Orthopaedic Surgery
Hand, Wrist & Elbow Surgery
Expert day-case care to relieve pain, restore movement, and guide you into the right upper limb treatment pathway with consultant-led assessment from Mr Kieran Lappin.
Private upper limb consultation £250
When upper limb symptoms need a specialist opinion
This route is for patients who want faster clarity on pain, numbness, stiffness, or conditions affecting the hand, wrist, or elbow.
Numbness or tingling
Assessment for carpal tunnel syndrome, cubital tunnel syndrome, and other nerve-related upper limb symptoms.
Painful lumps or locking fingers
Specialist review for ganglions, trigger finger, and other common hand conditions.
Wrist pain or stiffness
A clearer route into assessment of arthritis, tendon problems, and unresolved injuries.
Elbow pain
Useful for tennis elbow, golfer's elbow, and other overuse or inflammatory conditions.
Direct orthopaedic access
A consultant appointment helps you understand whether the right next step is investigation, injection, surgery, or conservative treatment.
Consultations £250 with named consultant-led upper limb assessment.
Day-case treatment options can be discussed when surgery is appropriate.
Conservative management, further investigation, and surgery can all be reviewed in one pathway.
You stay under the same consultant from assessment through aftercare.
What We Treat
Numbness, tingling and weakness in the hand caused by pressure on the median nerve in the wrist.
A condition causing a finger to lock or catch in a bent position due to inflamed tendons.
Thickening of tissue in the palm causing fingers to curl inward over time.
Non-cancerous fluid-filled lumps that commonly develop along tendons or joints of the wrist and hand.
Joint inflammation causing pain, stiffness and reduced range of motion in the hand or wrist.
Injury to the ulnar collateral ligament of the thumb, often caused by a forceful bend.
Compression of the ulnar nerve at the elbow causing numbness and weakness in the hand.
Painful condition affecting the tendons on the thumb side of the wrist.
A fracture of the scaphoid bone in the wrist that has not healed properly.
Pain and tenderness on the outside of the elbow caused by overuse of the forearm muscles.
Pain and inflammation on the inside of the elbow from overuse of the forearm muscles.
Procedure Pricing
Selected upper limb procedures with clear guide prices
These guide prices reflect the latest hand, wrist, and elbow procedure list you supplied. The final route depends on consultant assessment, anaesthetic choice, and clinical suitability.
01
Excision of Subcutaneous Lump
Local anaesthetic day-case procedure for selected subcutaneous lumps.
02
Excision of Ganglions / Large Lumps
Local anaesthetic day-case procedure for ganglions or larger lumps.
03
Carpal Tunnel Release
Local anaesthetic carpal tunnel release for suitable patients with confirmed symptoms.
04
Trigger Finger Release
Local anaesthetic release procedure for trigger finger where surgery is the right next step.
05
De Quervain's Release
Release procedure for De Quervain's tenosynovitis, with local or general anaesthetic route depending on suitability.
06
Dupuytren's Procedures
Palmar, single finger, multiple finger, or recurrent Dupuytren's procedures. Hand occupational therapy support may apply.
07
Cubital Tunnel Decompression
General anaesthetic decompression procedure for suitable cubital tunnel syndrome cases.
08
Trapeziectomy / Proximal Row Carpectomy / UCL
General anaesthetic upper limb procedure. Includes hand occupational therapy support.
09
Tennis / Golfer's Elbow Release
General anaesthetic release procedure for selected tennis or golfer's elbow cases.
What to expect
Start your booking
Start a direct enquiry and our team will help arrange the right orthopaedic consultation for your symptoms or condition.
Consultant assessment
Your consultation includes discussion of your history, physical examination, and review of the condition affecting the hand, wrist, or elbow.
Agree the treatment plan
The next step may be investigation, injection, surgery, or conservative management, depending on what will help most.
Recovery and aftercare
Any procedure is supported by follow-up and aftercare so the pathway remains consultant-led through recovery.
Pathway Support
Built around clear decision-making
Named consultant care from assessment onward.
Day-case procedures available where surgery is appropriate.
A clearer route from diagnosis to recovery for upper limb conditions.
Before You Book
Practical information and clear pricing
Private upper limb consultation £250
Guide procedure prices are shown above to help you compare options. Your consultation confirms the appropriate treatment and the final route before any procedure is arranged.
Consultation price
Upper limb consultations are £250. Procedure prices are shown as guide prices and depend on the assessment, planned treatment, and anaesthetic route.
What the consultation covers
Your consultant reviews your history, examines the condition, and explains whether the next step is investigation, injection, surgery, or conservative treatment.
Recovery planning
If surgery is appropriate, you will receive procedure-specific information about preparation, aftercare, and the expected recovery route before booking.
Common Questions
Answers before you enquire
No. The consultation is designed to clarify the condition and the most appropriate treatment route.
They are guide prices. The final recommendation and any relevant costs are explained after consultant assessment and treatment planning.
Many selected upper limb procedures are planned as day cases. Your consultant will explain whether this is appropriate for your treatment.

Book Your Consultation
Start with a consultant-led assessment for hand, wrist, or elbow symptoms, then move into the right treatment plan.