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An assessment with Dr Chee Kin Ghee can help identify the cause of your hand or wrist complaint and outline the management options most appropriate for your situation.
Hand & Wrist Specialist in Singapore
Why Choose Spire Hand & Upper Limb Centre?
Spire Hand & Upper Limb Centre provides specialist orthopaedic and hand surgery services for a range of conditions affecting the hand, wrist, forearm, and upper limb. The clinic offers clinical assessment, surgical treatment, and in-house rehabilitation under one roof.
- Dr Chee Kin Ghee is a specialist hand and orthopaedic surgeon with over 20 years of experience in hand and upper limb surgery. His clinical expertise covers complex hand, wrist, and upper limb injuries, wrist and finger joint replacement, minimally invasive hand and wrist surgery, and nerve compression release procedures.
- Dr Chee was awarded a one-year fellowship under the MOH Health Manpower Development Plan (HMDP) and trained at the world-renowned Wrightington Hospital Upper Limb Unit in the UK, where he developed expertise in complex upper limb conditions, joint replacement, and minimally invasive upper limb surgery. He is also a former Programme Director for the Hand Surgery Residency Programme at National Healthcare Group and a former Clinical Senior Lecturer at NUS and NTU. Dr Chee currently practises at Gleneagles Hospital
Areas of expertise
- Complex hand, wrist & upper limb injuries
- Nerve compression release surgery
- Wrist & finger joint replacement
- Soft tissue reconstruction
- Minimally invasive hand & wrist surgery
- Sports injuries to the hand & upper limb
Conditions Assessed & Treated
Spire Hand & Upper Limb Centre assesses and manages a wide range of hand, wrist, and upper limb conditions. Common conditions seen at the clinic include:
Carpal Tunnel Syndrome (CTS)
Trigger finger occurs when inflammation around the tendon sheath in a finger causes the tendon to catch or lock as the finger is bent and straightened. It may present as finger stiffness, a clicking or catching sensation, pain at the base of the affected finger, or — in more severe cases — the finger becoming locked in a bent position. It is associated with repetitive finger movements and is seen across a range of occupations and activities. Management may include splinting, corticosteroid injections, or surgical release of the tendon sheath.
Trigger Finger (Stenosing Tenosynovitis)
Trigger finger occurs when inflammation around the tendon sheath in a finger causes the tendon to catch or lock as the finger is bent and straightened. It may present as finger stiffness, a clicking or catching sensation, pain at the base of the affected finger, or — in more severe cases — the finger becoming locked in a bent position. It is associated with repetitive finger movements and is seen across a range of occupations and activities. Management may include splinting, corticosteroid injections, or surgical release of the tendon sheath.
Hand & Wrist Fractures
Trigger finger occurs when inflammation around the tendon sheath in a finger causes the tendon to catch or lock as the finger is bent and straightened. It may present as finger stiffness, a clicking or catching sensation, pain at the base of the affected finger, or — in more severe cases — the finger becoming locked in a bent position. It is associated with repetitive finger movements and is seen across a range of occupations and activities. Management may include splinting, corticosteroid injections, or surgical release of the tendon sheath.
Nerve Compression & Injuries
Trigger finger occurs when inflammation around the tendon sheath in a finger causes the tendon to catch or lock as the finger is bent and straightened. It may present as finger stiffness, a clicking or catching sensation, pain at the base of the affected finger, or — in more severe cases — the finger becoming locked in a bent position. It is associated with repetitive finger movements and is seen across a range of occupations and activities. Management may include splinting, corticosteroid injections, or surgical release of the tendon sheath.
Tendon Injuries
Trigger finger occurs when inflammation around the tendon sheath in a finger causes the tendon to catch or lock as the finger is bent and straightened. It may present as finger stiffness, a clicking or catching sensation, pain at the base of the affected finger, or — in more severe cases — the finger becoming locked in a bent position. It is associated with repetitive finger movements and is seen across a range of occupations and activities. Management may include splinting, corticosteroid injections, or surgical release of the tendon sheath.
Hand & Wrist Arthritis
Trigger finger occurs when inflammation around the tendon sheath in a finger causes the tendon to catch or lock as the finger is bent and straightened. It may present as finger stiffness, a clicking or catching sensation, pain at the base of the affected finger, or — in more severe cases — the finger becoming locked in a bent position. It is associated with repetitive finger movements and is seen across a range of occupations and activities. Management may include splinting, corticosteroid injections, or surgical release of the tendon sheath.
