Frequently Asked Questions
How do I get referred?
We are happy to receive referrals from a variety of sources where it has been identified that you would benefit from seeing a specialist within a specific and specialised area.
It is important to check with your insurance provider to check if you need a referral in the form of a letter from your registered doctor.
How long do I have to wait?
Waiting times for non-emergency, routine private referrals are typically less than two weeks.
Those that have been diagnosed as emergency injuries or for elite sportspeople, Manchester Hand Surgeons can offer the same day service; however, this can incur extra costs.
What will I need at my initial appointment?
Your referral letter will be required at your first appointment, either from your registered doctor or physiotherapist. Note: This referral letter may have already been sent directly to your chosen hospital.
Checklist for your initial consultation:
- Referral letter
- Insurance (including number and authorisation codes for consultation)
- Any medications you’re currently taking
- Any x-ray and scan results
It’s also important to come to your appointment with any questions or queries you may have.
How long will the appointment last?
An initial consultation lasts approximately 20 minutes. In some instances, some of the more straightforward procedures, including explanations and demonstrations, can take 10 minutes. Those procedures that are a little more complicated can take much longer, and Kunal and Iain will always allow for extra time for these appointments.
Follow up appointments last approximately 10 minutes; however, again, these can vary from between 10 minutes up to 20 even 30-minute appointments.
No matter what appointment you attend, Kunal and Iain will always ensure that the consultation is thorough, and a full explanation has been provided explaining the procedure in depth.
How much does a consultation cost?
A new patient consultation costs £200.
A follow-up appointment costs £120.
Your insurance company usually covers these costs as they are within the standard and advised guidelines.
If you have any queries, please contact 01625 881200, and the team will be happy to help.
Will I need an x-ray?
Conditions such as fractures and arthritis will often require an x-ray for further diagnosis and examination. We will usually carry out x-rays on the same day with Kunal or Iain discussing the results with you at your appointment. Insurance companies will typically cover costs associated with x-rays as part of the initial authorisation, but we advise that you always check first.
What if a scan is needed?
Authorisation by insurance companies will be required when an MRI, CT or Ultrasound scan is needed. Scans will be arranged for a separate day with a follow-up appointment as necessary to discuss the results.
On your scan day, we also make your follow-up appointment one week later, allowing your consultant to check and review the images.
What if I need surgery?
We provide all the information you need, and more, to allow you to make the most informed decision. Understanding precisely what is involved, as well as any complications, rehabilitation, and aftercare that will be provided.
Once you have decided that surgery is for you, you will be asked to read through and sign a consent form for surgery to go ahead. At this stage, an OPCS code will be provided. You will then be provided with a suitable date for surgery.
What is the difference between a day case and an in-patient procedure?
A day case operation is where the surgery will take place, and you will be allowed to return home on the same day. Patients will be provided with a private room or day case cubicle for the entirety of their stay.
If you are coming to us as an in-patient, you will be kept in overnight following your surgical procedure. This can be for many reasons, for example, existing medical conditions, and more special circumstances where additional observation is required.
What will I need on the day of the operation?
This will depend on the type of surgery and the length of your stay at the hospital. However, as there can sometimes be a lot of waiting around and recovery, we would recommend you bring a book or laptop to help pass the time. Magazines and newspapers will also be available.
We would also recommend slippers and a bathrobe for your comfort too.
Those patients who are staying overnight may want to bring a wash bag and personal toiletries.
Are there any complications from surgery?
As with any surgery, there are risks. With hand and wrist surgery, there is a chance of stiffness in the hands and fingers, infection in the wound, you may suffer a reaction to the anaesthesia, or bleeding and nerve damage. Kunal or Iain will discuss all of the risks associated with your surgery in detail with you.
The good news is that complications are rare in hand and wrist surgery. The team at Manchester Hand Surgeons are continuously there for you post-surgery, identifying any issues early so that they can be rectified immediately.
You will also be provided with a contact telephone number for all emergencies. Non-emergency calls and queries should be made during office hours.
Are there non-surgical options?
There are non-surgical options available for different wrist and hand conditions. Such treatments may include medications, including antibiotics and analgesics, injections, rest, and physical therapy.
Is physiotherapy necessary after surgery?
Post-operative exercises and therapy will be provided after surgery, helping our patients regain full strength, movement, and flexibility. Our teams will also help you to prepare for the physical and emotional impact surgery can have and the exercises that will help to maximise recovery.
When is the best time to return to my everyday activities?
This will depend on the procedure you have undergone, as well as your own recovery rates. Often recovery can be anything from 2 to 3 days to 3 months plus.
Returning to certain sports and returning to exercise and training can take a little longer – 4 to 6 months.
Your consultant will provide further information as well as a post-operative care plan suited to your hand/wrist complaints.
How do I book my appointment?
Who can see my personal medical records?
Your medical records are kept private, confidential, and we handle all data in accordance with all regulations. All of our team abide by all data protection guidelines and confidentiality requirements and will not disclose medical records without prior consent.
How much time will I need off work post-surgery?
Recovery periods vary; however, we would recommend patients take at least two weeks to fully recover from surgery. Resuming light duties only.
You will be provided with specific guidelines to follow helping to achieve a complete and successful recovery.
When can I get back to driving?
Due to some of the side effects of surgery, your judgement, movement, and reflexes may be affected, that’s why we recommend waiting at least one week before driving after surgery.
Your consultant will provide further information at your post-operative appointment.
When is the best time to start exercising/doing sports again?
