- Bupa Platinum consultant
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Fee assured
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Verified account
- Open Referral network
Specialises in
- Hand & Wrist
- Shoulder & Elbow
Offers
- Face-to-face consultations
- Video and telephone consultations
About me
I have had four operations of my own; hand, shoulder, knee and ankle. The hand surgery was career-threatening and the recovery did not go to plan.
Everything is fine now but when you tell me your hand wakes you at three in the morning, or that you have started dropping things, or that you are quietly terrified about what an operation will do to your job, I am not nodding politely. I have sat where you are sitting.
That is why my practice looks the way it does.
I will try hard not to operate on you. Most hand, wrist, elbow and shoulder problems settle without surgery. I would rather offer you a splint, a properly given injection, PRP made from your own blood or simply the right advice and some time. I will tell you honestly when an operation is the wrong answer, and just as honestly when it is the right one.
When you do need surgery, I make it small and quick. I do carpal tunnel release, trigger finger, cubital tunnel, Dupuytren's, ganglions and tennis elbow under local anaesthetic in a clinic room, not a main operating theatre. No general anaesthetic. No fasting from midnight. No hospital gown. The clinic room is not a shortcut: I helped write the national guidance for doing this safely and contributed to the standard textbook on wide awake hand surgery. For carpal tunnel I use an ultrasound scan to guide the release through a cut of about 5mm. You arrive, we numb your hand, and twenty minutes later it is done. I am one of the most experienced surgeons in the country in ultrasound-guided hand surgery and I teach the technique to other surgeons as faculty.
The injection is the bit patients fear most, so I have spent years refining it: tiny paediatric needles, warmed solutions and a dozen other small things. Patients regularly tell me it did not hurt. That is the whole point.
If sport matters to you, I want to know how you got hurt. I have played sport all my life and I still do, so my first questions are about technique: how you grip, how you load the joint, what changed in your training. I would rather get you back in a way that hurts less and keeps you out of my clinic than patch you up and wave you off.
You should not have to take my word for how well I explain things. My patient information carries the PIF TICK, the UK's only independently assessed quality mark for health information. Very few individual surgeons hold it. I do, because a decision about your body is yours to make and you cannot make it on half the story. You will leave knowing what is wrong, what your choices are, what each involves and what happens if you do nothing at all.
Most questions turn up after the appointment, often at night. My patients can message me directly with whatever is worrying them, and the answer comes from me, usually within 24 hours. I have watched anxiety make pain worse and recovery slower; answering them is part of the treatment.
More than 300 patients have reviewed me on Doctify. They know what they're talking about. I would rather you read them than read me.
I treat carpal tunnel syndrome, trigger finger and thumb, thumb base arthritis, finger arthritis, Dupuytren's disease, ganglions and lumps in the hand, tennis and golfer's elbow, cubital tunnel and wrist pain, plus fractures and injuries of the hand, wrist and elbow.
For shoulders, I treat most causes of pain without surgery, including impingement, smaller rotator cuff tears, arthritis at the end of the collarbone and the bone wear weight training can cause there. I do not do planned shoulder operations; if you need one I will say so straight away and point you to the right surgeon. I do fix shoulder girdle injuries, including broken collarbones.
If any of this sounds familiar, you do not need to have decided anything before you come in. That is what the appointment is for. You will get an honest set of options, and if you ask me which one I would choose if it were my hand, I will tell you.