Ganglion Cysts
Trigger finger occurs when inflammation around the tendon sheath in a finger causes the tendon to catch or lock as the finger is bent and straightened. It may present as finger stiffness, a clicking or catching sensation, pain at the base of the affected finger, or — in more severe cases — the finger becoming locked in a bent position. It is associated with repetitive finger movements and is seen across a range of occupations and activities. Management may include splinting, corticosteroid injections, or surgical release of the tendon sheath.
De Quervain's Tenosynovitis
Trigger finger occurs when inflammation around the tendon sheath in a finger causes the tendon to catch or lock as the finger is bent and straightened. It may present as finger stiffness, a clicking or catching sensation, pain at the base of the affected finger, or — in more severe cases — the finger becoming locked in a bent position. It is associated with repetitive finger movements and is seen across a range of occupations and activities. Management may include splinting, corticosteroid injections, or surgical release of the tendon sheath.
Symptoms & Signs
Hand and wrist conditions can present in a variety of ways. If you are experiencing one or more of the following on a persistent or recurring basis, a specialist assessment may help identify the cause and appropriate management options.
Pain in the hand, wrist, or fingers
Pain may be localised to a specific finger or joint, or more diffuse across the hand or wrist. It may worsen with activity, gripping, or specific movements, and may be present at rest in more advanced conditions.
Weakness in grip or pinch
Difficulty gripping objects, opening jars, or performing tasks requiring pinch strength may indicate nerve compression, tendon injury, or arthritis affecting the hand or wrist.
Finger stiffness or locking
Stiffness that limits the ability to fully bend or straighten a finger, or a catching and locking sensation during finger movement, may suggest a tendon condition such as trigger finger.
Swelling or visible deformity
Swelling around a joint, the presence of a lump, or visible misalignment following an injury may indicate a fracture, cyst, or inflammatory condition requiring assessment.
Numbness, tingling, or pins-and-needles
Numbness or tingling — particularly in the thumb, index, and middle fingers — is a common feature of nerve compression conditions such as carpal tunnel syndrome. Symptoms may be more pronounced at night or on waking.
Reduced range of motion in the wrist or fingers
Difficulty bending, straightening, or rotating the wrist, or limited movement in the fingers, may arise from fractures, arthritis, tendon injuries, or post-surgical stiffness.
Pain or tenderness along the thumb or wrist
Pain on the thumb side of the wrist — particularly with thumb movement or gripping — may suggest De Quervain’s tenosynovitis or thumb base arthritis, both of which are commonly seen in active adults and new parents.
Symptoms affecting work or daily activities
Persistent hand or wrist symptoms that interfere with typing, writing, lifting, cooking, or other daily tasks are worth discussing with a specialist — particularly if they have not improved with rest or basic self-care.
If your symptoms have persisted for more than a few days, are worsening, or are significantly affecting your daily function or work, a specialist assessment is advisable.
Common Causes of Hand & Wrist Conditions
Hand and wrist conditions arise from a range of causes. Understanding the likely underlying cause helps guide the diagnostic and management approach.
| Condition | Details |
|---|---|
| Repetitive hand and wrist movements | Repetitive activities — such as typing, assembly work, playing a musical instrument, or frequent gripping and pinching — may place sustained stress on the tendons, joints, and nerves of the hand and wrist over time. These are among the more commonly associated factors in conditions such as carpal tunnel syndrome, trigger finger, and De Quervain’s tenosynovitis. |
| Trauma and sports injuries | Direct impacts, falls onto an outstretched hand, and contact sports injuries are common causes of hand and wrist fractures, tendon lacerations, and ligament sprains. Workplace accidents — particularly in manual labour and construction — also account for a significant proportion of hand and wrist injuries seen at specialist clinics in Singapore. |
| Age-related joint degeneration | As the hand and wrist age, cartilage within the joints gradually wears down, increasing the risk of osteoarthritis. The thumb base and wrist joints are among the most commonly affected. Age-related changes may also reduce the flexibility of tendons, increasing susceptibility to conditions such as trigger finger. |
| Underlying medical conditions | Conditions including rheumatoid arthritis, diabetes, thyroid disorders, and gout may affect the hand and wrist by causing joint inflammation, nerve compression, or tendon changes. In some individuals, carpal tunnel syndrome may be associated with hormonal changes during pregnancy or menopause. |
| Previous hand or wrist injuries | A history of fractures, dislocations, or soft tissue injuries to the hand or wrist may alter the anatomy of the carpal tunnel, joint mechanics, or tendon pathways — increasing the risk of subsequent conditions such as post-traumatic arthritis, nerve compression, or recurrent instability. |
| Occupational and lifestyle factors | Certain occupations — including those involving vibrating tools, prolonged computer use, or sustained gripping — may increase the cumulative load on the hand and wrist structures. Recognising occupational risk factors is relevant both for diagnosis and for planning management strategies that are compatible with the patient’s work and lifestyle. |
Our Diagnostic Process
An accurate diagnosis is an essential step before any treatment decisions are made. The assessment process at Spire Hand & Upper Limb Centre typically involves the following.
