Snowberry LaneMelkshamWiltshire, SN12 6UNTel: 01225 709311
Carpal Tunnel syndrome (CTS) is a relatively common condition that causes a tingling sensation, numbness and sometimes pain in the hand and fingers. Usually these sensations develop gradually and start off being worse during the night. They tend to affect the thumb, index finger and middle finger.
The median nerve passes through a tight space at the wrist called the carpal tunnel - occassionally it becomes compressed in this tunnel. Some settle with splinting, others with tablets and others following a steriod injection into the tunnel itself. However, when symptoms persist despite these medical measures, it is necessary to decompress the nerve surgically.
This will be done under a local aneasthetic taking approximately 30 minutes to 1 hour in total.
We carry out patient satisfaction questionnaires pre-operatively, on operation day and 3 months post-operatively.
We pride ourselves on providing a personal approach with flexibility to accommodate patient's requirements regarding both dates and times. We can offer a first assessment appointment within 2-4 weeks of referral, with the operation just 2-4 weeks after and follow up 2 weeks later.
Pre operative instructionswebsite/J83046/files/Pre op CARPAL TUNNEL Info Sheet.pdf
Post operative instructionswebsite/J83046/files/carpal dressing letter.pdf
Spa Medical Centre has been carrying out excision/biopsy of lumps and bumps since 2004. We offer a one stop shop for minor operations.
Dr Fiona Armstrong and Dr Roland Teare are both practicing general practitioners with a specific interest in dermatology and minor surgical procedures.
We offer a wide range of skin surgery procedures including excision of some skin cancers to people in the Wiltshire area. We accept referrals from Wiltshire GP practices and Consultant Dermatologists from all the neighbouring hospitals. The following list covers what we can accept as referrals with regards to GPwSI (GPs with Special Interests) minor skin surgery lumps and bumps and non-melanoma skin cancers.
We are able to accept referrals for low risk Basel Cell Carcinomas that fulfil the following criteria:
All our procedures are carried out under local aneasthetic, so please eat and drink normally on your operation day. Due to health and safety policy and procedures we are unable to have children in the theatre room. If the procedure you are having is for an ingrowing toenail please ensure a representative drives you to and from the surgery. Similarly if the procedure is near to the eye please again ensure a representative drives you. Please note that you are also unable to drive for 2 days following an ingrowing toenail procedure.
Undergoing a Minor Operation
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COTSWOLD SURGICAL PARTNERS (CSP)
Cotswold Surgical Partners was formed in 2011 by three Specialists who all worked for the NHS in nearby local Trusts’. They have been working in partnership with Spa Medical Centre in Melksham since 2015.
Spa Medical Centre has provided GP led Skin Cancer surgery since 2006 and is a member of the skin cancer multi-disciplinary team (MDT) based at the RUH Bath.
CSP provides both a consultant led Skin Cancer Plastic Surgery service as well as clinic based Dermatology care. The aim is to provide NHS patients with a locally delivered skin cancer and Dermatology service, which is not only of a high quality but is also delivered in a timely fashion.
In partnership with Spa Medical Centre, they strive to maintain a high standard of service throughout the patient journey. Patients are offered a choice of dates for their surgery or outpatient appointment and if required they will be given a follow up appointment with our specialist dressings nurses.
CSP is also a member of the skin cancer multi-disciplinary team at Royal United Hospital in Bath and regularly attend their meetings in person or virtually.
Plastic SurgeryMr Nick Reynolds - Consultant Plastic SurgeonMr Umraz Khan – Consultant Plastic SurgeonDr Beth Wright – Consultant Dermatologist
Dermatology - Consultant led serviceDr Tom Millard - Consultant DermatologistDr Beth Wright - Consultant DermatologistDr Catrinel Wright - GP with Special Interest in Dermatology.
Mr Nick Reynolds, MB ChB FRCS Ed, FRCS Plast, RMN. GMC number 4154312
Mr Reynolds is a fully qualified plastic surgeon and is on the GMS Specialist register. He has worked in the health service for 33 years, entering medicine as a mature student having previously trained as a psychiatric nurse and prior to that as a hospital porter.
He studied medicine at Bristol University, graduating in 1994 and has since trained and worked all over the South West.
He entered into plastic surgery in 1998 and spent time in Frenchay Hospital in Bristol, Salisbury Hospital, Derriford Hospital in Plymouth and Morriston Hospital in Swansea. He has also worked in the plastic surgery department in the Erasmus hospital in Brussels.
