Educational resources from Mr Philip Mathew to help London patients understand hand and wrist conditions, treatments, and recovery steps. Patient Education Hand Conditions Arthritis – base of thumb Arthritis – finger joints – osteoarthritis, rheumatoid, psoriatic, post-trauma Carpal tunnel syndrome Cold Hands Complex regional pain syndrome-CRPS Dupuytrens Disease Mucous cysts Ganglion cysts Gout I nfections Numb hands PseudoGout Painful finger joints Stiff fingers Tumors Trigger Finger Wrist conditions Arthritis –wrist- osteoarthritis, rheumatoid, psoriatic, post-trauma Complex regional pain syndrome-CRPS Dequervains Syndrome Dropped fingers Ganglions –Wrist Gout/ Pseudogout Intersection syndrome Kienbocks disease Ulna impaction syndrome Ulna sided Wrist pain TFCC- degenerative tears Tumors Wrist Instability Injuries Animal Bites Fight Bites Finger tip injuries Fracture / Broken fingers, small bones wrist, wrist Fractures in children Jammed finger Mallet finger Non-united fractures Scaphoid fracture Tendon Injuries Thumb ligament injury Wrist ligament injuries Nerve related conditions Carpal tunnel syndrome Cubital Tunnel syndrome Pronator teres syndrome Radial nerve palsy PIN palsy Other conditons Tennis elbow Golfers elbow Vascular disorders Painful Neuromas Treatments Amputations Cast and splint care Carpal tunnel release Cunital tunnel release +/- transposition Dequervains release Dupuytrens – needle aponeurotomy Dupuytrens – limited fasciectomy Dupuytrens – dermofaciectomy + skingraft Dupuytrens – exfix and cental slip facilitation Dupuytrens- Xiapex injections Elevation of injured hand Excisions of lumps and bumps Local flaps Hand surgery anaesthesia Hand therapy Finger Joint replacements Finger joint fusions Finger ganglion and mucous cyst excision Ganglion surgery Wrist Mallet finger fixation K wiring of fractures Open reduction Internal fixation Proximal Row Carpectomy PRP injections Salvage procedures Scar management Steroid injections Skin graft Scaphoidectomy and four corner fusion Scapho-lunate ligament repair Scapho-lunate ligament reconstruction Scaphoid fracture fixation Small joint arthroscopy Rheumatoid hand – tendon realignment or reconstruction Rheumatoid hand- joint replacements Rheumatoid wrist – synovectomy Tendon transfer surgery TFCC repair or reconstruction Thumb CMC joint replacement Trapeziectomy with or without ligament reconstruction Trigger finger/ thumb release Tightrope stabilisation of the thumb Ulnar Collateral ligament repair/ reconstruction Ulna shortening Osteotomy Ulna head replacement DRUJ replacement Wrist arthroscopy Wrist denervation Wrist Fusion Wafer procedure

Learn about diagnostic investigations for hand and wrist problems with Mr Philip Mathew in London, including scans and imaging tests. Investigations These may range from very basic investigations like blood tests and x-rays to more in-depth investigations like CT scans, Bone scans or MRI scans. Please let Mr Mathew know if you are claustrophobic as this may require you to be sent to a specific type of open scanner. As some of these tests involve significant radiation it is important to let us know if you may be pregnant. Patients with nerve related problems might be sent for nerve conduction studies to better define the pathology. Occasionally it is difficult to identify the exact source of pain if there is more than one pain generator and in this situation you may be required to undergo a diagnostic injection, sometimes under x-ray or ultrasound control. Once all the investigations are complete please make a follow up appointment to discuss the results and treatment options

Answers to common questions about hand and wrist surgery in London with Mr Philip Mathew. Learn about recovery, costs, and treatment options. What do I need for my first consultation? A referral letter from either your general practitioner or physiotherapist is required if you are paying with private health insurance. You should also bring your insurance policy number and pre-authorisation code for the consultation. Please call the hospital you are being seen at and kindly ask for any images done at external hospitals to retransferred across along with the reports as this will save considerable time. How much does a consultation cost? For insured patients, prices are set according to the scales produced by the major insurance companies, and Mr. Mathew is recognized by most major insurance providers. If you are a self pay patient Mr. Mathew’s fees vary according to the clinic location . Further pricing information can be provided upon request. The individual hospitals may have their own additional charges for investigations and medications. How long will the consultation last? The new patient consultation can last up to 30 minutes. It is important to note that some conditions are relatively simple and some complex and the timing may vary as necessary to make sure you have clearly understood the suspected pathology and the management plan. Follow up appointments can last up to 15 minutes but again can vary. What if I need Surgery? The decision for surgery is not always easy and adequate time will be offered to ensure you understand what is involved. Once you have decided on surgery you will