Complex Regional Pain Syndrome (CRPS)

| Updated 15 Mar 2024

CRPS is an abnormal pain response to an injury or trauma that causes several of the body systems to be overly sensitive to pain and touch. CRPS can cause the nervous system to have difficulty detecting and sending pain signals, controlling temperature and swelling, and can impact on movement in …
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Carpal Tunnel Syndrome

| Updated 18 Mar 2024

Carpal Tunnel Syndrome is the compression of the median nerve in the carpal tunnel at the wrist. This nerve controls some of the movement and sensation in your hand. For further information regarding management of carpal tunnel syndrome, please see below link from the British Society of Surgery for the …
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Central Slip injury

| Updated 18 Mar 2024

The central slip is part of the extensor tendon that inserts into the middle bone of the finger and assists with straightening the finger. When the central slip is injured, this can mean that the tendon has ruptured or that the bone has fractured at the point where the tendon …
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Mallet finger injury

| Updated 18 Mar 2024

A mallet finger injury is when the tendon that straightens the tip of the finger (extensor tendon) is damaged and is no longer attached to the end bone of the finger. A mallet finger injury happens when a trauma to your finger either tears the fibres of the extensor tendon …
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Fractures of the Hand/Wrist

| Updated 18 Mar 2024

A fracture is described as a break in a bone.  Fractures can present in many different ways; it may be a simple break across a bone or the bone could fracture into in many fragments. Fractures can occur as part of a more complex injury involving a joint dislocation, or …
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Tendon injuries and repairs

| Updated 15 Mar 2024

Your flexor and extensor tendons are responsible for moving your fingers, thumb and wrist. These can be damaged through injury, such as a crush injury or a laceration to the skin.  These may need to be repaired surgically, dependent on the extent of the injury to your flexor or extensor …
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Conditions we treat

| Updated 18 Mar 2024

In the hand therapy department we treat a variety hand conditions. Here you will find useful resources for different hand conditions. These resources contain information about the nature of your condition, practical advice for managing it and, in some cases, simple exercises you can do at home to aid your …
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Information for patients

| Updated 21 Jan 2025 | Tags: clin pharm clinical pharmacology medications polypharmacy

Getting the best from your medicines At St George’s, we offer an outpatient service to see people who are taking large numbers of medicines (sometimes called polypharmacy). The clinic is run by clinical pharmacologists, doctors with a special interest in medicines. They make sure that people are taking the safest …
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Information for clinicians

| Updated 20 Oct 2025

We run three services for the management of patients with polypharmacy: Polypharmacy clinic – to see patients with complex or problematic polypharmacy Advice and Guidance service – to support healthcare professionals to manage their own patients Polypharmacy multidisciplinary team meetings – to discuss complex cases in a safe and supportive …
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Polypharmacy Service

| Updated 18 Mar 2025 | Tags: clinical pharmacology drug drugs medications Medicine pharmacogenomics polypharmacy

What is Polypharmacy? ‘Polypharmacy’ means taking multiple medicines or drugs. Taking multiple medicines is often required to help patients who have more than one illness. However, the risk of problems (including side effects) increases as the number of drugs increases. To reduce the risk of problems, people taking multiple medicines …
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