Consult note
No mark yet
Most people start at the base of the thumb. Choose any place on the drawing and the note fills in here.
Consultant-led clinic, Penbury Cross
Quennell Hand & Wrist
Hands, wrists and elbows. Nothing else.
You see a consultant within ten working days, the scan is done the same afternoon if you need one, and your hand therapist works on the same floor.
- 10daysworking days to a first appointment
- 1visitconsultant, scan and plan in one afternoon
- 6peoplefour surgeons, two hand therapists
Tap where it hurts
Put a mark where it hurts.
Choose a place on the drawing, the way a surgeon marks your skin before theatre. We will tell you in plain words what it usually is and what your first appointment involves. Nothing you choose here is sent anywhere.
Arrow keys move between places. Escape closes the note.
Consult note
Marked Base of the thumb
- Often this is
- Wear in the thumb base joint
- A strained thumb ligament
- It usually feels like
- An ache at the root of the thumb when you turn a key, open a jar or pinch something small.
- At your first appointment
- We feel the joint and test your pinch, and an X-ray is taken in the same building if it would change the plan.
Read about Thumb base arthritis Book for this
A guide, not a diagnosis. The consultant examines you before anything is decided.
Consult note
Marked Thumb side of the wrist
- Often this is
- A scaphoid fracture
- A sprained wrist
- It usually feels like
- Pain in the hollow below your thumb after a fall onto an outstretched hand, sometimes days later.
- At your first appointment
- Same-day imaging. A scaphoid break can hide on a first X-ray, so we never send you away on a guess.
Read about Scaphoid fracture Book for this
A guide, not a diagnosis. The consultant examines you before anything is decided.
Consult note
Marked Middle of the wrist crease
- Often this is
- Carpal tunnel syndrome
- It usually feels like
- Tingling or numbness in the thumb and first fingers, often waking you at night, eased by shaking the hand.
- At your first appointment
- Simple bedside tests of feeling and grip, then nerve studies only if they would change what we do.
Read about Carpal tunnel syndrome Book for this
A guide, not a diagnosis. The consultant examines you before anything is decided.
Consult note
Marked Palm, below a finger
- Often this is
- Trigger finger
- A lump in the palm
- It usually feels like
- A finger that catches or clicks as it bends, or locks bent first thing in the morning.
- At your first appointment
- We find the catching point with your hand open on the desk. Many people go home with a plan that same afternoon.
Read about Trigger finger Book for this
A guide, not a diagnosis. The consultant examines you before anything is decided.
Consult note
Marked Finger joints
- Often this is
- Wear in the finger joints
- A jammed finger
- It usually feels like
- Swollen, stiff joints that are worse in the morning, or a finger that never settled after it was caught.
- At your first appointment
- We measure how far each joint bends, look for swelling and talk about what you need your hands to do.
Read about Finger joint arthritis Book for this
A guide, not a diagnosis. The consultant examines you before anything is decided.
Consult note
Marked Little-finger side of the wrist
- Often this is
- A cartilage tear in the wrist
- Ulnar-sided wrist strain
- It usually feels like
- Pain on the outer edge of the wrist when you turn a door handle, lean on your hand or carry a pan.
- At your first appointment
- A careful examination of where it hurts and when, with ultrasound the same afternoon if it is needed.
Read about Ulnar-sided wrist pain Book for this
A guide, not a diagnosis. The consultant examines you before anything is decided.
Consult note
Marked Outside of the elbow
- Often this is
- Tennis elbow
- A strained tendon
- It usually feels like
- Pain on the outside of the elbow when you grip, lift a kettle or shake hands.
- At your first appointment
- We test the tendon against resistance and talk about your work, your sport and your tools.
Read about Tennis elbow Book for this
A guide, not a diagnosis. The consultant examines you before anything is decided.
Consult note
Marked Fingertip
- Often this is
- A fingertip injury
- A drooping fingertip after a knock
- It usually feels like
- A tip that was caught in a door or a tool, or one that suddenly will not straighten after a knock.
- At your first appointment
- Same-week appointments for injuries, and a splint fitted by the hand therapist before you leave if you need one.
Read about Mallet finger Book for this
A guide, not a diagnosis. The consultant examines you before anything is decided.
Who you will see
Four surgeons and two hand therapists. That is the whole clinic.
Every first appointment is with a consultant. The person who examines you is the person who operates, if you need an operation, and the therapist who splints you is down the corridor.
