A Guildford-based upper limb specialist offering the latest arthroscopic and minimally invasive surgical techniques to treat hand and wrist conditions, including traumatic injuries, sports injuries, nerve compression and inflammatory syndromes, arthritis, Dupuytren's disease and congenital hand abnormalities.
Mr Anthony Hearnden is Consultant Orthopaedic Surgeon at the Royal Surrey County Hospital NHS Foundation Trust. He offers private treatment for hand and wrist problems at two independent hospitals in Guildford:
- Guildford Nuffield Hospital
- BMI Mount Alvernia Hospital
An experienced hand and wrist specialist
Mr Hearnden graduated from Kings College Medical School in London in 1995 and undertook his orthopaedic training in South West London. Following a prestigious fellowship in hand and shoulder surgery at the world-renowned Wrightington Upper Limb Unit in Wigan, in 2007 he was made a consultant at the Wrightington Hospital, gaining routine experience in the treatment of the full range of conditions that
affect the hand and wrist, including those of a complex and tertiary
Mr Hearnden was appointed Consultant Orthopaedic Surgeon at the Royal Surrey County Hospital in 2010, where he specialises exclusively in upper limb surgery using the latest arthroscopic (keyhole) and minimally invasive techniques. As part of Guildford Upper Limb
, he works closely with other upper limb specialists and highly trained specialist physiotherapists and hand therapists to provide patients with a comprehensive multidisciplinary service for hand and wrist problems.
Hand and wrist conditions treated by Mr Anthony Hearnden
Mr Hearden offers expert assessment and treatment for the full range of conditions affecting the hand and wrist, including:
- Carpal tunnel syndrome
- Trigger finger
- Dupuytren's disease
- Mallet finger
- Boutonniere deformity
- De Quervain's tenosynovitis
- Arthritis of the wrist
- Arthritis of the fingers and base of the thumb
- Ganglion cysts
- Tendon injuries
- Triangular fibrocartilagenous complex (TFCC) tears
- Scaphoid and distal radial fractures
- Hand and finger fractures
Expert treatment for hand and wrist arthritis in Surrey
Arthritis is an extremely common condition that causes pain, swelling and stiffness in the joints of the body, including the hand and wrist. The majority of cases are due to osteoarthritis, a degenerative condition where the protective cartilage covering the ends of the bones in a joint are worn down over time, allowing the bone surfaces to rub against each other. Damage to the cartilage can also occur as a result of injury. Rheumatoid arthritis, an autoimmune condition that involves a person's own immune system attacking their cartilage, ligament and bone is also a significant cause of hand and wrist pain and joint deformity.
Mr Hearnden works with physiotherapists and hand therapists to provide a range of non-surgical and surgical treatments for hand and wrist arthritis. The areas most commonly affected are the base of the thumb, the finger joints, and the joint in the wrist that allows rotation of the forearm known as the distal radio-ulna joint (DRUJ). Initial treatments that may be offered include splints, painkillers, anti-inflammatory medication, cortisone injections and exercises.
Where non-surgical options fail to bring about any improvement, Mr Hearnden is able to offer a number of surgical procedures to reduce pain and restore function to the hand and wrist.
The gold standard treatment for thumb base arthritis for people over 65 is removal of the trapezium bone, the small bone at the base of the thumb that allows the thumb to swivel, which has a long-term satisfaction rate of over 95%. Patients with manual jobs, however, may benefit from a fusion operation that retains a strong thumb grip at the expense of movement in the joint. Younger patients under 65 with mild thumb base arthritis may be suitable for a keyhole procedure to shave off the damaged cartilage and construct a false joint from a tendon, a technique that results in good grip strength and a good range of movement.
Arthritis in the DRUJ of the wrist can result in the ulna head dislocating, causing a painful lump on the back of the hand. Mr Hearnden offers a surgical procedure called the Darrachs procedure to remove the worn out bone, giving good pain relief and preventing further damage to the tendons and joint. Younger patients and those with a high demand on the wrist, however, may be offered joint replacement surgery using the latest technique that leaves the ligaments and tendons intact. Joint replacement surgery is also a good option for those with finger arthritis.
Accreditation and admitting rights at private hospitals
Anthony Hearnden is an accredited consultant for the UK's leading private healthcare providers and private hospitals, including Nuffield Health
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