be consented for the operation and Mr. Mathew will provide you with an OPCS code. Once you have been given the OPCS code you should inform your insurance company to obtain authorization. Occasionally multiple OPCS codes are required for one operation and this would represent two or more different procedures being performed in the one operation. In the days before your scheduled procedure, the hospital will contact you and give you the information you need for the day of surgery. Video Consultation with Mr Mathew Dear Sir/ Madam You are being invited to a Zoom or Teams video consultation. It inadvisable to do this on a lap top so you can have both hands free in case you need to self examine. Please check that you have a working camera and microphone pre meeting. Please click the join meeting link in the email You may need to download the zoom app or teams Here is the link: Zoom app – https://zoom.us/download Teams – https://www.microsoft.com/en-in/microsoft-teams/download-app Please note that video consultations are chargeable as per face to face consultations. These can be arranged by contacting My PA Best wishes PM Will I need any scans or x-rays? Most Insurance companies cover x-rays as part of the initial authorisation, but please check first. Most Orthopaedic conditions will require an x-ray, which can usually be done on the same day.Scans, however are usually performed on a separate day and a follow up appointment is required to discuss the results. Scans (MRI, CT, and ultrasound) are expensive and the insurance companies almost always require authorization. If however you are a self-pay patient the Hospital will charge you directly for x-rays and scans. What if things go wrong? Complications are fortunately quite rare in hand and wrist surgery. However they still can occur. A through close post-operative evalution and clinical review by Mr Mathew and his team will help identify any problems early so that they can be investigated and treated appropriately. In an emergency please call the hospital directly; and kindly inform Mr. Mathew directly through the practice manager

Do you have fingers bent it with thick cords in your palm- you may have dupuytren’s contracture. Overview Dupuytren’s contracture is a conditions that gradually develops over time. The tissue beneath the skin of your palm is affected by this condition. Tissue knots accumulate beneath the skin, eventually forming a strong cord capable of pulling your fingers into a bent posture. The affected fingers are unable to fully straighten, making routine tasks like placing your hand in your pocket, putting on gloves, and shaking hands more difficult. Dupuytren’s contracture impacts daily activities in the later stages of the condition and is generally common in males of Northern European heritage. There are various modalities of treatment available for the management of the conditions once the condition progresses. Symptoms Dupuytren’s contracture may present as nodules or bumps in the hand which may stay without changing for a long while. The lumps are generally firm and stuck to the skin of the palm. Skin can seem thicker and puckered. You may sometimes also see little pits next to the nodules. The nodules gradually progress to form cords in the palm and extend into the fingers and they may sometimes be mistaken as tendons to one or more fingers. Once significantly bent this interferes with day to day activities. In the initial phases this can be managed non operatively. As they progress they pull the fingers into the palm and this makes it difficult to straighten the fingers and may require surgical intervention. Lumps and cords can develop on the soles of the feet (plantar fibromatosis) or the genital location in men (Peyronie’s disease). Occasionally, the disease will cause thickening on top of the knuckles called a knuckle pad (or Garrod’s pad). Treatment Normally, the tendons that flex (flex) the fingers glide effortlessly in the tunnels through which they run. When the tendons develop a fullness or lump, they are unable to glide freely in the tunnel. The irregular mobility of the tendon may impede both bending and straightening (like a rope with a knot trying to move through a pulley). These can be treated with early splinting, hand therapy stepping up to steroid injections and in recalcitrant cases surgical intervention

Book your private consultation with Mr Philip Mathew in London. Get expert diagnosis and tailored treatment plans for hand and wrist conditions. Consultation Initial Consultation/ New Patient: At the first consultation, Mr Mathew will begin by taking a brief history, which will include details regarding your general health, medications, allergies, any previous surgery. Then the focus will be directed to the problem you are presenting with… Specifically with respect to duration of symptoms, associated pain, loss of movement, feeling of instability, night time symptoms, any prior injury and difficulties with activities of daily living. He will also ask about the nature of your work, sporting activities and hobbies in order to assess your level of physical demand and its impact on your affected limb and subsequently to appropriately advise you on your treatment strategies.

