Expert care for
Hand, Wrist, Elbow and Shoulder
Mr Joseph Perez
Consultant Orthopaedic Surgeon
MB BS, FRCS (Trauma and Orthopaedics)
Mr Joseph Perez is an orthopaedic upper limb consultant surgeon who offers comprehensive treatment for most medical conditions that can affect the musculoskeletal structures of the upper limb.
He carries out a full range of operative interventions on hands, wrists, elbows and shoulders. These include:
These include:
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Keyhole surgery (arthroscopy)
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Joint replacement (arthroplasty)
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Joint fusion (arthrodesis)
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Nerve release and or transfer (eg Carpal Tunnel)
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Tendon release and or transfer (eg Tennis Elbow, Rotator cuff impingement)
Our Approach
A comprehensive assessment of your upper limb
It is now possible to treat several common upper limb conditions without the inconvenience or risks of surgery.
Mr Perez offers care that is closely integrated with hand therapists, physiotherapists, sports physicians, rheumatologists, neurophysiologists, anaesthetists and musculoskeletal radiologists.
Non Operative Treatments
Spotlight on certain common tendon problems
Ultrasound-guided steroid injection with specialist shoulder physiotherapy. (Estimated cure rate about 90%).
De Quervain’s disease (baby wrist)
Tennis and other elbow tendinopathies
Ultrasound-guided steroid injection with hand therapy and splintage (Estimated cure rate about 70%)
Shockwave therapy has been shown to be an effective treatment, and this is increasingly being used to treat professional sportsmen and athletes. A course of three 5 to 10 minute non-invasive treatments is often the preferred option to a steroid injection or surgery. Stem cell injections can be offered as an alternative in selected cases (Estimated cure rate about 70%).
Rotator cuff tendinopathy
All current treatment options can be discussed at your first consultation.