Hand and Wrist Conditions: Expert Non-Operative Treatment in Manchester and Glasgow
The hands and wrists are essential to almost everything we do, and pain or restricted movement in these areas can be surprisingly debilitating. At Ortho Remedy Clinic, our Manchester and Glasgow clinics offer expert non-operative treatment for a wide range of hand and wrist conditions from trigger finger and De Quervain's tenosynovitis to carpal tunnel syndrome and hand osteoarthritis. Led by consultant orthopaedic surgeon Mr Armughan Azhar, who holds membership of the British Society for Hand Surgery, our approach combines accurate ultrasound-guided diagnosis with targeted injection therapy and, where appropriate, regenerative treatment. If you have questions or would like to speak to a specialist, our orthopaedic specialist in Manchester page provides further information on booking.
Carpal Tunnel Syndrome Treatment in Manchester and Glasgow
Carpal tunnel syndrome is one of the most common hand and wrist conditions affecting working-age adults in the UK, yet it is one that is frequently under-diagnosed or managed with inappropriate treatment for too long. The carpal tunnel is a narrow channel on the underside of the wrist, through which the median nerve and the tendons that flex the fingers pass. When the tissue surrounding this space thickens or swells, pressure builds on the median nerve, producing the characteristic symptoms of carpal tunnel syndrome: tingling, numbness, and pain in the thumb, index finger, middle finger, and the inner half of the ring finger.
Many patients describe waking at night with a numb or painful hand, the need to shake the hand to relieve symptoms, or an aching that radiates up the forearm. In more advanced cases, weakness and loss of grip strength become noticeable, and patients may begin to drop objects. If left untreated, carpal tunnel syndrome can cause permanent nerve damage and significant loss of hand function.
At Ortho Remedy Clinic, carpal tunnel syndrome is assessed thoroughly before any treatment is recommended. For mild to moderate presentations, guided corticosteroid injections into the carpal tunnel can provide significant and lasting relief, reducing swelling around the nerve and creating space within the tunnel. For patients who have had previous injections with good but temporary results, or who are seeking an alternative to surgical decompression, PRP therapy is an emerging option that is discussed during consultation. For more specific information on carpal tunnel syndrome at our Manchester and Glasgow clinics, visit our dedicated carpal tunnel treatment page.
Risk factors for carpal tunnel syndrome include repetitive hand or wrist use, pregnancy, hypothyroidism, diabetes, and jobs involving prolonged use of vibrating tools. Women are approximately three times more likely to develop the condition than men.
Hand and Wrist Conditions We Treat
Hand Osteoarthritis
Osteoarthritis in the hand causes stiffness, swelling and aching in the finger joints or base of the thumb, often making gripping and fine movements difficult. Regenerative treatment aims to reduce inflammation and ease pain without surgery.
Trigger Finger and Trigger Thumb
This condition causes a finger or thumb to catch, click or lock when bending, due to inflammation around the tendon. Guided injections are highly effective at reducing this inflammation and restoring smooth movement.
De Quervain's Tenosynovitis
This causes pain and swelling along the thumb side of the wrist, often triggered by repetitive gripping or twisting movements. Guided injections and regenerative treatment reduce inflammation around the affected tendons.
Wrist Pain from Repetitive Strain
Ongoing wrist pain from repetitive movement at work, in sport or from everyday tasks often responds well to targeted regenerative treatment combined with activity advice.
Post-Injury Hand and Wrist Pain
Persistent pain following a sprain, fracture or previous injury to the hand or wrist can often be eased with regenerative treatment, even where the original injury happened some time ago.
What Conditions Can Be Addressed With Our Regenerative Therapies?
We here at Ortho Remedy offer regenerative hand pain treatment and therapies for the following conditions.
Trigger finger most commonly affects the ring and thumb, although it can also impact other fingers. The syndrome is known as the “trigger thumb” when the thumb is implicated. Flexor tendons are long and thick cord-like fibres that link the forearm muscles to the finger bones.
The flexor tendons enable the fingertips to extend when the muscle lengthens. Each flexor tendon travels via a tube in the palm and fingers, allowing it to slide effortlessly as the finger flexes and tightens. The tube is known as the “tendon sheath.” The flexor tendons are held tightly to the finger bones by bands of tissue termed “pulleys” that run along the tendon sheath. As the finger’s bends, the tendons travel through the pulleys. The pulley near the tip of the finger is referred to as the “A1 pulley.” This has been the most common affected or damaged pulley in trigger finger.