We will provide detailed information regarding different exercises post-surgery, including how long these should be carried out. We may also refer you to one of our physiotherapists who will also offer strengthening and motion exercises suitable for post wrist and hand surgery.
What if I need to contact you out of hours?
You will be provided with an out of office contact number for any emergencies or issues you may be experiencing.
Which hospitals do Mr Hinduja and Mr McLaughlin-Symon consult at?
Kunal and Iain consult and operate at several private hospitals within the South Manchester/Cheshire area:
The Highfield Hospital – Manchester Road, Rochdale, OL11 4LZ
Tel: 01706 655121
Clinic day: Wednesdays
The Wilmslow Hospital HCA – 52 Alderley Road, Wilmslow, SK9 1NY
Tel: 01625 545000
Clinic Day: Mondays (AM/Eve), Tuesdays (Eve), Wednesdays (Eve), Thursdays (Eve) & Fridays (AM)
The Alexandra Hospital – Mill Lane, Cheadle, Stockport, SK8 2PX
Tel: 0161 428 3656
Clinic Day: Wednesdays
Prime Health, 144 Dialstone Lane, Heaviley, Stockport, SK2 6AP
Tel: 0161 738 1740
W: Prime Health
Clinic days: By Appointment
Once you have chosen the hospital that is most suitable for your needs, your GP can refer you to Mr Hinduja or Mr McLaughlin-Symon at that hospital, booking you into their next available clinic.
Alternatively, you can contact the hospital directly to book your appointment. (Please remember to take your GP referral letter along with you).
How do I give consent?
Patient consent is required before any surgery can go ahead. Once everything has been discussed in detail, and you are aware of the risks as well as the benefits, consent will be gathered from you at your initial consultation. Your procedure, the risks, and benefits associated will be outlined in a document which you will be asked to sign, with a copy being filed with your patient notes and the other retained for your records.
My insurance company is asking for my OPCS code, but I’m not sure what this is?
An OPCS code represents your specific operation. It should contain a capital letter followed by four numbers.
Once both you and your surgeon have agreed that surgery will be performed, you will be provided with your OPCS code. If two or more procedures are being performed in one operation, you may be given multiple OPCS codes.
Once you have your OPCS code, this should be passed to your insurance company to obtain authorisation
What type of anaesthetic will I be given?
This will depend on the surgical procedure being carried out.
The different types of anaesthetic include local, general, or regional.
A local anaesthetic will involve injecting the area where surgery is to be performed, numbing it entirely. Patients will be awake during local anaesthetic, with the specific area taking between 5 to 10 minutes to become numb.
A regional anaesthetic is the same injection; however, it will be injected into the whole arm, numbing the entire arm. This typically takes between 30-40 minutes, and the patient will be awake during the procedure.
General anaesthetic means you will be asleep during the operation. At the end of your operation, a local anaesthetic or a block is performed to provide post-operative pain relief.
Who will carry out my operation?
Kunal and Iain will perform all private operations. Occasionally and for complex cases, they may be assisted by another experienced and professional surgeon. In these instances, additional costs may be incurred; however, these will be identified and discussed with you before the operation takes place.
What happens after my operation?
Kunal and Iain check on all of their patients after surgery, to check on the wound, and to ensure that you are comfortable and OK to leave the hospital. We will then follow up with you in the outpatient’s department, and this appointment will be set and arranged with you accordingly.
The first appointment after surgery is usually at around week 6 to 8.
Can I choose the hospital?
Yes, once you have chosen the hospital (from the hospitals listed) that is most suitable for your needs, your GP can refer you to Mr Hinduja or Mr McLaughlin-Symon at that hospital and book you into his next available clinic. Alternatively, you can contact the hospital yourself and book an appointment and take your GP referral letter along with you.
You can also contact us directly on 01625 881200 and we can book an appointment for you at your chosen hospital.
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Hand and wrist conditions we treat
Kunal and Iain are renowned throughout Manchester for being amongst the top orthopaedic surgeons of choice for many happy customers.
Kunal and Iain's knowledge, experience, and expertise have allowed Manchester Hand Surgeons to offer a range of services to customers.
These services include treatments for:
Arthritis of the Hand
Whether Rheumatoid or Osteoarthritis, arthritis of the hand can be painful and limit movement. We offer both non surgical and surgical solutions ...
Arthritis Of The Thumb
Swelling, pain or loss of flexibility in the movement of your thumb can be a sign of arthritis of the thumb. There are a range of treatments available, both surgical and non-surgical.
Carpal Tunnel Release
We treat the symptoms of Carpal Tunnel Syndrome by relieving the pressure on the nerve, enlarging the carpal tunnel and reducing the pain experienced.
Bones, joints, muscles, ligaments, tendons, nerves and blood vessels are all working together to allow your hands to perform their functions.
Include broken hand (boxers fracture, bennetts fracture, reverse bennett’s fracture) and broken fingers and thumbs. The best course of treatment will depend on the parts of the bones that are fractured.
A long-term condition causing joint stiffness, pain and swelling. Treatment ranges from drug therapy, physical therapy and surgery depending on your individual cirmcumstances.
Keyhole surgery will enable us to diagnose and treat hand and wrist complaints such as cartilage damage, injuries to ligaments, arthritis of the thumb/hand, joint infections, and much more.
Treatment of wrist ganglions can include anti-inflammatory medications, splints, draining the cyst, removing the cyst entirely through open surgery or keyhole surgery.
Trigger Finger Release
Trigger finger can be treated using a variety of non-surgical and surgical treatments, including percutaneous trigger finger release surgery to prevent that clicking sensation or limited movement.