About Hand Surgery

SFMedica offers a great range of hand surgery for both functional and cosmetic reasons.

Ms Effie Katsarma is a Consultant Plastic, Reconstructive and Hand Surgeon based at Chelsea & Westminster Hospital.

SFMedica in collaboration with Ms E. Katsarma offers a great range of hand surgery for both functional and cosmetic reasons.

Our surgical procedures include prevention and correction of hand deformities secondary to chronic diseases such as:

Rheumatoid Arthritis – Inflammatory arthritis that destroys articular cartilage and can cause tendon rupture resulting in permanent finger and hand deformities.

Osteoarthritis – Most common form of arthritis characterised by cartilage changes leading to joint wear.

Dupuytren's Contracture (or Dupuytren's Disease)– abnormal fibromatous tissue development causing fixed flexion deformities interfering with the normal function of the affected hand(s). We offer surgical and non-surgical treatments such as Xiapex (collagenase clostridium histolyticum) local injections into the palpable cord.

Carpal Tunnel Syndrome (CTS) – the most common mononeuropathy involving the median nerve. The main symptoms of CTS are intermittent pain and numbness of the thumb, index, long and ring fingers. Symptoms are progressive and can interfere with sufferers' occupation, especially when manual work is involved, and their daily activities such as driving, housework and, in severe cases, dressing and undressing.

Long-standing CTS leads to permanent nerve damage with constant numbness, pain and muscle weakness in the palm of your hand. That is why early intervention is highly recommended for both correction and prevention of further disease progression.

Risk factors for CTS

  • Genetics
  • Female gender
  • Diabetes
  • Thyroid problems
  • Pregnancy
  • Trauma such as previous wrist fracture
  • Obesity
  • Oral contraceptives
  • Rheumatoid arthritis
  • Repetitive or forceful use of the hand and wrist such as seen in hairdressers

SFMedica, recognising the debilitating effects of CTS, offers Carpal Tunnel Release surgery to all those with refractive symptoms meeting the criteria for surgical intervention.

Ganglion cysts – is a swelling containing clear fluid that often appears on or around joints and tendons in the hand or foot.

Trigger finger - is a common disorder characterized by catching, sticking, or occasional locking of fingers (most commonly thumb and ring finger) in flexed position. Middle aged women are the most commonly affected group followed by diabetes, rheumatoid arthitis, gout and amyloidosis patients. We offer both surgical and non-surgical treatments such as steroid injections.

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