For Appointments: 08000 246 266


The Manchester Hand Institute specialises in the surgical and non-surgical treatment of all forms of hand and wrist conditions. This includes all elective conditions as well as those secondary to injury.

Within the group there is expertise in microsurgery, children’s hand surgery, minimally invasive and arthroscopic surgery.

The group’s extensive involvement in education, training, examining and research means that we use scientific evidence-base to inform our practice and have regard to guidelines where these exist. Indeed through our activities we have informed and contributed to national guidelines in certain conditions.


Common Elective Conditions managed at the MHI:

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  • Carpal Tunnel Syndrome
  • Trigger Finger
  • Dupuytrens Disease/Contracture
  • Arthritis of the thumb
  • Lumps and Tumours of the Hand & Wrist
  • Ganglion
  • Mucous Cyst
  • Arthritis of the fingers
  • Cubital Tunnel Syndrome
  • Nail problems

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  • Wrist Pain & Wrist arthroscopy
  • de Quervain’s tenosynovitis
  • Wrist arthritis
  • Scar problems around the upper limb
  • Nerve entrapment around the upper limb


Common Trauma Conditions managed at the MHI:

All bone fractures

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  • Forearm
  • Wrist
  • Carpal including scaphoid
  • Metacarpal
  • Finger/ phalangeal


All joint and ligament injuries

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  • Wrist
  • Thumb ligament
  • Finger ligament


Infection in the Hand & Wrist

Gout / Pseudogout


Procedures routinely undertaken


  • Dupuytren’s contracture release (Xiapex injection, fasciectomy, dermofasciectomy, fasciotomy)
  • Ganglion excision
  • Trigger finger release
  • Base of thumb arthritis (CMCJ arthritis) correction
  • Joint replacement of all joints of the hand

[/box][box]Nerve decompression

  • Carpal tunnel release
  • Ulnar nerve decompression
  • Tendon transfers


  • Wrist arthroscopy
  • Joint replacement
  • Wrist instability correction
  • Partial and full wrist fusion
  • Distal radioulnar joint stabilisation
  • Distal radioulnar joint replacement (APTIS™ joint)
  • Ulnar shortening
  • Ulnar wafer procedure

Rheumatoid and Inflammatory Arthritis

  • MCPJ and PIPJ replacement arthroplasty
  • Fusions for painful joints
  • Soft tissue stabilisation for collapsing joints
  • Tendon surgery


Hand Therapy

Hand therapy is provided by either a specialised Physiotherapist or Occupational Therapist. Their role is to provide the non-surgical management of hand disorders and injuries using treatment such as activity modification, exercise, splinting and wound care.

The hand is one of the most complex parts of your body and involves the intricate movement of the tendons, bones, tissues and nerves. The complex interaction of these structures, allow us to grip and do a wide variety of complex tasks.

Following a hand injury or surgery, the hand may not function as before due to swelling, pain, loss of motion, altered dexterity, reduced grip etc. Many of these symptoms are normal following injury or surgery to the hand. However, the hand therapist will guide you through the rehab process providing expected timescales for recovery, a return to work plan and a return to the hobbies and sporting activities that you enjoy.

Your surgeon may recommend purely conservative management for your condition and will refer you to a hand therapist. In addition, hand therapy may be recommended prior to your surgery to optimise your long term outcome after surgery or you may be refer purely for post-operative hand therapy.

It is widely known within the field of hand injury and surgery that the close working between surgeon and hand therapist is key to optimal patient outcome. Here at the Manchester Hand Institute our surgeons work closely with their hand therapists in order to provide optimal care for your condition.

Please note: When arranging your post-operative therapy management ensure that you inform your insurer that you will be receiving hand therapy. Please note that insurers often do not cover the cost of splints (These may be custom made and moulded to your hand/wrist or off the shelf).