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Hand & wrist surgery

Expert care for hand & wrist concerns

All hand and wrist patients at BMI Carrick Glen in Ayr come under the expert care of our Consultant Orthopaedic Hand and Wrist Surgeons who provide a first-class personal service to help you improve movement and function.

Our hand and wrist surgeons work closely with our physiotherapists in treating many non-operative conditions. These include administering steroid injections under local anaesthetic for trigger finger (stenosing tenosynovitis), cysts (ganglions), wrist fracture and arthritis to reduce the pain.

They can also organise custom made hand and wrist splints that our physios can apply to keep the joint still and heal injuries. x-ray and ultrasound scans are also available at the hospital, so your consultant can diagnose the problem and deal with it swiftly.

If you need other scans or an operation under general anaesthetic, this can be done at BMI Ross Hall Hospital in Glasgow, by your same consultant.

Our highly specialist Consultant Orthopaedic Hand and Wrist Surgeons assess, diagnose, and treat a comprehensive range of hand and wrist conditions. They include:

  • Fractures and breaks
  • Cuts to tendons
  • Damage to nerves
  • Inflamed tendons (tendonitis)
  • Strains
  • Degenerative conditions like arthritis
  • Lumps and bumps
  • Tingling in hand and fingers (carpal tunnel syndrome)
  • Loss of feeling
  • Weakness
  • Pain while doing everyday activities like gardening or sports

Lumps and bumps are frequently seen in the wrist and are most likely to be non-cancerous (benign) ganglion cysts rather than tumours. We will be able to investigate lumps and bumps to put your mind at ease or provide you with a diagnosis and treatment plan.

Following a self-referral or a referral by your GP, you can expect to see a hand and wrist specialist at the hospital fast, and access direct care promptly. We understand how frustrating hand and wrist conditions can be and that they can have a huge impact on your function and daily life.

Your consultant will soon put you at ease and help you start your recovery, beginning with an unrushed appointment where you’re encouraged to take as much time as you need to explain your problem.

You’ll arrive at the hospital to be warmly greeted by our reception team before your consultant leads you into a comfortable private consulting room.

Your consultant will ask you about your medical history. It’s important to tell them as much as you can about your problem and be honest about your overall health.

They’ll examine the affected area in your hand or wrist and will frequently arrange an x-ray to look for breaks, fractures, or arthritis at the same appointment. Our friendly radiology team will take your x-ray, and you’ll return to the consultant, who will discuss the findings and confirm diagnosis.

If your consultant surgeon needs more information, they may ask you to book in for an ultrasound scan at the hospital. Ultrasounds show soft-tissue injuries such as ligament or tendon tears and can identify the nature of swellings.

They can also refer you to BMI Ross Hall Hospital for specialist investigations. Diagnostics include computerised tomography (CT) scans to take pictures of the hand and wrist in cross-sections. Magnetic resonance imaging (MRI) scans to gain detailed images of the area and nerve conduction studies which can detect a common nerve related conditions in the hand/wrist including carpal tunnel syndrome.

BMI Carrick Glen Hospital offers non-surgical conservative treatments for a wide variety of hand and wrist conditions, the most common of which are physiotherapy and steroid injections for arthritis.

The hand and wrist problems we treat most often are:

  • Ganglion cysts
  • Carpal tunnel syndrome
  • Locked fingers (trigger finger)
  • Dupuytren’s disease (a condition that causes the skin and palms to harden, drawing the fingers into the palm of your hand, making them difficult to extend)

Your consultant will arrange for all the necessary investigations and will see you for the follow-up results at a return appointment. Many minor operations and procedures take place at BMI Carrick Glen Hospital.

For example, if you have a ganglion cyst, your consultant may advise you to leave it alone as they have a high recurrence rate, they may aspirate it (remove the fluid using a needle), or surgically remove it, at a later appointment at the hospital.

Your Consultant Orthopaedic Hand and Wrist Surgeon will help you decide which form of anaesthesia (pain relief) to use during any operation. Complex surgical procedures, such as joint fusion or replacement, will be done by the same surgeon but at BMI Ross Hall Hospital in Glasgow. You can then return to BMI Carrick Glen Hospital for your follow-up appointments and physiotherapy.

BMI Carrick Glen Hospital provides world-class hand and wrist surgery by highly skilled orthopaedic consultant surgeons using safe and up-to-date treatments.

Our surgeons work closely with our physiotherapists, who provide specialist therapies to get your hand and wrist moving and functioning again.

The hospital is a one-stop-shop for a comprehensive range of diagnostics and treatments of the hand and wrist.


  • You’ll see highly skilled healthcare professionals at BMI Carrick Glen Hospital who are dedicated to making your experience relaxed and easy.

  • The hospital is in an accessible location in Ayr and provides free parking for 50 vehicles.

  • Our hand and wrist surgeons and physiotherapists are specialists in conditions affecting the hands and upper limbs.

  • The team has access to comprehensive diagnostic imaging equipment, including x-ray and ultrasound scans.
  • Optimising your recovery following an injury such as a break, fracture or tear is our priority.

  • Our teams work seamlessly together to provide you with a smooth journey. They include specialist nurses, physiotherapists, radiographers, and anaesthetists.

  • Most appointments are available within 48 hours and at a time to suit you, including during the day or in the evening.

Specialists offering Hand & wrist surgery

Mr Kenneth Cheng

Consultant Orthopaedic Upper Limb Surgeon

MD, MBChB, MRCSEd, FRCSEd (Trauma & Orth)

BMI Carrick Glen Hospital 1 more BMI Ross Hall Hospital

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