Basal Joint Arthritis — The Most Common Form of Thumb Arthritis

Why Choose Our Hand Surgery Service

Axiom Aesthetics offers a dedicated hand surgery service with several advantages:

• Fellowship-trained consultant hand surgeons with subspecialist expertise
• In-clinic high-resolution diagnostic ultrasound
• Advanced ultrasound-guided injection techniques
• Wide-awake local anaesthetic surgery reducing risks
• Integrated hand therapy and rehabilitation service
• Rapid access to consultations and treatment
• Comprehensive aftercare and follow-up

Overview

Our specialist hand surgery service at Axiom Aesthetics provides comprehensive care for this condition. Our fellowship-trained consultants combine clinical expertise with the latest evidence-based treatments to deliver outstanding results for our patients.

We understand that hand and wrist conditions can have a significant impact on your daily life. Our goal is to provide prompt, accurate diagnosis and effective treatment to help you return to full function as quickly as possible.

Anatomy and Pathology

Understanding the underlying anatomy helps patients appreciate why certain symptoms occur and why specific treatments are recommended. The hand and wrist contain a complex network of bones, joints, tendons, nerves, and ligaments that must work together seamlessly for normal function.

When any of these structures are damaged or diseased, the resulting symptoms can significantly affect hand function. Our surgeons use detailed anatomical knowledge to plan precise treatments that address the root cause of your symptoms.

Clinical Assessment

Your consultation begins with a detailed history of your symptoms, including when they started, what makes them better or worse, and how they affect your daily activities. This is followed by a thorough physical examination of your hand and wrist.

We perform specific clinical tests to help confirm the diagnosis and assess the severity of your condition. Our in-clinic ultrasound scanner allows us to visualise the affected structures in real time, often providing a definitive diagnosis during your first visit.

Conservative Management

Where appropriate, we recommend starting with non-surgical treatment. This may include custom thermoplastic splinting fabricated by our hand therapists, targeted exercises, ergonomic advice, oral or topical anti-inflammatory medications, and ultrasound-guided injections.

Our ultrasound-guided injection service uses real-time imaging to place medication precisely at the target site. This improves the effectiveness of the injection and reduces the risk of side effects compared to traditional landmark-guided techniques.

Surgical Treatment

When surgery is the best option, our hand surgeons use the most appropriate technique for your specific condition. We offer a full range of procedures from minimally invasive percutaneous techniques to complex reconstructive surgery.

Many procedures can be performed using the wide-awake local anaesthetic technique (WALANT), which avoids the need for general anaesthesia. This approach has an excellent safety profile and allows most patients to go home within an hour of surgery.

Get in Touch

To arrange a consultation with one of our hand surgery specialists, please contact us today. We offer convenient appointment times and rapid access to expert assessment.

Telephone — 020 7946 0958 | Email — [email protected]