The Top 10 Reasons for Stiff Fingers Your hands are essential instruments for interacting with the outside world. Household duties, work, hobbies, and athletics may all become more difficult if you are unable to use your fingers and hands properly. Stiffness in the fingers can be caused by a variety of factors, including: Arthritis Arthritis comes in various forms, and any of them might induce finger stiffness. Arthritis may be secondary to inflammatory conditions like Rheumatoid arthritis psoriatic arthritis or secondary to trauma or age related degenerative changes. When a joint’s natural smooth gliding is lost, mobility is generally restricted and this can become painful. Depending on the kind of arthritis, the bones in the hand which are most typically afflicted differ. For example psoriatic arthritis affects the end joints of the fingers next to the nail, rheumatoid arthritis has a higher tendency to affect the bigger knuckle joints first. Osteoarthritis ( degenerative) can affect all the 3 joints in the finger. There are staged treatment options available for stiff painful digits starting with medical management, hand therapy and splinting stepping up to surgical intervention if needed. Injuries Many of the components of a finger might become stiff if they are damaged. Inflammation of or injury to the tendons around the joint are caused by finger joints dislocations and “jammed fingers.” These injuries can induce permanent or even permanent alterations in the supporting ligaments’ typical flexibility, limiting joint mobility. Swelling and bleeding from broken fingers (fractures) may be irritant to the tendons that run along the bones. The sharp edges of the broken bone can sometimes injure the tendons. This may cause the tendons to scar to the bone, restricting their mobility and so affecting the joints that those tendons move. Extensor tendons (straightening) and flexor tendons (bending) injuries in the finger might reduce their range of motion. The tendons’ control joints may lose motion or become stiff as a result. Temporary plaster slabs/ casts or thermoplastic splints, early hand therapy and range of movement and in certain situations surgery to fix the fracture can help treat the injury. Trigger Finger Normally, the tendons that flex (flex) the fingers glide effortlessly in the tunnels through which they run. When the tendons develop a fullness or lump, they are unable to glide freely in the tunnel. The irregular mobility of the tendon may impede both bending and straightening (like a rope with a knot trying to move through a pulley). These can be treated with early splinting, hand therapy stepping up to steroid injections and in recalcitrant cases surgical intervention Tendonitis is an inflammation of the tendons (tenosynovitis) The smooth lining of the tendon (tenosynovium) can swell, restricting their mobility and consequently the movement of the joints they govern. This is particularly problematic when the tendons run through narrow passageways in the hands or wrist. Osteoarthritis, psoriatic arthritis, and trauma or overuse is among conditions that can cause tenosynovium swelling . These too can be treated with early splinting, hand therapy stepping up to steroid injections and in specific cases surgical intervention Immobilization Splinting, casting, or bracing are sometimes used to treat finger injuries or surgery. Finger immobilisation for prolonged periods can cause changes in the tissues of the hand (skin, joint linings, ligaments), leading to thickening and scarring and loss of normal flexibility. Seeing the specialist hand therapist and having a clear treatment regime with early mobilisation avoids this. Burns Burns can harm not just the epidermis, but also the deeper tissues of the body. Damage secondary to deep scarring frequently causes alterations that result in stiffness. Complex Regional Pain Syndrome (CRPS) Complex Regional Agony Syndrome (CRPS) is a disorder characterised by swelling of the hand and fingers, as well as pain. Because of the increased discomfort, the combination causes not only alterations in the tissues that cause stiffness, but also a dread of moving the afflicted portions. This is a very difficult problem to treat and may need multidisciplinary input from hand therapists, pain management consultants and hand surgeons. Diabetic Stiff hand syndrome Scientists are still unsure why diabetes increases the risk for hand complications. Possible theories for this condition appear to be related to problems with your body’s collagen. Collagen is a protein that makes up tendons, joints, ligaments and other connective tissue in the body. Increased collagen production, decreased collagen break down, and changes to the composition of collagen can lead to abnormal gathering of proteins in your hands, which makes them more stiff. Dupuytren’s contracture It is a condition that affects adults where fibrous bands grow in and beneath the skin as a result of this condition. The capacity to straighten the hands or thumb is usually hampered as a result of these alterations. Scars They can occur as a result of any type of injury or surgery. Finger stiffness can be caused by scarring of the epidermis or deeper tissues. What are the options for treating tight fingers? The reason of stiff fingers must be determined before the appropriate treatment can be decided. Hand surgeons are well-qualified to determine the cause of your tight fingers. Splinting, casting, bracing, medicines, surgery, and/or hand rehabilitation are some of the options for treatment. To identify the next stages in your treatment plan, book in for a consultation.