The A1 pulley becomes irritated or swollen in a trigger finger patient, rendering it difficult for the flexor tendon to slide past it when the finger bends. The flexor tendon could also become swollen and grow a tiny lump on its surface over time. There is a catching or popping feeling when the finger bends and the nodule slides through the pulley. This is frequently painful.
One more reason why you might need hand and wrist pain treatment is hand osteoarthritis. The hand and wrist feature several tiny joints that work collectively to create motion, such as the delicate motion required to thread a needle or knot a piece of string. When the joints are damaged by arthritis, ordinary tasks might become challenging. Arthritis may develop in various locations of the hand and wrist and can be caused by several factors. If arthritis is not addressed, the bones that make up the joint might lose their typical structure over time. This increases the discomfort and inhibits movement even further. Arthritis is just swelling of one or more of your joints. There are about 100 distinct varieties of arthritis, with osteoarthritis and rheumatoid arthritis being the most frequent.
When disease causes arthritis, the symptoms appear gradually, and the cartilage degrades gradually. Osteoarthritis and rheumatoid arthritis are two most frequent types of arthritis caused by illness. Osteoarthritis is far more frequent and primarily affects the elderly. Osteoarthritis, occasionally known as “wear and tear” arthritis, leads cartilage to wear away. It arises in some joints in a regular sequence. Rheumatoid arthritis is a chronic disease/condition that impacts many different body sections. It leads the joint lining (synovium) to expand, resulting in joint discomfort and stiffness. Rheumatoid arthritis usually begins in the tiny joints of the hands and feet.
Tendinosis is defined as a swelling of the tendons. Tendon and tendon sheath inflammation can produce discomfort and soreness along the thumb side of the wrist. This is most visible while making a fist, clutching or holding something, or rotating the wrist. Overuse may be the cause of De Quervain’s tendinosis. It is also linked to pregnancy and rheumatoid arthritis. It is persistent among women in their forties and fifties and a common issue for which women look for hand and wrist pain treatments. There may be pain on the thumb side of the wrist. This is the most severe symptom. The discomfort might come on gradually or unexpectedly. The hand pain starts in the wrist and spreads up the forearm. When the hand and thumb are used, the discomfort is frequently severe. This is especially evident when grabbing something with force or twisting the wrist.
Minimally Invasive Hand And Wrist Pain Treatment To Provide You With Better Quality Of Life
We know that the wrist is an important joint in our body that allows us to conduct a variety of tasks every day. Regenerative therapy for wrists is a breakthrough alternative treatment approach that treats hand and wrist discomfort using natural components from your body. Non-surgical Regenerative Therapy and (PRP) injections are next-generation Regenerative Treatments that address the underlying cause of wrist, hand, or finger pain rather than merely the symptoms.
Current Hand Conditions And Injuries Treated By Our Specialist
Trigger thumb/finger
A trigger finger is a problem that involves discomfort, stiffness, and the sense that your finger is freezing or catching as you flex and extend it. “Stenosing tenosynovitis” is another name for the ailment.
Hand osteoarthritis
Arthritis may develop in various locations of the hand and wrist and can be caused by several factors. If arthritis is not addressed, the bones that make up the joint might lose their typical structure over time.
Radial tenosynovitis
De Quervain’s tendinosis develops when the tendons at the root of the thumb become inflamed or compressed.
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Hand Pain Treatment In Manchester For Optimal Daily Functioning
Are you tired of searching for how to relieve hand pain treatment? Let us help you. Our hands are necessary for daily functioning. The anatomy of the hand is complicated and complex. Our hands require feeling and movement in the joints, tendons, and muscles to operate. When a problem occurs in hand, attention must be paid to the many types of tissues that allow the hand to operate.
Ortho Remedy has extensive knowledge of the anatomy of the hand and the wrist, elbow, and arm. When appropriate, cautious non-surgical regeneration therapy is advised to address these issues. Our doctors have the required expertise and experience to serve you with the finest possible treatment. To learn more about hand pain treatments, please get in touch with us immediately.
Guided Injections for Hand and Wrist Conditions
Guided cortisone injections are a well-established and effective treatment for several hand and wrist conditions, including carpal tunnel syndrome, trigger finger, and De Quervain’s tenosynovitis. At Ortho Remedy Clinic, these injections are delivered under ultrasound guidance to ensure precision and safety. For patients in whom inflammation is a significant component of their symptoms, cortisone can provide rapid relief, allowing hand function to be restored quickly. Visit our cortisone injection for arthritis page for more information on how guided injections are used at the clinic.
