Upper Limb Orthopaedic Clinic

Shoulder, Elbow, Wrist & Hand Specialist

Whether you’re dealing with shoulder pain, hand numbness, or a long-standing elbow injury, our Upper Limb Orthopaedic Clinic provides fast access to a consultant-led opinion on upper limb musculoskeletal conditions.

Led by Mr Senthil Muthian, a Consultant Orthopaedic Surgeon specialising in shoulder, elbow, wrist and hand conditions, we offer expert diagnosis, clear guidance on orthopaedic treatment options, and referrals for surgery if needed.

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Specialist Upper Limb Diagnosis & Care

Our private orthopaedic clinic focuses on conditions affecting the upper limb, including the shoulder, elbow, wrist and hand, where accurate diagnosis and specialist care can make all the difference.

Our service is designed for people experiencing pain, weakness, reduced mobility, or nerve-related symptoms in the upper limb. Whether you’re exploring surgery or seeking alternatives, you’ll receive a clear treatment plan and specialist orthopaedic support at every stage.

Fast Access to Surgical Opinion

See our Upper Limb Orthopaedic Consultant without the typical waiting times. Get clarity and peace of mind about your joint condition, from a Consultant Surgeon with a deep understanding of musculoskeletal disorders and Orthopaedic conditions.

Comprehensive Treatment Options

Receive expert guidance on all available orthopaedic clinic treatments, with both surgical and non-surgical pathways clearly explained. Our Consultant Orthopaedic Surgeon has extensive experience with a range of conditions affecting the upper limb – from Carpal Tunnel to Tennis Elbow, Rotator Cuff injuries, and more. We combine the latest research with sports medicine expertise to provide a complete package of care.

On-Site Imaging and Interventions

Access ultrasound-guided injections and imaging services conveniently on-site, supporting precise fracture management and orthopaedic treatment planning using the latest technology.

Pre-habilitation & Rehabilitation Support

We provide guidance on comprehensive pre-surgical strengthening and post-operative care programmes. Our Integrated Rehabilitation Centre provides dedicated support for soft tissue injuries, pre-habilitation, rehabilitation, and recovery from orthopaedic procedures: helping patients return to their daily activities and improve quality of life.

Meet Mr. Senthil Muthian – Upper Limb Specialist

Mr Muthian is a highly regarded Consultant Orthopaedic Surgeon, with a specialist interest in treating upper limb conditions (shoulder, elbow, wrist and hand conditions). His qualifications include:

MBBS, MS (Ortho), D.NB (Ortho)
MRCSEd, FRCSEd (Trauma & Ortho)
Completed his orthopaedic training at the prestigious Royal National Orthopaedic Hospital, London
Herbert Seddon Travelling Fellowship in Shoulder Surgery

Mr. Muthian’s clinical interests include:

Shoulder disorders (fractures, rotator cuff tears, and arthritis)
Elbow conditions (instability, tendon ruptures, and tennis elbow)
Hand conditions (carpal tunnel syndrome, trigger finger, and Dupuytren’s contracture)

He maintains active teaching engagements at Bournemouth University, Great Ormond Street Hospital, and University College London, helping to shape the next generation of orthopaedic surgeons, specialists, and consultants.

What To Expect from Your Orthopaedic Appointment?

During your appointment, Mr. Muthian will review your medical history, discuss your symptoms in depth, and may suggest imaging or other diagnostic tests to support a precise diagnosis.

Here’s how the process typically works:

Initial Consultation – You’ll meet with Mr. Muthian to discuss your concerns. This consultation allows him to fully understand your needs and recommend next steps tailored to you.

Diagnostic Imaging – If further clarity is needed, Mr. Muthian may request imaging (such as X-rays, ultrasound, or MRI) this can be done on-site via our state-of-the-art Clinical Imaging Services.

Discuss Treatment Options – You’ll have the chance to review treatment options such as targeted injections or a rehabilitation programme to manage symptoms and improve strength, depending on your diagnosis.

Consider Surgical Options – If surgery is recommended, Mr. Muthian will discuss your options in detail. If surgery is considered the best route, you can opt for a private pathway or, if preferred, take the referral back to your GP.

Rehabilitation Programmes – Based on your condition, you might be recommended a rehabilitation or pre-habilitation programme, including health assessments and exercise plans to enhance outcomes if surgery is pursued.

Our goal is to ensure you have a clear understanding of your options and receive the highest quality of care tailored to your needs.

Orthopaedic Services and Fees

We offer a range of orthopaedic services designed to meet your individual needs. Our services include:

Initial Orthopaedic Consultations: £250

Start your journey with a thorough assessment to determine the best course of action for your condition.