Trigger finger release surgery This leaflet will help answer some of the questions you may have about trigger finger or thumb and possible surgical release. It explains the benefits, risks and alternative to the procedure. If you have any further questions or concerns, please do not hesitate to speak to a doctor, therapist or nurse caring for you. What is trigger finger ? Trigger finger is the term used to describe the catching of a finger or thumb as you bend and straighten it. Trigger finger is caused by a thickening around the tendon which bends your finger or thumb. It is more common in women than men and may be linked to diabetes. What are the symptoms of trigger finger ? It may feel like your finger or thumb is clicking or it may catch and stay bent. Sometimes the only way to straighten your finger is by straightening it with your other hand. Sometimes it can be sore and painful when direct pressure is placed over the thickening in the palm of your hand. Why should I have trigger finger released? Treatment is needed if the triggering of your finger is causing discomfort or stopping you from being able to perform normal daily activities. What happens during the surgery? Come prepared with a book or some music to listen to whilst you wait for your turn. You should take all your medications as normal unless otherwise instructed. Please inform the doctor of any blood thinning medication you take and about any allergies you may have. You do not need to starve for this procedure unless you are having this under a general anaesthetic. Surgery for trigger finger aims to remove the fibrous tissue which is affecting the movement. You will routinely have the procedure done under wide awake local anaesthetic no tourniquet (WALANT) technique. The local anaesthetic injection ( the only painful bit of the operation) will numb your finger and allow the surgeon to make a small cut over the area of your palm, and then release the thickening in the tissue that catches the tendon as it glides. The surgeon will then check that the tendon and your finger move smoothly ( you will feel some pushing and pulling but this will not hurt). The wound will then be sutured and then dressings will be applied over the wound. What are the risks? Infection : any operation can be followed by infection which can be treated with antibiotics. Scar : you will have a scar that will be somewhat firm to touch and tender for six to eightweeks. Stiffness : can occur if the hand is not used and exercised after the operation. This is usually very temporary and can be treated with exercise given by the hand therapist. Nerve damage : can occur during your surgery which results in either a painful spot in the scar or some loss of feeling in the hand. This complication is very rare but may require a further operation to correct. Blood vessel injury : damage to the blood vessel can occur during surgery as the blood vessel lies close to the thickened ligament. Damage to the vessel is very rare and can be immediately repaired. Pain : ongoing discomfort is rare, but possible, following any surgery in the hand. Loss of function : you will have a temporary loss of function and things will be a little more difficult to do following surgery while the dressings are in place. In rare cases there may be a permanent loss of function. Are there any alternatives to surgery? A steroid injection around the tendon where it is catching can reduce swelling on the tendon and allow it to glide freely again. About 50% of people will notice a substantial improvement with one injection but others might need another. About 75% of people get complete relief from their symptoms with this treatment. The injection takes from a few days to weeks to work. It generally causes no side-effects but occasionally thinning of the skin or loss of skin colouring can occur around the site of the injection. Even if the steroid injection works the triggering can come back. This is less common with surgery. With both surgery and steroid injections the triggering can happen on another finger. Will I feel pain? You will either be given local anaesthesia that will make just one finger or part of your hand numb that will cause you to sleep. The team will provide you with appropriate pain medication to help reduce any pain you might have after your surgery. It is important that you take your pain relief on a regular basis for the first few days. When taken regularly the medication is kept at a constant level in your body and will control your discomfort more effectively. Any medication given to you will be explained before you leave the hospital. What should I look out for at home? Please rest for the remainder of the day and the following day to help you recover from the surgery. Avoid gripping or grabbing objects especially if hot or very cold. The anaesthetic will take up to 4-5 hours to wear off. You do not need to stay in bed. Gently moving around your home will help your blood circulation and help to prevent blood clots. Ensure you move your shoulder and elbow. Take your painkillers before the anaesthetic wears off. Swelling: you can help to prevent or reduce swelling in your fingers by placing your arm on a couple of pillows when you are sitting or resting. You will also be given a sling. Wear this when you are not seated or resting. Any redness or increasing pain not settling with the painkillers prescribed needs clinical review to rule out any problems. Dressings: you will have a padded bulky dressing over your wound. It must remain in place for at least 3 days at which point the bulky dressings can be taken down by yourself and the sticky plaster is left intact. Please do not get this wet till the sutures are removed or wound checked at day 12-14 from the surgery . If necessary, cover it with a plastic bag tied at the wrist or a large rubber glove.