He has been running his plastic skin surgery clinic at Spa Medical Centre, Melksham since 2015.Mr Reynolds is part of a partnership called Cotswold Surgical Partners (CSP), who has a contract with Wiltshire Commissioning Care Group (CCG) to provide a skin assessment & skin plastic surgery clinics based at Spa Medical Centre, Melksham.
Dr Tom Millard MBBS, PhD, FRCP. GMC number 4101455
Dr Thomas Millard is a Consultant Dermatologist who qualified in 1994 at St Bartholomew’s Hospital, following basic medical training, culminating in membership of the Royal College of Physicians in 1997.
Dr Millard trained in dermatology at St. Thomas’s Hospital, where he undertook a research degree in dermatology (PhD, 2002) followed by registrar training on the Oxford Training Scheme. He is a member of the British Association of Dermatologists and Fellow of the American Academy of Dermatologists.
He has expertise in general dermatology, with special interests in skin cancer surgery and immune diseases, running NHS clinics in Gloucester, Stroud and Melksham.
Dr Millard runs the dermatology teaching of Bristol Medical Students in Gloucestershire, and was voted best teacher of undergraduate medical students in Gloucestershire in 2012. Dr Millard is part of a partnership called Cotswold Surgical Partners (CSP), who has a contract with Wiltshire Commissioning Care Group (CCG) to provide a skin assessment & skin plastic surgery clinics based at Spa Medical Centre, Melksham, which has been running since 2015
Mr Umraz Khan, BSc, MBBS, FRCS, FRCS Plast, FCPS (Hons) GMC number 3582264.
Mr Umraz Khan is a Plastic Surgeon who qualified in 1991 at University of London, following basic medical training. He then trained in general surgery in Bath and plastic surgery in London. He has been a Consultant Surgeon since 2002 working at Charing Cross Hospital, London until 2006. He developed the limb reconstruction service at North Bristol NHS Trust.
His area of clinical expertise is in free-tissue transfer to reconstruct tissue defects following trauma and tumour ablation. He has expertise in Ortho-plastic surgery, Diabetic foot disease, Bone infection, Prosthetic joint infection, breast surgery and skin cancer surgery. He is currently running clinics in Bristol and Melksham.
He completes an annual charity trip to Lahore where local surgeons are trained. He is a full member of BAPRAS and Fellow of RCS Editor-in-chief of International Journal of Orthoplastic Surgery. He is also a member of the Specialist Advisory Committee (SAC), a Royal College of Surgeons committee for national education.
Mr Khan is part of a partnership called Cotswold Surgical Partners (CSP), who has a contract with Wiltshire Commissioning Care Group (CCG) to provide a skin assessment & skin plastic surgery clinics based at Spa Medical Centre, Melksham.
Dr Beth Wright, BMedSci BMBS (Hons) MRCP (UK) Derm. GMC number 7045443
Dr Beth Wright graduated from the University of Nottingham medical school with Honours in 2009. She has since completed her specialist training in Dermatology in Bristol & Bath and was awarded non general internal medicine trainee of the year in her final year of training.
Dr Wright is a Consultant Dermatologist working at Southmead and Cosham Hospitals.
She has presented at national and international specialist dermatological meetings on several occasions. She has an active role in education and a postgraduate certificate in medical education. She is involved in advancing teledermatology services, locally & nationally, within the British Association of Dermatologists Teledermatology subcommittee. She has recently been appointed a trustee of the Skin Cancer Research Fund (SCaRF)
Dr Wright has been running her dermatology and surgical clinics at Spa Medical Centre, since February 2020.
Dr Catrinel Wright, MBBS MSc MRCGP DRCOG DFFP DPD, GMC number 5200037
Dr Catrinel Wright is a General Practitioner with a Special Interest qualification in Dermatology (GPwSI). She qualified in basic medicine 1997.
She became a GP in 2008 practising at a surgery within Trowbridge. She has a long term interest in dermatology and completed her Diploma in Practical Dermatology, Cardiff 2011. She attended the RCGP Minor Surgery course in London 2014, the PCDS Advanced Dermoscopy Course in London 2015 and ascertained her GPwSI accreditation in 2018
Dr Wright has been running her dermatology clinics at Spa Medical Centre, since 2017
Our surgical co-ordinators, managed by Helen Clarke will be happy to help with any referrals or queries.
Telephone lines open 8.00am to 5,00 pm