Medical history & symptom review
The specialist will take a detailed history of your symptoms — including when they started, what makes them better or worse, and any relevant occupational activities, previous injuries, or medical conditions. This context is important in identifying the likely cause of your hand or wrist complaint.
Physical examination
A thorough examination of the hand and wrist is performed, assessing for swelling, tenderness, deformity, range of motion, grip strength, and sensation. Specific clinical tests may be used — for example, Phalen’s manoeuvre and Tinel’s sign for carpal tunnel syndrome, or Finkelstein’s test for De Quervain’s tenosynovitis.
X-ray imaging
X-rays provide clear images of the bony structures of the hand and wrist and are the standard first-line imaging tool for suspected fractures, joint arthritis, and bone misalignment.
Ultrasound
Ultrasound allows dynamic assessment of tendons, ligaments, cysts, and soft tissue structures in real time. It is particularly useful for evaluating ganglion cysts, tendon integrity, and guiding injections.
MRI scan
An MRI provides detailed images of the soft tissues — including tendons, ligaments, nerves, and cartilage — and may be used where soft tissue injury or nerve compression is suspected and X-ray findings are inconclusive.
CT scan
A CT scan may be used in complex fracture cases where detailed three-dimensional imaging of the bone is required for surgical planning.
Nerve conduction studies / EMG
For suspected nerve compression conditions such as carpal tunnel syndrome or cubital tunnel syndrome, nerve conduction studies and electromyography (EMG) may be used to assess the degree of nerve involvement and guide management decisions.
Common Treatment Options
The management of hand and wrist conditions depends on the specific diagnosis, severity of the condition, and the individual’s occupational needs and lifestyle. Non-surgical approaches are generally considered first where clinically appropriate.
Non-surgical treatment options
Trigger finger occurs when inflammation around the tendon sheath in a finger causes the tendon to catch or lock as the finger is bent and straightened. It may present as finger stiffness, a clicking or catching sensation, pain at the base of the affected finger, or — in more severe cases — the finger becoming locked in a bent position. It is associated with repetitive finger movements and is seen across a range of occupations and activities. Management may include splinting, corticosteroid injections, or surgical release of the tendon sheath.
Splinting and bracing
Wearing a splint or brace immobilises the affected area, reduces strain, and may alleviate symptoms in conditions such as carpal tunnel syndrome, trigger finger, De Quervain’s tenosynovitis, and stable fractures.
Activity modification
Trigger finger occurs when inflammation around the tendon sheath in a finger causes the tendon to catch or lock as the finger is bent and straightened. It may present as finger stiffness, a clicking or catching sensation, pain at the base of the affected finger, or — in more severe cases — the finger becoming locked in a bent position. It is associated with repetitive finger movements and is seen across a range of occupations and activities. Management may include splinting, corticosteroid injections, or surgical release of the tendon sheath.
Physiotherapy and hand therapy
Trigger finger occurs when inflammation around the tendon sheath in a finger causes the tendon to catch or lock as the finger is bent and straightened. It may present as finger stiffness, a clicking or catching sensation, pain at the base of the affected finger, or — in more severe cases — the finger becoming locked in a bent position. It is associated with repetitive finger movements and is seen across a range of occupations and activities. Management may include splinting, corticosteroid injections, or surgical release of the tendon sheath.
Corticosteroid injections
Trigger finger occurs when inflammation around the tendon sheath in a finger causes the tendon to catch or lock as the finger is bent and straightened. It may present as finger stiffness, a clicking or catching sensation, pain at the base of the affected finger, or — in more severe cases — the finger becoming locked in a bent position. It is associated with repetitive finger movements and is seen across a range of occupations and activities. Management may include splinting, corticosteroid injections, or surgical release of the tendon sheath.