Specialist hand and wrist surgery in London. Private consultations, advanced treatments, and fast recovery with orthopaedic surgeon Mr Philip Mathew. Care And Compassion In Hand and Wrist Surgery CARPAL TUNNEL SYNDROME About Me I am a hand and wrist surgeon with my NHS practise at Chelsea and Westminster Hospital in West London. My Orthopaedic specialist training was on the St. Bartholomew’s ( Percival Pott) rotation. Following this I did my fellowship training at the Pulvertaft hand centre in Derby combined with visiting fellowships to centres of excellence in hand surgery in USA ( indiana Hand to Shoulder Center), Barcelona ( Institut Kaplan), Paris ( Institut de la Main), India ( Paul Brand Hand Unit and the Ganga Hospital). Learn More 29 Years Of Doctor Experience 12 Years As A Specialist Hand Surgeon 70+ 5 Star Patient Reviews Services Explore our range of clinical services designed to cater to your healthcare needs. From routine check-ups to specialized treatments, our team is dedicated to providing you with personalized care and attention. Wrist Arthroscopy Fracture Fixation Reconstruction Dupuytrens Surgery Joint Replacement NerveDecompression Read More Appointments The Lister Hospital part of HCA Healthcare UK The Lister Hospital, Chelsea Bridge Rd, London SW1W 8RH, United Kingdom Phone 020 3993 7566 Open 24 hours Phone 020 3993 7566 Chelsea Outpatient Centre 280 King’s Rd, London SW3 5AW, United Kingdom. Phone: 020 3993 1852 Time: 8 am–8 pm Phone: 020 3993 1852 Lips Battersea Clinic Address 1st Floor, Turbine Hall B, Battersea Power Station, London SW11 8DD, United Kingdom Phone +44 20 7164 6114 Chelsea and Westminster Hospital Private Clinic 369 Fulham Road, London, SW10 9TU Phone 00208 150 8290 Spire Hartswood Hospital Eagle Way, Great Warley, Brentwood, Essex CM13 3LE, United Kingdom Hours: Monday am 8:00 to 10:00 Phone 01277 232 525 Spire London East Hospital Roding Lane South, Redbridge, Ilford. ad hoc appt available on request Phone: 020 8551 1100 Learn More Testimonials I found the consultation with Mr Mathew to be thoughtful and considered He gave time to consider the issues and to present his advice. There was no rush which unfortunately can happen 70+ Reviews Polite, professional, caring, approachable, answered any question with knowledge and patience. Highly recommended! 70+ Reviews Mr Mathew is the consumate professional. His style is easy, but professional and his advice and recommendations, clear and unbiased. Every member of stall was eager to help. 70+ Reviews View Google Reviews Insurance

Managing whilst one-handed If you are recovering from a hand/wrist injury, or having surgery to your hand/wrist, you may need to rest it for a period of time. This leaflet is designed to give you advice on managing “onehanded”. BEFORE YOUR SURGERY Ask for help After your surgery, you are likely to need help with activities such as childcare, housework, meals and trips to hospitals. Try to plan and make arrangements beforehand with others (friends, relatives, careers) to get the help you might need. Driving You are advised not to drive until stitches and casts/splints have been removed. Your car insurance may not be valid if your hand/wrist is in a dressing or plaster cast. Try to plan by checking bus/public transport routes and timetables. Practice makes perfect Before your surgery, practice doing everyday activities such as dressing, showering and eating using only one hand. Prepare Start preparing before your surgery you to make managing easier: Food • Stock up on food before your operation, especially ready/easy to cook meals • Soups, sandwiches, ground meats are often easier to manage Medication • Consider using a tablet box or open medication container to make them easier to access. Keep them out of reach of children. Alternatively, your pharmacist can provide easy to open containers. Mobility • If you have problems with your mobility, or require mobility aids such as walking sticks/Zimmer frames, speak