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There is a lot of interest in the relatively new and emerging area of biologics – plasma rich protein (PRP). It has been made ‘fashionable‘ by the likes of Rafael Nadal and Tiger Woods. The healing of damaged, injured or inflamed tissues involves a complex inflammatory / healing response. Platelets

TFCC (triangular fibrocartilaginous complex) tears are relatively common but not all are symptomatic. They can be caused by twisting injuries (tennis players) and present with pain on the ulnar aspect of the wrist.The majority of TFCC tears will not require any surgical treatment and will setlle down with minimal treatment.

Basal thumb arthritis is a very common condition mainly affecting middle aged women but also men who perform manual tasks. It presents with pain at the base of the thumb and difficultywith everyday tasks such as opening tight jar lids, pain on wringing out a cloth and difficulty holding objects