What to Expect: Your Hand and Wrist Treatment Journey
- Consultation and Assessment: Dr Azhar examines your hand and wrist movement, grip strength and any repetitive tasks that may be contributing to your pain.
- Personalised Treatment Plan: You receive a tailored plan, whether a guided injection or PRP, explained clearly before you decide to proceed.
- Treatment Session: Treatment is delivered walk-in and walk-out, without hospitalisation or general anaesthesia.
- Follow-Up and Activity Guidance: You receive advice on returning to gripping, typing and fine motor tasks, along with a follow-up review to track your progress.
Why Choose Ortho Remedy for Hand and Wrist Pain
Ortho Remedy Clinic is led by Dr Armughan Azhar, an orthopaedic surgeon with 25 years of experience and a member of the British Society for Hand Surgery, a specialist body dedicated specifically to conditions of the hand and wrist. Patients across Manchester and Glasgow choose Ortho Remedy for this level of specific expertise, rather than a general pain clinic.
Contact Us Today To Make An Appointment
Want to get rid of your hand and wrist pain? Contact us today so we can guide you about our regenerative hand and wrist pain treatments.
MANCHESTER CLINIC
GLASGOW CLINIC
Spiersbridge House, 1 Spiersbridge Way, Thornliebank, G46 8NG
Frequently Asked Questions
Most frequent questions and answers
Yes, a guided injection is often very effective at resolving trigger finger, and is typically tried before surgery is considered.
Most patients return to normal activity the same or next day. Full improvement in symptoms is often noticed over the following weeks.
Yes, repetitive strain injuries of the hand and wrist are one of the most common reasons patients visit the clinic.
The most common symptoms are tingling or numbness in the thumb, index finger, middle finger, and the inner half of the ring finger particularly at night or after prolonged wrist use. Some patients also experience aching or burning that radiates up the forearm. In more advanced cases, grip weakness and difficulty with fine motor tasks become apparent. If you recognise these symptoms, a proper assessment is the important first step. Visit our carpal tunnel treatment page for more information.
Yes, in many cases. Mild to moderate carpal tunnel syndrome responds well to guided cortisone injections, which can provide sustained relief. Splinting at night is often recommended alongside injection treatment to reduce pressure on the nerve during sleep. For patients who have relapsed after injection treatment, or who are seeking to avoid surgery, further options including PRP are discussed at consultation.
Yes. A guided cortisone injection into the tendon sheath around the affected finger is the first-line non-surgical treatment for trigger finger and is successful in a significant proportion of patients. It reduces inflammation in the tendon sheath, allowing the tendon to glide more freely and resolving the catching or locking sensation. More information on cortisone injections is available on our cortisone injection for arthritis page.
Yes, many patients with reduced grip strength from osteoarthritis benefit from regenerative treatment. Your specific case is assessed individually.
It is inflammation of the tendons on the thumb side of the wrist, usually caused by repetitive gripping or twisting. It is typically treated with a guided injection combined with activity advice.
De Quervain’s is a condition affecting the tendons on the thumb side of the wrist. It causes pain and swelling just above the wrist at the base of the thumb, which is often worse when gripping, pinching, or turning the wrist. It is particularly common during and after pregnancy and in those whose work involves repetitive thumb use. A guided cortisone injection into the tendon sheath is usually very effective and is the treatment of choice for most patients.
Most patients are able to resume normal daily activities the same day or the following day. Some temporary soreness around the injection site is common and usually settles within 48 hours. Full benefit from the injection is typically felt within one to two weeks.
Yes. A guided cortisone injection is the preferred first treatment for trigger finger, and is successful in the majority of cases. Surgery is reserved for patients who do not respond to injection or who have had repeated injections without lasting benefit.
Yes. Repetitive strain injuries and work-related upper limb disorders are among the most common presentations in our hand and wrist clinic. A combination of activity guidance, ergonomic advice, guided injection, and in some cases PRP therapy can achieve excellent results without any surgical intervention.
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Imagine the possibility where you don’t need pain medication or the need for a medical operation can be sustained or eliminated. There are now therapies available that may increase your body’s natural ability to repair thanks to modern regenerative medicine technology. If you want to learn more about it, please contact us right now.