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Expert care for 

Hand, Wrist, Elbow and Shoulder 

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Mr Joseph Perez

Consultant Orthopaedic Surgeon

MB BS, FRCS (Trauma and Orthopaedics)

Mr Joseph Perez 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: 

  • Keyhole surgery (arthroscopy)

  • Joint replacement (arthroplasty)

  • Joint fusion (arthrodesis)

  • Fixation of acute fractures

  • Reconstruction of non-unions

  • Nerve release and or transfer (eg Carpal Tunnel)

  • Tendon release and or transfer (eg Tennis Elbow, Rotator cuff impingement) 

All current treatment options can be discussed at your first consultation.

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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.

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The Most Effective Current Treatments

A good example of Mr Perez’s approach;

Dupuytren’s disease.

In moderately advanced cases, once a contracture has developed, a deformity can be corrected without the need for surgery. Local fibrous tissue can be dissolved by injecting the enzyme collagenase (Xiapex) directly into the palm of the hand.

 

There are certain common tendon problems, like tennis elbow and shoulder calcific tendonitis. 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 are also offered as an alternative.