to the therapy department for advice. •You may require additional or alternative mobility aids whilst you are onehanded. •Practice using the new or additional aids before your surgery to familiarise yourself. Money •Use a wallet/purse that opens easily AFTER YOUR SURGERY After your surgery, it is important to follow these postoperative care instructions: General Care • Keep dressings/plaster dry until review. • Elevate your hand/wrist at or above the level of your heart to reduce swelling and pain (see Fig 1) • Carry a shoulder bag/backpack to free up your good hand for use • Wear your sling when leaving the house, so other people are aware you have a hand/arm problem and will avoid bumping into you. Otherwise walk with your hand on your opposite shoulder, to keep it protected from others (see Fig 2) Fig 1: A good way to sit with the arm elevated; notice the pillow under her left elbow. Alternatively, support your hand with 2-3 pillows underneath the wrist (“arm wrestling” position) Fig 2: Carry your hand on your shoulder whilst you are out in busy environments. Elevation • Elevation helps reduce swelling and pain. It is very important after your surgery • Elevation should continue for as long as it takes for all the swelling to go down • Every 2-3 hours, stretch your arm above your head and move all the other joints you are allowed to move to avoid stiffness • When resting at home or in bed, keep your hand/wrist up on some extra pillows beside you or across your chest (see Fig 3 & 4) Fig 3: In bed, lie down with a pillow on your chest to rest your arm Fig 4: You can also have 2 pillows to your side and lie with the arm resting on top when sleeping in bed USEFUL ITEMS TO HELP YOU AFTER YOUR SURGERY In the shower • Use commercially available waterproof cast covers. Ask our plaster room staff for more information about waterproof covers for your cast. • Avoid using plastic bags, cling film or rubber bandages to cover your dressings. • A soft sponge on a long stick (Bottle sponge) for washing the armpit of your ‘good’ hand and back • A hairbrush in the shower to help rub shampoo in your hair • A cotton terry cloth bathrobe to dry your back • A rubber mat in the shower/bath to avoid slipping In the bathroom • Use toothpaste, shampoo, soaps in fliptops or pump action dispensers. Avoid screw tops • Consider an electric razor or toothbrush In the kitchen • A rubber mat can help keep things from slipping around and be used to open jars. • An electric can opener, with a lid magnet to hold the can, can be used one-handed. • Vegetable baskets can be used to lift vegetables out from the saucepan. • One-handed cutlery e.g. Dyna fork or Nelson knife In the bedroom • Wear large sleeved shirts and tops to allow easier dressing. • Slip on shoes. • Trousers/skirts with elasticated waistbands. • Consider a stretch crop bra top or vest. • Avoid clothing that has buttons, fastens at the back or uses drawstrings USING YOUR HAND AFTER SURGERY You may be allowed to use your hand lightly after your surgery, especially if you are wearing a cast or splint. Your doctor or therapist will explain to you how you should use your hand. If allowed light movements, keep moving your fingers several times per hour (see Fig 5 & 6) DO YOU NEED HAND THERAPY AFTER YOUR SURGERY? After your surgery a hand therapist will assesses your hand and treat your pain, inflammation, scaring and maximize your independence using tailored exercise programs.If you have had surgery on your wrist or hand, you should have been referred to hand therapy. If you haven’t been contacted two weeks after your operation, please contact the Hand Therapy services. Hand Therapy Team They can be contacted directly through the hospital switch board. Plaster Cast If you feel the plaster is tight or you are not able to move your fingers and thumb fully, please contact the hospital directly or if out of hours contact your nearest A&E dept and let Mr Mathew’s sect. know the next day.

