Hand injuries

Video consultations

Where available, you can attend your consultation online via a video call. 

Video calling is as convenient as a phone call, with the added value of face-to-face communication. It can save you time and brings your care closer to home.

Photograph of a staff member examining a patient's handThis 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. 

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.  

  • 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.

0300 555 01017

Hand Injuries Unit
‘O’ Block Therapy Centre
West Middlesex University Hospital
Twickenham Road

  • Ronnie Bowles MMACP - MSK Clinical Service Manager
  • Claire Clark - Clinical Lead
  • Wendy Hill - Specialist Occupational Therapist
  • Nina Anderson - Occupational Therapist
  • Victoria Jayawardena - Occupational Therapist
  • Corri Chella - Therapy Assistant

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

Written 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.

Monday to Friday: 8am to 4.30pm