To access hand and wrist self-referral please click here

The Hand and Wrist Service forms part of a range of services provided by the Sussex MSK Partnership. It is a service provided by clinicians called Advanced Practitioners. These are specialist therapists with knowledge and skills in caring for patients with hand and wrist conditions. The aim of the service is to provide patients with a high quality service that is based in a community setting, such as a GP surgery.

Where are the Hand and Wrist Service clinics located?

Brighton and Hove:  Beaconsfield Medical Practice, Amex Diagnostic Treatment Centre
Crawley:
Crawley Hospital
Horsham:
Horsham Hospital
Mid Sussex:
The Vale

The following information is for all patients who have been offered an appointment in our service.

Who will I see and what will happen?

You have an appointment with a clinician who is best able to deal with your condition. Please allow about 30 minutes for your appointment (this may be longer or shorter depending on your clinical need). During the consultation:

  • You will be able to discuss your history and symptoms and the clinician will assess your condition.
  • You will get a chance to talk about different options for treatment, and receive information that will
    help you manage your condition.
  • The clinician will explain any medical treatments available, including risks and benefits.
  • Medical students or other trainee clinicians or colleagues may be observing in the consultation, as part of their training or supervision. The clinician will ask your permission for this to happen and it will only happen with your consent.

What should I bring? What else do I need to know?

  • Please bring a list of your current medicines, including prescribed and non-prescribed medicines (e.g. over the counter medicines and supplements). You do not need to bring your medicines with you.
  • If you have had a scan or X-Ray outside your local NHS provider, please send us your CD and contact us to arrange for these to be available at your appointment. Please bear in mind that it can take a long time to get hold of these, so the sooner you can let us know the better.
  • If appropriate, you may be offered a steroid injection during the appointment. Your clinician will always discuss this and ask for your consent first. If you do have an injection, you will be advised to rest for 30 minutes afterwards, and then consider whether you are safe to drive home.
  • Depending on your condition, you may need to expose your shoulder(s), so you can be examined properly.
  • You are welcome to bring a relative or a friend to your appointment. Alternatively, we can arrange a chaperone if you would like someone to be with you. This is an independent person specially trained to support patients. Please let our team know on 0300 303 8063 before the appointment if you would
    like a chaperone.
  • If you need an interpreter, please contact our team on 0300 303 8063 and we can arrange for one to be at the appointment with you. We can also arrange for interpreters for telephone appointments.

What will happen afterwards?

You will be able to discuss with the clinician what will happen next which may be one or a combination, of the following things:

  • You may be discharged from the service.
  • You may be sent for further tests, such as a blood test, x-ray or MRI scan.
  • You may be offered a follow-up appointment, either on the telephone or face-to-face.
  • You may be referred to a hospital of your choice if further advice or treatment is required.

Whatever happens, you will receive advice on how best to look after yourself and manage your condition. If you have any other questions, please let us know by contacting 0300 303 8063 where our team will be pleased to help you.

Useful Resources

Carpal tunnel Syndrome

This is a very common condition treated in our service.   For further information about the condition please click on the following link:

Condition

Surgery

Cubital Tunnel Syndrome

This is a condition which causes pins and needles over the tips of the little and ring finger.   For further information about the condition please click on the following link:

Condition

Surgery

DeQuervain’s disease

This is a condition where pain over the wrist could affect hand function. For further information about the condition please click on the following link:

Condition

Surgery

Dupuytren’s Disease

This is a condition where any of your fingers could be affected.   For further information about the condition please click on the following link:

Condition

Surgery

Finger Joint Arthritis

Arthritis of the fingers is a common condition. For further information about the condition please click on the following link:

Condition

Further information

Finger Fusions

PIPJ Replacement

MCPJ Replacement

Inflammatory Arthropathy

Inflammatory Arthropathy is a group of conditions where inflammation is present within the joint.   For further information about the condition please click on the following link:

Gout and Pseudogout

Rheumatoid arthritis

Ganglia

Condition

Surgery

Mucoid Cyst

This is a small cyst which can develop over the end joint of a finger, just below the nail bed.   For further information about the condition please click on the following link:

Condition

Surgery

Seed Ganglia

This is a small cyst which appears over the base of a finger.   For further information about the condition please click on the following link:

Condition

Surgery

Wrist Ganglia

These ganglia are very common around the wrist.   For further information about the condition please click on the following link:

Condition

Surgery

Thumb Base Osteoarthritis

This is a very common form of osteoarthritis.   Symptoms are often intrusive.  For further information about the condition please click on the following link:

Condition

Surgery

Thumb Base Replacement

Trigger Finger/ Thumb

This is a very common condition which can affect any finger or thumb.   Symptoms are quite uncomfortable.   For further information about the condition please click on the following link:

Condition

Surgery

Thumb Ulnar Collateral Ligament injury

This injury is also known as Skiers thumb or Gamekeepers thumb.   It usually results from a forceful injury where the thumb gives way.   For further information about the condition please click on the following link:

Condition

Surgery

Arthritis of the Wrist

This is a common condition which can develop in the wrist.   Symptoms can vary depending on the area involved. For further information about the condition please click on the following link:

Scaphoid Trapezium Trapezoid Osteoarthritis

Surgery

Osteoarthritis of the Distal Radio- ulnar joint

Condition

Surgery

Multiple joint osteoarthritis of the wrist

Condition

Surgery

Further Information

Scaphoid Lunate Ligamentous Injury

The Scaphoid lunate ligament is one of the ligaments present in the wrist. This ligament can be damaged following a fall onto the outstretched hand.   For further information about the condition please click on the following link:

Condition

Surgery

Triangular Fibro- Cartilaginous Complex (TFCC) Injury

This is an injury to one of the ligaments present in the wrist which lies just below the base  of the little finger.  This can cause pain.  For further information about the condition please click on the following link:

Condition

Surgery

Tendonitis

This is an inflammation around or within a tendon.   There are various factors which can cause this.  For further information about the condition please click on the following link:

Condition

Workshops and patient leaflets

Here are some information from our Hand and Wrist classes, these have been developed and approved by our clinical staff to be the best information for patients.

If you have a diagnosis which does not have a leaflet above, then please contact our clinical support team on 0300 303 8063 and they will work with our clinical team to find you some more information.