Nerve compressions, tendon disorders, arthritis, and fibroproliferative conditions affecting the fingers, palm, and thumb.
The most common nerve compression of the hand. Causes numbness, tingling and night pain in the thumb and fingers. Endoscopic keyhole release as day surgery.
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Clicking, locking, or inability to fully straighten a finger. Highly responsive to cortisone injection. Simple surgical release if needed.
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Progressive palmar cords that draw the fingers into a bent position. Multiple treatment options from minimally invasive needle to surgical fasciectomy.
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CMC basal joint arthritis causing pain when pinching and gripping. Trapeziectomy or joint replacement when conservative measures fail.
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Sharp pain on the thumb side of the wrist, worsened by gripping or lifting. Common in new mothers. Injection-responsive in most cases.
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Ulnar nerve compression at the elbow — numbness in the little and ring fingers, especially when bending the arm. Surgical decompression when conservative measures fail.
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Drooping fingertip from extensor tendon avulsion after a ball injury. Most treated with splinting — surgery for bony avulsions with joint instability.
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Metacarpal and finger fractures including boxer's fractures. Stable fractures managed with splinting — unstable or displaced fractures may need fixation.
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Flexor and extensor tendon lacerations, avulsions, and degenerative ruptures. Primary microsurgical repair and hand therapy for optimal recovery.
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Digital and peripheral nerve lacerations requiring microsurgical repair. Fellowship-trained in nerve repair and grafting — restoring sensation and motor function.
Full clinical guide →Cartilage, ligament, fracture, and arthritis conditions of the wrist joint — requiring specialist orthopaedic assessment and often arthroscopic evaluation.
The most common cause of ulnar-sided wrist pain — frequently missed on X-ray and MRI. Wrist arthroscopy is the gold standard for diagnosis and repair.
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Scapholunate tears often dismissed as sprains. Untreated, they progress to SLAC wrist arthritis. Early specialist referral is critical for best outcomes.
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Modern volar plate fixation and arthroscopic-assisted reduction for optimal alignment, earlier movement, and faster return to work or sport.
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Up to 20% missed on initial X-ray. Untreated, leads to SNAC wrist arthritis and collapse. MRI and early specialist review is strongly recommended.
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SLAC wrist, SNAC wrist, and degenerative arthritis. Options include proximal row carpectomy, four-corner fusion, and total wrist replacement.
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Fluid-filled wrist lump arising from a joint or tendon sheath. Many resolve spontaneously — aspiration or arthroscopic excision when painful or persistent.
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Persistent or unexplained wrist pain. Systematic evaluation including diagnostic wrist arthroscopy when imaging falls short of a definitive answer.
Full clinical guide →Dr Ma consults at Chatswood (North Shore — Lane Cove, Willoughby, Artarmon, St Leonards, Gordon, Ryde) and Strathfield (Inner West — Burwood, Homebush, Rhodes, Concord, Auburn, Newington). A GP referral is recommended for Medicare rebates but not required to book.
For GPs and Allied Health Professionals — Dr Ma welcomes referrals for all of the above conditions, including complex presentations and second opinions. Urgent trauma appointments available for acute fractures and tendon injuries. Send referrals to admin@drdavidma.com or call (02) 8112 8569. Full referral information →
Chatswood (Healthpac Medical Centre, Level 1/7 Help St) and Strathfield (Strathfield Private Hospital, 3 Everton Rd). GP referral recommended but not required to book.