-
Ms Ines Marrable Consultant hand surgeon Wrist fractures, and climbers with pulley injuries
-
Mr Aurelio Penhale Consultant hand surgeon Nerves: carpal tunnel and the elbow
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Ms Saoirse Venning Consultant hand surgeon Thumb base joints and finger arthritis
-
Mr Dov Ashcombe Consultant hand and elbow surgeon Tendons, and musicians who cannot stop playing
-
Wren Halsey Lead hand therapist Splints made at the chair, while you wait
-
Pippa Strand Hand therapist Back to work: trades, tools and grip
Drawn, not photographed: every clinician here is fictional.
From first visit to full grip
What happens, in the order it happens.
Five stages. Most people never need the fourth to be an operation.
-
Day 1
Consultant appointment
Forty minutes with a consultant. We examine your hand, ask what it stops you doing and measure your grip.
-
Day 1
Scan, same afternoon
X-ray or ultrasound down the corridor if it would change the plan. You do not come back for results.
-
Day 1
A written plan
You leave with the plan in writing: what we think it is, the options, and what we would do in your place.
-
Week 2
Splint, injection or theatre
A splint made at the chair, an injection in clinic, or day surgery in our own theatre. Home the same day.
-
Weeks 3 to 12
Hand therapy
Short sessions with the same therapist each time, until your grip does what your life needs it to do.
What we treat
Index of conditions
Twelve things we see every week, in plain words. The marked ones have a full page.
All conditions- Carpal tunnel syndromeRead A squeezed nerve at the wrist: tingling thumb and fingers, worse at night.
- Cubital tunnel syndrome The funny-bone nerve, squeezed at the elbow: numb ring and little fingers.
- De Quervain's tenosynovitis Pain along the thumb side of the wrist, common when lifting a baby or a phone.
- Dupuytren's disease Thickening in the palm that slowly pulls one or two fingers into the hand.
- Finger joint arthritis Knobbly, stiff finger joints that ache in the morning and in the cold.
- Ganglion A smooth, harmless lump near a joint or tendon that comes and goes.
- Mallet fingerRead A fingertip that droops after a knock, because the tendon that straightens it has let go.
- Scaphoid fractureRead A break in a small wrist bone after a fall, easy to miss and worth finding early.
- Tennis elbowRead A sore tendon on the outside of the elbow. Most people have never played tennis.
- Thumb base arthritisRead Wear at the root of the thumb: an ache when you pinch, twist or grip.
- Trigger fingerRead A finger that catches, clicks or locks as the tendon snags in its tunnel.
- Ulnar-sided wrist pain Pain on the little-finger side of the wrist, often a small cartilage tear.
For GPs
Referring a patient
One form, read by a consultant the same working day. We write back after the first appointment and again at discharge.
Open the referral formReferral to Quennell Hand & Wrist
Our reference QHW-R7K-24M
- To
- Duty consultant, Quennell Hand & Wrist
- From
- Referring GP or physiotherapist
- Patient
- Name, date of birth, phone
- Where
- Hand, wrist or elbow, and which side
Urgency key
- Routine Seen within ten working days
- Soon Seen within three working days
- Urgent Phone us: a consultant calls back within the hour
Concept clinic: times, reference and form are illustrations.
Finding us
Fourteen Ferrier Lane, four minutes from the station.
| Mon | Tue | Wed | Thu | Fri | SatToday | Sun | |
|---|---|---|---|---|---|---|---|
| Clinic | 8:00 to 18:00 | 8:00 to 18:00 | 8:00 to 18:00 | 8:00 to 20:00 | 8:00 to 17:00 | 9:00 to 13:00 | Closed |
| Hand therapy | 8:00 to 18:00 | 8:00 to 19:30 | 8:00 to 18:00 | 8:00 to 19:30 | 8:00 to 17:00 | 9:00 to 13:00 | Closed |
| Clinic | Hand therapy | |
|---|---|---|
| Monday | 8:00 to 18:00 | 8:00 to 18:00 |
| Tuesday | 8:00 to 18:00 | 8:00 to 19:30 |
| Wednesday | 8:00 to 18:00 | 8:00 to 18:00 |
| Thursday | 8:00 to 20:00 | 8:00 to 19:30 |
| Friday | 8:00 to 17:00 | 8:00 to 17:00 |
| SaturdayToday | 9:00 to 13:00 | 9:00 to 13:00 |
| Sunday | Closed | Closed |
Getting here
- Parking
- Twenty spaces behind the clinic, four of them wide bays by the door. Free for the length of your appointment.
- Step-free
- Level entrance from Ferrier Lane, a lift to every floor, and doors that open themselves.
- After surgery
- You cannot drive home after day surgery. Bring someone, or ask us to book the car we use.
Quennell Hand & Wrist
14 Ferrier Lane
Penbury Cross
Call the clinic
01632 960 718 Book a first appointment