Patient Education Articles

What's actually happening at the base of the thumb, why hand therapy comes first, and what the evidence shows about steroid injections, PRP, trapeziectomy and modern joint replacement.

What's actually happening inside a ganglion cyst, why most resolve without treatment, and what the evidence says about aspiration versus surgery.

A clear, evidence-based comparison of needle fasciotomy, collagenase and surgery for Dupuytren's contracture, including real recurrence rates and why one option is currently unavailable in the UK.

What the evidence actually says about splints, steroid injections and exercises for trigger finger — and when surgery becomes the better option.

SNAC wrist develops when an old, unhealed scaphoid fracture leads to a predictable pattern of arthritis. This article explains what SNAC means, how it's staged, and what treatment looks like at every stage, from simple measures through to surgery.

Most patients improve after carpal tunnel surgery, though not always immediately or completely. This article explains the main reasons recovery sometimes falls short, and how the cause is worked out.

Carpal tunnel release can be performed as an open operation, endoscopically, or under ultrasound guidance. This article explains how the choice is actually made, and which patients benefit most from each technique.

Carpal tunnel syndrome is one of the most common nerve conditions seen in a hand clinic. This article explains why symptoms are often worse at night, how the diagnosis is actually made, and how the decision between splints, injections, and surgery is reached.

A scaphoid fracture that never healed can sit silent for decades, or cause pain from the first weeks. Why scaphoid nonunion happens, how it is assessed, and how it is treated.

Scaphoid fractures are the most commonly missed wrist injury, and not usually because of a technical imaging failure. This article explains why the injury is so easily mistaken for a sprain, why X-ray alone cannot be trusted, and what the medical negligence data reveals about where diagnosis actually goes wrong.