Treatments provided by Ali Noorani

With a particular interest in sports injuries, Mr Noorani offers expert assessment, treatment and rehabilitation for conditions affecting the shoulder, elbow, hand and wrist.

Treatments, operations and tests

Carpal tunnel surgery can usually be done on a day case basis. The operation may be done using an endoscope, a thin flexible telescope that is inserted into a small cut in the wrist. Images are transmitted to a screen, allowing the surgeon to see inside the wrist. In a more traditional, open operation, a longer cut is made in the palm of the hand. The endoscopic repair leaves a smaller scar, and usually allows people to get back to their usual activities more quickly. However, there may be a slightly higher risk of nerve damage with endoscopic carpal tunnel surgery
A ganglion is more commonly known as a benign cyst. The cysts (ganglions) may develop around tendons or joints, and often occur in the hand or wrist. This operation to remove the ganglions can be performed under local or general anaesthetic, usually as a day case procedure.
The rotator cuff is a group of muscles and tendons over the shoulder joint, if injured or even torn they can require surgery to repair. Surgery is performed under general anaesthetic, though the invasiveness depends on the techniques used and the amount of damage that needs to be repaired. A number of injuries to the rotator cuff tendons and ligaments can be treated with physiotherapy.
Shoulder arthroscopy is surgery that uses a tiny camera called an arthroscope to examine or repair the tissues inside or around your shoulder joint. The arthroscope is inserted through a small incision (cut) in your skin. Most people receive general anesthesia before this surgery. This means you will be unconscious and unable to feel pain. Or, you may have regional anesthesia. Your arm and shoulder area will be numbed so that you do not feel any pain in this area. If you receive regional anesthesia, you will also be given medicine to make you very sleepy during the operation.
This picture shows a shoulder, which includes the gleno-humeral (ball and socket) joint. The acromion and the end of the clavicle form a bony arch over the top of the humerus. The space under the acromion is called the subacromial space. The structures within the space include the bursa (a lubricating structure) and the tendons of the rotator cuff muscles.Subacromial impingement occurs when bony changes occur either on the under surface of the acromion or the acromioclavicular joint. There is also inflammation in the bursa, which often becomes thickened.
Shoulder arthroplasty (AHR-thro-plaste) is surgery to replace the shoulder joint. The shoulder joint is where the head (ball) of the humerus meets the glenoid (socket-like end) of the scapula. The humerus is the bone of the upper arm, and the scapula is the shoulder blade. Arthroplasty is usually done in patients with shoulder problems that cause severe or constant pain. These problems include pain from arthritis with narrowing of the joint space or bone spur formation. They may also include non-healing broken bones, severe muscle tears, and bone thinning or softening
The shoulder is a complex joint that can fail due to damage to many different components. Repair depends on the actual damage and an assessment by a doctor, however most shoulder surgeries are performed under general anaesthetic. Surgery can be arthroscopic or open, but again, this is a decision that should be reached between the surgeon and the patient.
The shoulder is a complex joint that can fail due to damage to many different components. Repair depends on the actual damage and an assessment by a doctor, however most shoulder surgeries are performed under general anaesthetic. Surgery can be arthroscopic or open, but again, this is a decision that should be reached between the surgeon and the patient.
The aim is to treat any malignant disease in the breast. We do this by removing the breast. You will usually end up with a fine scar running across the chest wall. The breast and nipple can always be rebuilt, usually at a later date.The second aim is to find out whether there are malignant cells in the rest of the body. If so, then treatment with hormones or chemotherapy would be of help. One of the best guides to there being cancer cells throughout the body, is to see if there are any in the lymph glands in the armpit, called the axilla.
The tendon that bends your finger has a bump in it. When you bend your finger fully, the bumpy part of your tendon comes out of its sheath at the base of your finger. When you try to straighten your finger the bump catches on the tendon sheath, stopping the tendon from sliding smoothly back.We aim to release your tendon so that you can straighten your finger easily. We cannot remove the bump from your tendon so instead we cut open the entrance to the tendon sheath. This gives your tendon more room to move back and forth. If your symptoms are mild, we can try an injection of steroid around your tendon.