
- Carpal tunnel release surgery
- Trigger finger/thumb release
- DeQuervains release
- Excision of the majority of ganglion cysts and other soft tissue lumps
- Surgery for Dupuytren’s contracture (Needle Fasciotomy)
- Imaging (such as X-Ray)
Consultant details
Price List
Bookable appointments
- New Consultant Appointment: £250.00
- Follow-Up Consultant Appointment: £180.00
Procedures
- Carpal Tunnel Release Surgery: £1,315.00
- Trigger Finger or Thumb Release Procedure: £1,260.00
- Needle Fasciotomy for Dupuytren’s Disease Procedure: £895.00
- Ganglion Cyst Removal: £1,365.00
- De Quervain’s Disease Release Surgery: £1,555.00
New Consultant Appointment
- Duration: 15 minutes
- Pricing: £250
If you’re experiencing pain, stiffness, or other concerns affecting your elbow, hand, or wrist, our Private New Consultant Appointment with an Orthopaedic Consultant is the ideal place to start. During this 15 minute consultation, our experienced Orthopaedic Surgeon will take the time to understand your symptoms, review your medical history, and discuss how your condition affects your daily activities.
This thorough assessment covers a wide range of upper limb conditions. The consultant may also discuss any previous imaging or treatments you’ve had to ensure a complete understanding of your situation.
You’ll leave the appointment with advice and if required, a surgical appointment with the aim to restore comfort, movement, and function. We’ll also send a letter to your GP outlining our findings and recommendations, ensuring your ongoing care is coordinated and seamless.
Follow-Up Consultant Appointment
- Duration: 15 minutes
- Pricing: £180
If you’re currently receiving treatment through our Private Elbow, Hand and Wrist Service, our Follow-Up Appointment is designed to support your ongoing care. This 15 minute appointment is available only to patients who have been seen by our Orthopaedic Surgeons within the past six months.
During this appointment, your consultant will review your progress, discuss how your symptoms have changed, and assess the effectiveness of your current treatment plan. Whether you’re recovering from an injury, surgery, or managing a longer-term condition, this appointment ensures that your treatment remains on track and continues to meet your needs.
Your consultant may recommend adjustments to your exercises, changes to medication, or diagnostic tests if needed to monitor your recovery. As always, any additional investigations or procedures will be clearly explained, with transparent pricing provided before proceeding.
You’ll leave the appointment with an updated plan to guide your next steps, and we’ll send a detailed summary to your GP to ensure continuity of your care.
Carpal Tunnel Release
- Initial Review Duration: 15 minutes (if not already seen in a New Consultant Appointment)
- Procedure Duration: Approximately 30 minutes
- Cost: £1,315.00
Carpal tunnel release surgery is performed to relieve pressure on the median nerve in your wrist, which can cause numbness, tingling, pain, or weakness in the hand and fingers. The procedure aims to restore comfort, movement, and normal sensation.
On the day of surgery, your consultant will meet you to explain the procedure and answer any final questions. A local anaesthetic is used to numb your hand and wrist, so you’ll remain awake but won’t feel pain. Once the area is fully numb, the surgeon makes a small incision in the palm to release the ligament pressing on the nerve. The wound is then closed and a dressing applied.
The procedure takes around 15-30 minutes, you will be able to go home the same day. You’ll be given clear aftercare instructions to support healing.
Trigger Finger or Thumb Release Procedure
- Initial Review Duration: 15 minutes (if not already seen in a New Consultant Appointment)
- Procedure Duration: Approximately 30 minutes
- Cost: £1,260.00
Trigger finger release surgery is performed to relieve stiffness, catching, or locking of a finger caused by a tendon that cannot glide smoothly through its sheath. The procedure aims to restore normal finger movement and reduce pain.