Medications
Trigger finger occurs when inflammation around the tendon sheath in a finger causes the tendon to catch or lock as the finger is bent and straightened. It may present as finger stiffness, a clicking or catching sensation, pain at the base of the affected finger, or — in more severe cases — the finger becoming locked in a bent position. It is associated with repetitive finger movements and is seen across a range of occupations and activities. Management may include splinting, corticosteroid injections, or surgical release of the tendon sheath.
Immobilisation for fractures
Trigger finger occurs when inflammation around the tendon sheath in a finger causes the tendon to catch or lock as the finger is bent and straightened. It may present as finger stiffness, a clicking or catching sensation, pain at the base of the affected finger, or — in more severe cases — the finger becoming locked in a bent position. It is associated with repetitive finger movements and is seen across a range of occupations and activities. Management may include splinting, corticosteroid injections, or surgical release of the tendon sheath.
Surgical treatment options
Trigger finger occurs when inflammation around the tendon sheath in a finger causes the tendon to catch or lock as the finger is bent and straightened. It may present as finger stiffness, a clicking or catching sensation, pain at the base of the affected finger, or — in more severe cases — the finger becoming locked in a bent position. It is associated with repetitive finger movements and is seen across a range of occupations and activities. Management may include splinting, corticosteroid injections, or surgical release of the tendon sheath.
Carpal Tunnel Release
Trigger finger occurs when inflammation around the tendon sheath in a finger causes the tendon to catch or lock as the finger is bent and straightened. It may present as finger stiffness, a clicking or catching sensation, pain at the base of the affected finger, or — in more severe cases — the finger becoming locked in a bent position. It is associated with repetitive finger movements and is seen across a range of occupations and activities. Management may include splinting, corticosteroid injections, or surgical release of the tendon sheath.
Trigger Finger Release
Trigger finger occurs when inflammation around the tendon sheath in a finger causes the tendon to catch or lock as the finger is bent and straightened. It may present as finger stiffness, a clicking or catching sensation, pain at the base of the affected finger, or — in more severe cases — the finger becoming locked in a bent position. It is associated with repetitive finger movements and is seen across a range of occupations and activities. Management may include splinting, corticosteroid injections, or surgical release of the tendon sheath.
Hand & Wrist Fracture Surgery (ORIF)
Trigger finger occurs when inflammation around the tendon sheath in a finger causes the tendon to catch or lock as the finger is bent and straightened. It may present as finger stiffness, a clicking or catching sensation, pain at the base of the affected finger, or — in more severe cases — the finger becoming locked in a bent position. It is associated with repetitive finger movements and is seen across a range of occupations and activities. Management may include splinting, corticosteroid injections, or surgical release of the tendon sheath.
Wrist & Finger Joint Replacement
Trigger finger occurs when inflammation around the tendon sheath in a finger causes the tendon to catch or lock as the finger is bent and straightened. It may present as finger stiffness, a clicking or catching sensation, pain at the base of the affected finger, or — in more severe cases — the finger becoming locked in a bent position. It is associated with repetitive finger movements and is seen across a range of occupations and activities. Management may include splinting, corticosteroid injections, or surgical release of the tendon sheath.
Tendon Repair
Trigger finger occurs when inflammation around the tendon sheath in a finger causes the tendon to catch or lock as the finger is bent and straightened. It may present as finger stiffness, a clicking or catching sensation, pain at the base of the affected finger, or — in more severe cases — the finger becoming locked in a bent position. It is associated with repetitive finger movements and is seen across a range of occupations and activities. Management may include splinting, corticosteroid injections, or surgical release of the tendon sheath.
Ganglion Cyst Excision
Trigger finger occurs when inflammation around the tendon sheath in a finger causes the tendon to catch or lock as the finger is bent and straightened. It may present as finger stiffness, a clicking or catching sensation, pain at the base of the affected finger, or — in more severe cases — the finger becoming locked in a bent position. It is associated with repetitive finger movements and is seen across a range of occupations and activities. Management may include splinting, corticosteroid injections, or surgical release of the tendon sheath.
Ganglion Cyst Excision
Is a hand or wrist condition affecting your daily life or work?
