An experienced upper limb specialist offering expert diagnosis and treatment for conditions affecting the hand and wrist, including carpal tunnel syndrome, trigger finger, arthritis and Dupuytren's contracture, based in Manchester and Cheshire.
Mr Dilraj Sandher is Consultant Trauma and Orthopaedic Surgeon at Manchester Royal Infirmary. He provides private treatment for problems affecting the hand and wrist at three independent hospitals in the Manchester area:
- BMI The Highfield Hospital, Rochdale
- BMI The Alexandra Hospital, Cheadle
- BMI The Bridgewater Hospital, Manchester
A highly trained hand and wrist surgeon
Mr Sandher is a Fellowship-trained upper limb surgeon with a special interest in arthroscopic surgery, joint replacement surgery and the treatment of fractures and sports injuries. He provides expert diagnosis and treatment for the full range of conditions affecting the hand and wrist, including:
- Carpal tunnel syndrome
- Cubital tunnel syndrome
- Rheumatoid arthritis
- Trigger finger
- Fracture and traumatic injury
- Dupuytren's contracture
Expert treatment for carpal tunnel syndrome in Manchester and Cheshire
Affecting more women than men, carpal tunnel syndrome (CTS) is characterised by pain, numbness and a tingling or burning sensation in the hand and fingers. It occurs when the median nerve that is responsible for controlling sensation and movement in the hands becomes compressed. This can happen for a number of reasons, including repetitive strain to the hand, injuries to the wrist, and health conditions such as arthritis, although in many cases the cause may not be apparent.
A range of non-surgical treatments is available to treat mild to moderate cases of carpal tunnel syndrome, including wrist splints and steroid injections, however when the symptoms have been present for more than six months and conservative treatments have failed to make an impact, carpal tunnel release surgery (also known as carpal tunnel decompression surgery) may be recommended.
Mr Sandher is highly experienced in surgical techniques to relieve pressure on the median nerve, using minimally invasive arthroscopic surgery wherever possible. The surgery has a very high success rate, providing a complete and permanent cure in the majority of cases treated.
Surgical treatment of Dupuytren's contracture
For reasons that are not fully understood, the connective tissue in the palm of the hand can thicken forming nodules, and eventually cords, of tissue that contract, pulling a finger or thumb inwards towards the palm. Known as Dupuytren's contracture, this condition does not present a threat to health, but can be unsightly and can adversely affect hand function.
Mr Sandher offers a range of surgical treatments to treat Dupuytren's contracture, including fasciotomy to cut the thickened connective tissue, and fasciectomy to completely remove the affected tissue. Of the two operations, fasciectomy is the most extensive as a skin graft is also necessary, however it is also the more effective with a very low rate of recurrence. Mr Sandher is happy to offer his expert opinion on which procedure would be most appropriate in each individual case.
Mr Dilraj Sandher is an accredited consultant for the UK's leading private healthcare providers and private hospitals, including BMI Hospitals
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