- Bupa Platinum consultant
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Fee assured
-
Awaiting
verification
- Open Referral network
Specialises in
- Hand & Wrist
Offers
- Face-to-face consultations
- Video and telephone consultations
About me
I have been a consultant hand and wrist surgeon in Buckinghamshire since 2003. I studied at Oxford Medical School under Professor John Stein, worked as a junior doctor in London teaching hospitals and then trained in orthopaedic surgery in the Oxford deanery. Following fellowships at St Vincent's Hospital in Melbourne, and then in Oxford, and a period of time working as a consultant in the Derby Hand Unit I was appointed consultant at Wycombe Hospital. Two years later this merged with Stoke Mandeville Hospital. I am passionate about the human hand, and about teaching and cultivating future generations of doctors.
I have extensive experience in my NHS practice of dealing with complex and mutilating trauma of the hand and wrist, and in reconstructing hands send in from other units. I treat large numbers of patients with wrist fractures, particularly of the distal radius and scaphoid, as well as those with wrist ligament injuries requiring arthroscopic surgery.
I look after a large local population of patients with rheumatoid arthritis and neuromuscular disorders (including nerve palsies, Parkinsons, stroke and patients with unexplained symptoms). I have a particular subspecialty interest in treating musicians with hand and wrist disorders.
A large amount of my operative practice is with carpal tunnel and Dupuytrens surgery. For the latter the majority of my patients are treated with needle fasciotomy who generally recover excellent function within a few days.
Other commonly treated conditions include arthritis of the fingers and thumb, tendonitis and triggering, and soft tissue lumps around the hand.
I work with an exceptional group of supporting consultants in radiology (scans and imaging), neurophysiology (nerve testing) and regional anaesthesia (for awake surgery when appropriate).
Areas of interest
Forearm and wrist fractures (including complex distal radial fractures and scaphoid nonunion); Percutaneous scaphoid fixation;
Forearm and wrist malunion;
Nerve compression around elbow, wrist, hand;
Arthritis of the wrist, thumb and fingers;
Finger joint replacement;
Dupuytrens surgery (including needle fasciotomy);
Rheumatoid hand and wrist surgery;
Trigger finger/thumb;
Finger fractures;
Tendonitis in the elbow, forearm, wrist;
Unexplained arm and hand pain;
Hand disorders in neurological disease (stroke, Parkinsons, post-polio, polyneuropathy);
The musician's hand including dystonia.
Medical secretaries
- Christine Gale (bookings at Bridge clinic only)
- The Bridge Clinic Oldfield Lodge 156 Bridge Road Maidenhead SL6 8DG
- 01628 760905
- 0872 115 7280
- chris@practicepartners.org.uk
- Kelly Goulding (billing)
- Akeman Medical 7 Park Close Dunton BUCKINGHAM MK18 3LW
- 01525 240844
- Sally Thompson (PA)
- 01494 426415
Anaesthetists worked with
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Mr Alastair Graham has worked with Dr Claire Nightingale at the following hospitals:
- Chiltern Hospital (The) (1-5)
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Mr Alastair Graham has worked with Dr William Birts at the following hospitals:
- Chiltern Hospital (The) (1-5)
- The Bridge Clinic (1-5)
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Mr Alastair Graham has worked with Dr Luis Lee at the following hospitals:
- The Bridge Clinic (1-5)
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Mr Alastair Graham has worked with Dr Saurabh Ricky Nagpaul at the following hospitals:
- Chiltern Hospital (The) (1-5)
Information for healthcare professionals (Bupa patients only, last 12 months)
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T6520
Tendon sheath injection of therapeutic substance including Viscosupplement +/- image guidance - (5-50)
Chiltern Hospital (The) (5-50) The Bridge Clinic (1-5)
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A6510
Carpal tunnel release (open) - (5-50)
Chiltern Hospital (The) (5-50) The Bridge Clinic (1-5)
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W9040
Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral - (5-50)
Chiltern Hospital (The) (5-50) The Bridge Clinic (1-5)
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T5203
Dupuytren's fasciectomy single digit with proximal interphalangeal joint - (5-50)
Chiltern Hospital (The) (1-5)
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T5410
Dupuytren's subcutaneous fasciotomy - (5-50)
Chiltern Hospital (The) (1-5) The Bridge Clinic (1-5)
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T7231
Open release of constriction of sheath of tendon (e.g. trigger finger) - (5-50)
The Bridge Clinic (1-5) Chiltern Hospital (The) (1-5)
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W0850
Partial excision of bone (including exostoses) - (1-5)
The Bridge Clinic (1-5) Chiltern Hospital (The) (1-5)
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T5900
Excision of ganglion - (1-5)
The Bridge Clinic (1-5) Chiltern Hospital (The) (1-5)
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T6982
Tenolysis of flexor tendon of hand - (1-5)
Chiltern Hospital (The) (1-5) The Bridge Clinic (1-5)
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T5210
Dupuytren's fasciectomy multiple digits with proximal interphalangeal joints - (1-5)
Chiltern Hospital (The) (1-5)
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AC100
Local anaesthetic by main operator - (1-5)
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W5310
Total prosthetic replacement of wrist joint - (1-5)
Chiltern Hospital (The) (1-5)
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W6912
Total synovectomy of small joint - (1-5)
The Bridge Clinic (1-5)
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W8150
Arthrotomy of large joint (including removal of loose body from joint) - (1-5)
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W7881
Release of contracture of interphalangeal joint of finger (excluding trigger finger or Dupuytren¿s disease) - (1-5)
Chiltern Hospital (The) (1-5)
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T5223
Dupuytren's dermofasciectomy and graft, or for recurrent disease - multiple digits - (1-5)
Chiltern Hospital (The) (1-5)
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T6410
Tendon transfer of hand - multiple (e.g. for radial nerve injury) - (1-5)
Chiltern Hospital (The) (1-5)
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W6913
Total synovectomy of large joint - (1-5)
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A6810
Neurolysis and transposition of peripheral nerve (excludes carpal tunnel release) - (1-5)
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T5202
Dupuytren's fasciectomy palm only - (1-5)
Chiltern Hospital (The) (1-5)
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W7485
Small joint (e.g. interphalangeal/ metacarpo-phalangeal joint) ligament reconstruction - (1-5)
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A6900
Revision of release of peripheral nerve - (1-5)
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L7511
Excision of arteriovenous malformation from peripheral vessel - (1-5)
Chiltern Hospital (The) (1-5)
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T6830
Secondary repair or first stage reconstruction of flexor of hand - (1-5)
The Bridge Clinic (1-5)