On the day of surgery, your consultant will meet you to explain the procedure and answer any questions. A local anaesthetic is used to numb your finger and hand, so you’ll remain awake but won’t feel pain. Once the area is fully numb, a small incision is made at the base of the affected finger to release the tendon sheath and allow smooth movement. The incision is closed and a dressing applied.
The procedure takes around 15-30 minutes, you will be able to go home the same day. You’ll be given clear aftercare instructions to support healing.
Needle Fasciotomy for Dupuytren’s Disease Procedure
- Initial Review Duration: 15 minutes (if not already seen in a New Consultant Appointment)
- Procedure Duration: Approximately 30 minutes
- Cost: £895.00
Needle fasciotomy is a minimally invasive procedure used to treat Dupuytren’s contracture, a condition where fingers gradually bend towards the palm due to thickened tissue. The aim of the procedure is to improve finger straightening and hand function.
On the day of treatment, your consultant will meet you to explain the procedure and answer any questions. A local anaesthetic is used to numb your hand, keeping you awake but pain-free. Using a fine needle, the surgeon carefully releases the tight cords causing finger contracture.
The procedure takes around 15-30 minutes, you will be able to go home the same day. You’ll be given clear aftercare instructions to support healing.
Ganglion Cyst Removal
- Initial Review Duration: 15 minutes (if not already seen in a New Consultant Appointment)
- Procedure Duration: Approximately 30 minutes
- Cost: £1,365.00
Ganglion cyst removal surgery is performed to remove fluid-filled lumps that commonly appear on the wrist or hand, which can cause discomfort or restrict movement. The goal is to relieve symptoms and restore normal hand function.
On the day of surgery, your consultant will meet you to explain the procedure and answer questions. A local anaesthetic is used to numb the area, ensuring you remain awake but comfortable. A small incision is made to carefully remove the cyst and its stalk. The incision is closed and a dressing is applied.
The procedure takes around 15-30 minutes, you will be able to go home the same day. You’ll be given clear aftercare instructions to support healing.
De Quervain’s Disease Release Surgery
- Initial Review Duration: 15 minutes (if not already seen in a New Consultant Appointment)
- Procedure Duration: Approximately 30 minutes
- Cost: £1,555.00
De Quervain’s release surgery treats pain and swelling at the base of the thumb caused by tight tendon sheaths. The aim is to relieve pain and restore smooth thumb movement.
On the day of surgery, your consultant will meet you to review the procedure and answer questions. A local anaesthetic is used to numb your hand and thumb, so you’ll be awake but pain-free. A small incision at the base of the thumb allows the surgeon to release the tight tendon sheath, freeing the tendons for smooth movement. The incision is closed and a dressing is applied.
The procedure takes around 15-30 minutes, you will be able to go home the same day. You’ll be given clear aftercare instructions to support healing.
Please Note
Before any surgical procedure, you will need to attend an outpatient appointment in our Elbow, Hand and Wrist Clinic. During this consultation, a specialist consultant will confirm whether surgery is appropriate for you. They will also take the time to answer any questions you may have, explain how to prepare for your procedure, and discuss what you can expect during your recovery.
Following the operation, you will be given clear advice on aftercare, including wound management, gentle exercises, and when you can safely return to everyday activities. Most patients experience significant relief from symptoms, allowing them to return to daily tasks with improved comfort and confidence.
Consultant details
Mr Andrew Smith
Andrew Smith is the senior hand surgeon in East Kent. He has significant experience dealing with all common hand problems including, but not limited to, carpal tunnel syndrome, trigger finger, dupuytrens disease, compression of the ulna nerve and thumb base arthritis. He is also one of the most experienced surgeons in the South East offering joint replacements for thumb base and wrist arthritis.
Andrew completed his general orthopaedic training in the South East of England before carrying out a year's subspecialty fellowship in hand surgery in Louisville, USA. For twenty years, Andrew was a consultant in the East Kent NHS Trust, before moving into independent practice in 2024 to prioritise providing excellent care for patients with hand and wrist problems.