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Follow-up Consultations: £175

Our follow-up appointments ensure you’re progressing as expected and allow us to make any necessary adjustments to your treatment plan.

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Landmark Guided (non-ultrasound guided) Steroid Injections: £150*

Landmark guided steroid injections are available for targeted pain relief and can be administered as part of your treatment plan.

*price excludes cost of appointment

Seamless Referrals for Comprehensive Care

After your assessment, you may be referred for further diagnostic services or orthopaedic treatment, either via our onsite clinics or through our trusted network of consultants and hospitals.

Surgical Referrals:

If orthopaedic surgery becomes necessary, Mr. Muthian will provide expert advice and refer you to an appropriate surgeon or consultant, ensuring a smooth transition in your care.

Our Clinical Imaging Services are equipped with state-of-the-art technology, including X-ray, Ultrasound, and one of only 7 open upright MRI machines in the UK.

Clinician reading an image of a brain scan during an MRI

Our Open and Upright MRI machine offers what conventional scans can’t. Providing patients with claustrophobia, anxiety or mobility issues a comfortable environment to be scanned in.

Close up of an ultrasound being done on a knee

Precise and targeted treatments from our Consultant-led ultrasound injection service.

Physiotherapist crouched down looking intently up at patient on a physio bed, assessing her knee/leg

Visit our highly qualified physiotherapy team for care across a wide range of musculoskeletal (MSK) conditions. We specialise in helping people move forward with their care by providing an authentic, honest first assessment or second opinion on your health.

patient and instructor mirroring movements during a class

Explore our comprehensive rehabilitation services designed to help you regain strength, mobility, and function. From specialised classes to therapy options and equipment hire, our team of highly qualified clinicians are dedicated to help you get back to doing what you love most.

Hear From Our Patients and Service Users

The sign up process is very easy. There was a very simple online form after which I received a telephone call and was given an appointment. It was very simple, very easy, no waiting.

Marion Arnott-Weeks talks to camera about her experience at AECC UC

My goals are to be able to keep mobile for as long as possible. I wouldn't like to be stopped in my tracks

Marian – Rehab Journey

FAQs: Upper Limb Orthopaedic Clinic

What does an Orthopaedic Consultant do?

An Orthopaedic Consultant specialises in the diagnosis of conditions affecting the musculoskeletal system, which includes bones, joints, muscles, ligaments, and tendons. At our orthopaedic clinic, Mr. Senthil Muthian, a highly experienced Consultant Orthopaedic Surgeon, will thoroughly assess your condition and recommend the most appropriate treatment options. This may involve further investigations such as clinical imaging or ultrasound-guided injections.

What is orthopaedics?

Orthopaedics is a branch of medicine that focuses on the care of the musculoskeletal system and disorders, including bones, joints, muscles, and tendons – from sports injuries to degenerative diseases like arthritis. Orthopaedic specialists are trained to treat a wide range of conditions, from trauma (such as fractures and dislocations) to chronic conditions (like arthritis or tendonitis). Orthopaedics includes both non-surgical treatments (such as rehabilitation and injections) and surgical procedures (such as joint replacement or ligament repair).

Where can I find further information on Orthopaedic Surgery?

There are several reliable sources where you can learn more about orthopaedic procedures and conditions. The British Orthopaedic Association (BOA) provides comprehensive patient information. At our clinic, we also provide detailed patient information sheets specific to your condition. During your consultation, Mr. Muthian will discuss all aspects of your condition and can recommend additional trusted resources for further reading.

Do I need a referral to see an Orthopaedic Consultant?

No, at our orthopaedic clinic, you don’t need a GP referral to book an appointment with Mr. Muthian. We offer direct access to consultant care, allowing you to seek a second opinion or specialist advice without needing to see your GP first.

What are the next steps after an orthopaedic consultation?

After your consultation, Mr. Muthian may recommend further diagnostic tests (like MRI or ultrasound), prescribe rehabilitation treatments such as physiotherapy, or suggest steroid injections for pain relief. Depending on your condition, we may suggest further tests, physiotherapy, injections, or surgery. If Orthopaedic surgery is required, you’ll be referred to the appropriate specialist to ensure a seamless continuation of care.

Book an Appointment Today

Book Online – Our online booking system is the easiest and fastest way to book your appointment.

Get some advice – Not sure who to see? We can help. Speak directly with one of our senior clinicians for free, no-obligation advice or a second opinion.

Prefer to book in person, or over the phone? – You’re always welcome to call us 01202 436222 (Mon-Fri, 08:30–18:00) or visit our clinic at the address below.