Areas of interest
carpal tunnel syndrome; ultrasound-guided carpal tunnel release; wide awake hand surgery; surgery without a general anaesthetic; trigger finger; trigger thumb; thumb base arthritis; thumb joint replacement; trapeziectomy; finger arthritis; finger joint replacement; Dupuytren's disease; ganglion; mucous cyst; lumps in the hand; tennis elbow; golfer's elbow; cubital tunnel syndrome; De Quervain's tenosynovitis; wrist pain; wrist arthritis; hand fractures; wrist fractures; scaphoid fracture; distal radius fracture; elbow injuries; radial head replacement; skier's thumb; tendon injuries; tendon repair; removal of metalwork; shoulder pain; shoulder impingement; rotator cuff tears (non-operative); acromioclavicular joint arthritis; collarbone fracture; sports injuries; PRP; platelet rich plasma; steroid injection; hand trauma; over 16 only
Medical secretaries
- Shelley-Anne Morgan
- Spire Southampton Hospital Chalybeate Close Southampton SO16 6UY
- 07359 248779
- contactus@cpmoffice.co.uk
Anaesthetists worked with
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Mr Alistair R Phillips has worked with Dr Hanna Ward at the following hospitals:
- Nuffield Health Wessex Hospital ()
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Mr Alistair R Phillips has worked with Dr John V Pappachan at the following hospitals:
- Nuffield Health Wessex Hospital ()
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Mr Alistair R Phillips has worked with Dr Paul Dawson at the following hospitals:
- Nuffield Health Wessex Hospital ()
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Mr Alistair R Phillips has worked with Dr George Evetts at the following hospitals:
- Nuffield Health Wessex Hospital ()
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Mr Alistair R Phillips has worked with Dr Daniel Willdridge at the following hospitals:
- Nuffield Health Wessex Hospital ()
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Mr Alistair R Phillips has worked with Dr Julian Nixon at the following hospitals:
- Nuffield Health Wessex Hospital ()
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Mr Alistair R Phillips has worked with Dr Arthur Goldsmith at the following hospitals:
- Nuffield Health Wessex Hospital ()
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Mr Alistair R Phillips has worked with Dr Shirley Lobo at the following hospitals:
- Nuffield Health Wessex Hospital ()
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Mr Alistair R Phillips has worked with Dr Nicholas Goddard at the following hospitals:
- Nuffield Health Wessex Hospital ()
Information for healthcare professionals (Bupa patients only, last 12 months)
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W9030
Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral - ()
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A6530
Carpal tunnel release (endoscopic) - ()
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T5900
Excision of ganglion - ()
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A6510
Carpal tunnel release (open) - ()
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T5203
Dupuytren's fasciectomy single digit with proximal interphalangeal joint - ()
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T6782
Repair of distal biceps tendon - ()
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T7231
Open release of constriction of sheath of tendon (e.g. trigger finger) - ()
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W0285
Trapezio-metacarpal joint surface replacement - ()
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T5210
Dupuytren's fasciectomy multiple digits with proximal interphalangeal joints - ()
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W1920
Primary open reduction of long bone with fixation - ()
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W5930
Fusion of digit joint(s) of hand +/- graft & +/- internal fixation - ()
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W9040
Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral - ()
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W2830
Removal of internal fixation from bone / joint, excluding K-wires +/- image guidance - ()
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W5722
Excision reconstruction of small joint - ()
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T6800
Delayed or secondary repair of tendon (including graft, transfer and/or prosthesis) (not otherwise specified) - ()
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S1500
Biopsy of skin or subcutaneous tissue - ()
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T8050
Surgical release of humeral epicondylitis (lateral or medial) (e.g. 'Tennis Elbow') - ()
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W2300
Secondary open reduction of fracture of short bone (including intra-articular fracture for delayed/non-union and including bone graft) - ()
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W7482
Scaphoid lunate ligament reconstruction - ()
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W3200
Open reduction and internal fixation of cancellous bone graft scaphoid non-union - ()
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T5222
Dupuytren's dermofasciectomy and graft, or for recurrent disease - single digit - ()
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S0633
Excision of lesion of skin or subcutaneous tissue - up to three, Trunk & Limbs (excluding lipoma) - ()
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A6710
Cubital tunnel release (open) (without transposition) - ()
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A6810
Neurolysis and transposition of peripheral nerve (excludes carpal tunnel release) - ()
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W2100
Primary open reduction of intra-articular fracture of long bone with internal fixation, e.g. proximal humerus or proximal tibia (+/- arthroscopic assistance) - ()
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T5202
Dupuytren's fasciectomy palm only - ()
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W7485
Small joint (e.g. interphalangeal/ metacarpo-phalangeal joint) ligament reconstruction - ()
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