Orthopaedic surgeons specialise in the branch of medicine which deals with the correction of deformities of the bones or muscles. These experts specialise in the musculoskeletal system which is essential for movement and everyday life.
At St. Michael’s Clinic, we are able to offer an orthopaedic service under the leadership of Mr Piers Moreau FRCS MA MbBChir, Consultant Hand and Upper Limb Surgeon, who will be offering outpatient consultations and surgery under local anaesthetic.
We are able to offer outpatient consultations for the following:
•Trigger Point Injections
•Tennis elbow release
Surgery at St. Michael’s clinic is available for:
• Carpal tunnel
• Trigger finger
• Ganglion removal
ORTHOPAEDIC SURGERY AT ST. MICHAEL’S CLINIC
The carpal tunnel is a narrow ‘sheath’ beneath the base of the palm. This nerve controls feeling in the thumb, index finger, middle finger and the ring finger and tendons that allow the fingers and thumb to move also pass through the carpal tunnel.
Symptoms of carpal tunnel include pins and needles, electric shock sensations and pain in the hand or arm, a weakened thumb, and weaker grip strength. Symptoms usually develop slowly over time, are often worse at night, and can also affect your ability to carry out simple everyday tasks such as buttoning a shirt.
Non-operative treatment includes wearing a brace or splint at night or during some activities to immobilise the wrist and prevent pressure on the nerve whilst asleep. Your orthopaedic surgeon may advise you to take anti-inflammatory medication and to make changes to any activities that might make the condition worse. In some cases, having a steroid injection can help symptoms. During your consultation at St. Michael’s Clinic, your condition will be assessed and the best treatment plan advised for you.
If your symptoms do not improve, surgery can be carried out under a local anaesthetic at St Michael’s Clinic, using a small incision to increase the space around the nerve inside the carpal tunnel.
Trigger finger is a condition in which your finger or thumb catches or gets locked in place when you bend it. It’s not harmful, but it can be extremely painful. Sometimes it can recover by itself after a few weeks, otherwise there are treatments that can help.
During your consultation at St. Michael’s Clinic, your orthopaedic surgeon may recommend that you try a combination of splinting and pain relief for four to six weeks to see if this helps. This aims to reduce the friction between the affected tendon and the tendon sheath, reducing your symptoms.
As an alternative to splinting, or if splinting doesn’t help, you may be offered a steroid injection which will be injected into the inflamed area of your tendon sheath and may be mixed with a local anaesthetic. You should see an improvement a few days after the injection, but it can take a couple of weeks before you notice any difference. Steroid injections do not work for everyone so if there is no improvement in your symptoms after having steroid injections, you may be offered a small operation to treat your trigger finger.
Surgery for trigger finger is usually referred to as ‘trigger finger release’. The aim of surgery is to release the restricted pulley in the tendon sheath, which should allow your finger to move normally again, as well as stop any pain. You’ll have an injection of local anaesthetic so that the area will be numb and you won’t feel any pain, but you’ll stay awake during the procedure which can be undertaken by Mr Piers Moreau at St Michael’s Clinic.
A ganglion cyst is a swelling filled with jelly-like fluid that sticks out from the lining of a joint or tendon. These lumps are usually harmless, however you may need surgery to remove one if it becomes painful.
A ganglion removal operation can be performed by Mr Piers Moreau at St Michael’s Clinic under local anaesthetic. The operation usually lasts about 30 minutes, once the anaesthetic has taken affect.
During the operation, your surgeon will make a cut over your ganglion. He will remove it from the joint or tendon lining without disturbing the surrounding structures. At the end of the operation, the cut is closed with stitches. If you require surgery for a ganglion, all aspects of the surgery including preparation and recovery will be discussed with you.
Mr Piers Moreau
MB BCh, MA, FRCS (Tr&Orth)
Piers is a Consultant Orthopaedic Surgeon specialising in disorders of the hand and upper limb and will be your Orthopaedic consultant at St. Michael’s Clinic. He is a Fellow of the Royal College of Surgeons of England, a Fellow of the British Orthopaedic Association and a member of the British Society for Surgery of the Hand. He is also a Faculty Member of the AO Hand and Wrist Group.
He is a Consultant Surgeon based at the Robert Jones and Agnes Hunt Hospital Oswestry, where he sees NHS for general orthopaedic trauma and specialised hand and wrist surgery. He is also based at the Princess Royal Hospital, Shrewsbury and Telford NHS Trust. He consults privately at St. Michael’s Clinic in Shrewsbury.
He has particular interests in all aspects of hand and wrist surgery, including keyhole, osteoarthritis, Dupuytren’s contracture, nerve compressions, carpal tunnel and elbow surgery.
Piers was educated at Eton College, going on to study at Jesus College, Cambridge, then completing his medical education at St. Bartholomews Medical School in London. He qualified in 1991, and became a fellow of the Royal College of Surgeons in 1995. He moved to Shropshire in 1997, completing his training on the renowned Stoke and Oswestry rotation, becoming a Consultant in 2003. He is Fellowship Trained in hand and wrist surgery, having worked at the Pulvertaft Unit at Derby Royal Infirmary as part of his training.
Piers is married with two children, his family take up most of his spare time. However, his hobbies include rugby, skiing, fishing and training his badly behaved Labradors.
To find out more about Piers and the services he offers, please visit his personal website.
BOOK AN APPOINTMENT
To book an appointment with Piers at St. Michael’s Clinic, please call his secretary Lucy on 07815 798322 and she will arrange an appointment for you.
If you would like to speak to us, fill in the form or call us on 01743 590010.
Why choose St. Michael's Clinic?
Here at St. Michael's Clinic, Shrewsbury's leading private skin and laser treatment clinic, our experts are specialists in all aspects of dermatology, skin cancer, anti-ageing and beauty treatments. We are able to offer NHS patients a consultant led dermatology service from our three sites in Shrewsbury, Much Wenlock and Donnington (Telford).
St. Michael's Clinic is regulated by the Care Quality Commission, ensuring the best level of treatment is provided to you in a safe environment. Our Clinical Lead Dr Stephen Murdoch is a member of the British Association of Dermatologists, the British Laser Medical Association and the European Academy of Dermatology and Venereology. We are part of the Dermatology Partnership, a leading group of dermatology clinics, defined by clinical excellence and focusing on leading dermatological care.