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Hand Injuries (Hounslow)

A hand injury specialist treats a patient

This specialist service accepts referrals for the treatment of hand injuries from Hounslow and Richmond GPs and local hospital/ walk-in centres. It is also a satellite service for patients living in and around the borough providing follow-up treatment for those patients having had surgery at a Specialist Hand Injury Centre. 

The service also delivers clinics alongside the specialist hand surgeon at West Middlesex University Hospital. 

Conditions commonly seen across the service include:- 

  • Fractures / dislocations of digits and wrist
  • Mallet injuries
  • Acquired conditions such as carpal tunnel syndrome, de Quervain’s tenosynovitis, tendonitis
  • Post-operative tendon and nerve repairs
  • Ligament strains
  • Post-elective surgery such as dupuytrens fasciectomy, carpal tunnel decompression
  • Rheumatological and osteoarthritic conditions.  

*Central neurological conditions are not a remit of this service.


The service provides assessment and treatment for adults and children, covering function, range of motion, strength, sensation, pain, oedema, wound healing and scarring, and psychological impact of injury. Customised splinting is provided, as well as pre-fabricated orthotics, as part of treatment as necessary.

Assessment is on a one-to-one basis although some treatments are carried out in groups, with individual objectives, goals and treatment plans written for every patient.  Patients are provided with a home exercise programme and advice on self-management. Treatment also includes a functional assessment and ergonomic advice where necessary. 

Telephone advice and support is provided to local therapists, walk-in and urgent care centres and GPs.  

Address and contact details:

Hand Injuries Unit
‘O’ Block Therapy Centre
West Middlesex University Hospital
Twickenham Road
Isleworth
Middlesex
TW7 6AF

Tel: 020 8973 3562
Fax: 020 8973 3560

Working hours:   

  • Monday to Friday: 8am to 4.30pm 

Written/faxed referrals are accepted from GPs, consultants, A&E departments, walk-in centres, and other therapists/health professionals.  

Urgent phone referrals are acceptable if followed up in written form.

See the contact us tab for referral phone and fax details.

  • Ronnie Bowles MMACP - MSK Clinical Service Manager

  • Claire Clark - Clinical Lead

  • Wendy Hill - Specialist Occupational Therapist

  • Alice Ely - Senior Physiotherapist

  • Band 4 therapy assistant

* All the MSK staff are members of the Health Care Professions Council (HCPC).