Stluke's Surgery

http://stlukesurgery.co.uk/ What is Trigger Finger? Painful clicking of the finger or thumb is called Trigger finger or Trigger thumb. It is caused by tightening of the pulley in front of the bone at the base of the finger through which the tendon bending the fingers slide up and down.The tendon develops a small nodule which when passing through the tight pulley causes the click and pain. It starts of as a pain in the base of the finger in front. As the pulley gradually becomes more tight there is click and pain, worse after a period of rest. The typical trigger occurs when the finger is stuck in the bend position and when you use force to straighten, it suddenly ficks open with pain as the nodule squeezes through the pulley. Ultimately the pulley becomes too tight to allow this to happen and the finger is permanenetly stuck in bent or straight position. Treatment. In early stages non operative treatment will work well. Temporary worsening of the condition is due to swel...

No Scalpel Vasectomy at St Luke’s. We have been performing NSV here for the last 15 years with very good results. The doctor will see you and explain the procedure first so you can make up your mind. It is a key hole operation with virtually no blood loss and much less complications than open Vasectomy. The recovery is also very quick with many going back to work straight after the operation. Who is the Surgeon Dr Pillai has over 35 years of Surgical experience and has worked in hospitals in India and UK Is it Painful Apart from minor sting of the needle used to numb the skin and tube at the start you feel no pain.The skin can also be numbed with a local anaesthetic jet to do a no needle no scalpel vasectomy. We NEVER inject into the testicle! We can also prescribe some lorazepam as a sedative if you are very anxious and jittery. Most people feel no pain after the operation. The anaesthetic last up to 16 hours and then if needed minor painkillers like Paracetamol o...

http://stlukesurgery.co.uk/ What is Carpal Tunnel Syndrome? This is a condition where a nerve gets trapped in the front side of the wrist. It causes aching, pins & needles,burning sensation and later numbness and loss of dexterity in the Thumb, index, middle and part of ring finger. It is often worse at night or early morning. The troubling, burning symptoms may seem to improve in severe CTS when the nerve fibres die off one by one. The diagnosis can be made made by examination by your doctor by demonstrating numbness at the tips of three and half radial side fingers and reproducing the tingling in these fingers by acutely bending the wrist in for about 1 minute. In doubtful situations a Nerve Conduction Test is needed to confirm the entrapment. (Tingling in fingers can also happen when the nerve is trapped at its origin in the neck by a slipped disc in young or Spondylosis in the older patients.) Treatment. In mild to moderate cases it can be improved by wearing a spl...