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Covid-19 Update

Face Coverings

From 15 June 2020, visitors and outpatients coming into our hospitals will be asked to wear a face covering at all times, to help us reduce the spread of Covid-19.
A face covering can be as simple as a scarf or bandana that ties behind the head. It should cover your mouth and nose while allowing you to breathe comfortably.

New measures to increase services
Our staff have been working hard to respond to the coronavirus pandemic and ensure the safety and quality of our services for all patients.
Just like the rest of the NHS, our number one priority for the last few months has been ensuring that all those who need urgent care - not just those with coronavirus - have been able to get it when they need it.  Combined with the need to avoid unnecessary contact to reduce the spread of the virus, this has meant that some non-urgent appointments may have been postponed, and others delivered differently using technology.
We are now preparing to gradually increase some important face-to-face services, but only where this can be done safely - the virus is still circulating and we don’t want to put our patients, the public or our staff at greater risk.  Thank you for your patience and understanding during these difficult times.



Condition directory

Tendon problems of the wrist and hand

A tendon is a strong piece of soft tissue that connects a muscle to a bone. The muscles contract and pull on the tendons which then causes our bones to move. There are many tendons which run from the elbow into the hand. Some (but not all) tendons are also covered with a sheath known as a synovium. The job of the synovium is to provide lubrication for the tendon to glide effectively within its sheath.

'Tendinopathy' is pain that is contributed to by the tendons themselves. It has also been called 'tendonitis in the past. 'Tenosynovitis' is pain and inflammation of the 'sheath' that surrounds a tendon.

Tendinopathy and tenosynovitis can cause hand pain that may affect the wrist or the fingers.

The cause of tendinopathy is not always known. It may be brought on by repetitive overloading or a sudden increase in activity. All soft tissues have a certain tolerance to load depending upon our usual activity levels and tendon health. If we complete a certain activity which is repetitive and overwhelming for the tendon, this can provoke a response which may lead to some level of pain or discomfort. Tendinopathy can also be affected by other factors or conditions within the body, these include: 

  • Diabetes
  • Inflammatory joint conditions
  • Steroid use and certain antibiotics
  • (Peri)Menopausal women – this is related to hormonal changes which can impact on tendon structure
  • High cholesterol
  • Obesity
  • Infection – this is rare. An open wound in the area may enable bacteria to infiltrate infect the tendon sheath. If you have experienced an injury such as this, you should see your GP to rule out any cause of infection.

The symptoms of tendinopathies are most commonly pain, tenderness and occasionally swelling and associated heat. The pain is usually provoked by moving or using the affected area.

Click the links below to find out more information on some of the more common tendon related issues.

De Quervain's tenosynovitis

Flexor tenosynovitis/ trigger finger