Wrist Arthroscopy This is a form of minimally invasive surgery which allows the surgeon to see the inside of the joint and is predominantly diagnostic and helps asses the status of the cartilage, bone and ligaments. With technical advancements, it is now increasingly being used to perform more complex therapeutic interventions. Find out more: https://www.assh.org/handcare/condition/wrist-surgery-arthroscopy

Learn about Mr Philip Mathew, a leading London orthopaedic surgeon specialising in hand and wrist surgery, with years of expertise and patient-focused care. Philip Mathew If you’re looking for high quality and personal service from your hand surgeon, I can help. I am committed to taking care of you and believe in shared decision making and guiding you through the myriad of treatment options. This may well be non operative treatment in the form of specialist hand therapy, splinting or image guided injections. Not all problems require surgery. However if surgery is the best option then I can inform you of all the possible choices , their advantages and disadvantages and help you make an informed decision. I will then guide and support you through your surgical pathway, recovery and post-operative rehabilitation with our team of nurses and therapists. I value your feedback and look forward to providing you with great care. Your comments do help make a difference so do please leave your feedback. I am lecturer at Queen Marys University Hospital, London and teach Diploma Candidates as a tutor for the BSSH Hand Diploma. I am an examiner for the BSSH Diploma in Hand Surgery and sit on the Diploma Commitee. I am part of the faculty on the AO principles of fractures fixation course. I am passionate about hand and wrist surgery and committed to providing a high standard of care for my patients. I keep myself up to date and present at international and national conferences and am a reviewer for the Journal of Hand surgery Values I am committed to taking care of you and believe in shared decision making and guiding you to help make the right decision for your treatment. The service I provide is based on the values of compassion, commitment and accountability. Treatment options for hand and wrist sports injury Inspiration Whilst in Medical School I was inspired by reading about Dr Paul Brand, the British missionary surgeon, who travelled to India and pioneered the tendon transfer techniques still used today to allow the hands and feet of leprosy patients to function properly once again. Training Following an intensive Orthopaedic training on the prestigious Percivall Pott Rotation in London, I pursued my training in hand surgery through overseas fellowships awarded by The British Society for Surgery of the Hand, The British Orthopaedic Trainees Association and the AO Foundation. These fellowships enhanced by understanding of hand and wrist pathology and the various treatments for these problems through working with some of the giants in hand and wrist surgery in the US, India, Spain and France. On my return I then completed a years hand fellowship at the world renowned Pulvertaft Hand Unit in Derby. I worked as a Consultant Hand and Wrist Surgeon for 6 years at Barking Havering Redbridge NHS Trust prior to taking up my current post as a full time Hand and Wrist Surgeon at Chelsea and Westminster Hospital NHS Trust in 2020. Passion My passion lies in understanding and treating predominantly wrist pathology from fractures to arthritis to instability. I offer WALANT (wide awake), open and keyhole surgery as appropriate to the condition. I also treat a wide range of hand and wrist conditions from nerve compression, ganglions, stiff joints to Dupuytren’s disease. Teaching and Training responsibilities I am an Hon. Senior Lecturer on the Queen Mary’s University, London MSc in Trauma program. I am an approved tutor for the BSSH Diploma in Hand Surgery. As part of my additional teaching responsibilities, I have previously taught as faculty for the Miller FRCS Course for Orthopaedic trainees. I am an examiner for the BSSH Diploma in Hand Surgery and sit on the Diploma Committee. I am part of the faculty on the AO Principles of Fracture Fixation course. I am also involved in the training of Registrars and junior doctors in the Hand and Wrist Unit at Chelsea and Westminster and have set up the online education website www.chelwesthandandwristeducationhub.com . Research Interests I believe research plays a vital role in advancing our understanding of disease and improving treatment outcomes. I previously served as Principal Investigator at Barking, Havering and Redbridge Hospital for a national randomised controlled trial on fracture healing. I am currently leading another national trial as Principal Investigator, comparing joint replacement with trapeziectomy for the treatment of thumb base arthritis. Additionally, I have submitted my MSc dissertation, which focused on midcarpal instability. Social Mr Mathew is married to a plastic surgeon Miss Mughal ( Guys and StThomas Hospital) and they enjoy tennis, travelling, exploring and reading in their free time. He also supports charities like Medecins Sans Frontiers and Crisis UK. Mr Mathew is a reviewer for the And also has published his work. Find our more: Google scholar publications link here

Important information from Mr Philip Mathew to help you prepare for hand or wrist surgery in London and ensure a smooth recovery. Things To Remember 1. If you are insured, it is extremely helpful to all if you could kindly get pre-authorisation for your consultation, follow–up, surgery or therapy treatments as appropriate from your insurer prior to the consultation. 2. A few minutes to run through in your mind the answers to the question below prior to the consultation will make your visit more productive. a. What is the main problem- pain, instability, weakness b. Can you characterise the type of pain and its duration c. Duration of symptoms d. Any associated trauma e. Any other medical problems f. Any allergies g. What medication are you on h. What treatment have you had to date