Orthopaedic surgery
Hand, Wrist & Elbow Surgery
Specialist upper limb assessment and day-case surgery for pain, numbness, stiffness and hand conditions, with Mr Kieran Lappin.

With Mr Kieran Lappin
Consultation
£250
- Procedures from £1,580 total
- Setting Day case
- Paying Self-pay or insured
or call 028 7116 5790
Your consultant confirms whether you need a procedure, and its price, before anything is booked.
Is it right for me?
When to see an upper limb specialist
You don't need a diagnosis to book. Your consultant will work out what's causing your symptoms.
Numbness or tingling
Carpal tunnel, cubital tunnel and other nerve-related symptoms.
Lumps or locking fingers
Ganglions, trigger finger and other common hand conditions.
Wrist pain or stiffness
Arthritis, tendon problems and injuries that haven't healed.
Elbow pain
Tennis elbow, golfer's elbow and other overuse conditions.
Conditions treated
- Carpal tunnel syndrome
- Numbness, tingling and weakness from pressure on the median nerve at the wrist.
- Trigger finger
- A finger that locks or catches in a bent position.
- Dupuytren's contracture
- Thickening in the palm that gradually curls the fingers inward.
- Ganglions
- Fluid-filled lumps along the tendons or joints of the wrist and hand.
- Arthritis
- Pain, stiffness and reduced movement in the hand or wrist.
- Skier's thumb (UCL injury)
- Injury to the ligament on the inside of the thumb.
- Cubital tunnel syndrome
- Compression of the ulnar nerve at the elbow, causing numbness in the hand.
- De Quervain's tenosynovitis
- Painful tendons on the thumb side of the wrist.
- Scaphoid non-union
- A wrist fracture that hasn't healed properly.
- Tennis elbow
- Pain on the outside of the elbow from overuse.
- Golfer's elbow
- Pain on the inside of the elbow from overuse.
Prices
Procedures and prices
Totals include your £250 consultation. All of these are day-case procedures under local anaesthetic.
Ganglion or lump removal
Removal of a ganglion or other lump from the hand or wrist.
Book£1,580 total
£250 consultation + £1,330 on the day
Carpal Tunnel Release
Releases pressure on the median nerve to relieve numbness, tingling and weakness.
Book£1,580 total
£250 consultation + £1,330 on the day
Trigger Finger Release
Frees a finger that locks or catches when you bend it.
Book£1,680 total
£250 consultation + £1,430 on the day
De Quervain's Release
Releases the painful tendons on the thumb side of the wrist.
Book£1,680 total
£250 consultation + £1,430 on the day
Tennis / Golfer's Elbow Release
Surgical release for elbow pain that hasn't responded to other treatment.
Book£1,780 total
£250 consultation + £1,530 on the day
Review appointment
A follow-up appointment with Mr Lappin.
£150
Book
Procedure-day prices include a £30 dressing change and a £50 telephone review after your procedure.
How it works
What happens, step by step
- 1
Send an enquiry
Tell us about your symptoms and we'll arrange your consultation.
- 2
Consultant assessment
Mr Lappin takes your history, examines your hand, wrist or elbow and explains the cause.
- 3
Agree a treatment plan
That might be investigation, an injection, surgery or non-surgical management.
- 4
Recovery and aftercare
Any procedure is followed up by the same consultant through your recovery.
Your consultant
Who will look after you
The consultant you meet at your first appointment carries out your treatment and your follow-up.
Questions
Good to know
- What the consultation covers
- History, examination and a clear explanation of whether investigation, injection, surgery or conservative treatment is right.
- Recovery planning
- If surgery is recommended, you receive information on preparation, aftercare and expected recovery before booking.
- Paying for treatment
- Self-funded and insured patients use the same booking route. Using insurance
Frequently asked questions
Costs and guides
Read more before you book
- Price · Carpal tunnel release £1,580 totalCarpal Tunnel Treatment CostA focused route for suspected carpal tunnel syndrome, from assessment through to treatment planning.
- Price · Consultations £250Hand, Wrist & Elbow Consultation CostSpecialist orthopaedic assessment for hand, wrist, and elbow symptoms with a consultant-led treatment plan.
- Guide · 4 min readCarpal Tunnel Symptoms: When to See a SpecialistLearn when hand numbness, tingling, night waking, or weakness may need specialist upper-limb assessment.
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Appointments
Ready to book? Consultation £250.
Send a booking request or call our team if you'd like help choosing the right appointment.