The team at Spire Hand & Upper Limb Centre provides specialist assessment and management for a range of hand, wrist, and upper limb conditions — from nerve compression and tendon injuries to fractures and joint replacement.
Partnered Programs & Insurance Plans
For Singaporeans, Singapore Permanent Residents and Foreigners.
Assistance With Medisave & Insurance Claims Process
Rehabilitation is a critical component of recovery for most hand and wrist conditions — whether managed surgically or non-surgically.
- Hand therapy — what it involves: Hand therapy is a specialised area of occupational therapy focused on restoring hand and upper limb function following injury, surgery, or chronic conditions. It may include structured exercise programmes, splinting and orthosis fabrication, oedema (swelling) management, scar management, sensory re-education following nerve injury, and functional activity retraining for daily tasks and work.
- Post-surgical rehabilitation: Following surgery — including carpal tunnel release, tendon repair, fracture fixation, or joint replacement — a structured rehabilitation programme typically commences as directed by the treating surgeon. The programme is progressively advanced based on healing and functional reco`very. Early engagement with hand therapy is generally important for optimising range of motion and preventing stiffness.
- Non-surgical rehabilitation: For patients managed without surgery, hand therapy may form the primary treatment or complement other non-surgical interventions such as splinting and injections. Programmes are tailored to the specific condition and the patient’s functional goals — including occupational requirements and daily activities.
- Under one roof: Having the treating hand surgeon and hand therapist within the same clinic allows the rehabilitation plan to be closely coordinated with the clinical management pathway. This may support more consistent communication and timely adjustments to the programme as recovery progresses.
Reducing the Risk of Hand & Wrist Conditions
While not all hand and wrist conditions are preventable, a number of measures may help reduce the risk — particularly for those in occupations or activities that place regular demands on the hands.
- Use proper technique during repetitive tasks
Maintaining neutral wrist positioning during typing, writing, or tool use may reduce the sustained pressure on the tendons and nerves of the wrist. Taking regular breaks from repetitive hand and wrist activities may also help reduce cumulative strain over time. - Use ergonomic equipment at work
Ergonomic keyboards, mice, and wrist supports may help maintain a more neutral wrist position during prolonged computer use, reducing the risk of repetitive strain conditions such as carpal tunnel syndrome and De Quervain’s tenosynovitis. - Warm up before sport and physical activity
Warming up the hands and wrists before activities involving gripping, throwing, or racquet sports may help prepare the tendons and joints for the demands of the activity and reduce the risk of acute injury. - Manage underlying health conditions
Conditions such as diabetes, rheumatoid arthritis, and thyroid disorders are associated with an increased risk of hand and wrist conditions. Monitoring and managing these conditions appropriately — in conjunction with relevant medical specialists — may help reduce the associated risk to the hands and wrists. - Maintain bone and joint health
Adequate calcium and vitamin D intake, combined with regular weight-bearing exercise, supports bone density and joint health, which may help reduce the risk of fractures and degenerative joint conditions in the hand and wrist over time. - Seek early assessment for persistent symptoms
Hand and wrist conditions that are identified and managed early are generally more amenable to non-surgical treatment. Persistent symptoms — including pain lasting more than a few days, numbness, or reduced function — are worth discussing with a specialist rather than waiting to see if they resolve on their own.
Make an Enquiry
For urgent or same day appointment requests, please call our hotline.
Our Clinic Locations
Mt Elizabeth Medical Centre
Dr. Chee Kin Ghee
over 20 years of experience in the field of orthopaedics
Spire Hand & Upper Limb Centre
3 Mount Elizabeth, #15-14 Singapore 228510
Monday – Friday: 9.00am – 6.00 pm
Saturday: 9.00am – 1.00pm
Sunday & PH: CLOSED
Royal Square
Dr. Chee Kin Ghee
over 20 years of experience in the field of orthopaedics
Spire Orthopaedic Physiotherapy & Rehab Centre
101 Irrawaddy Road, #18-03 Singapore 329565
Monday – Friday: 9.00am – 6.00 pm
Saturday: 9.00am – 1.00pm
Sunday & PH: CLOSED
Frequently Asked Questions
When should I see a hand specialist in Singapore?
You may wish to consult a hand specialist if you are experiencing persistent pain, numbness, tingling, or stiffness in the hand, fingers, or wrist that has not improved with rest after a few days. Other indicators include reduced grip strength, difficulty with everyday tasks such as typing, writing, or gripping, a visible lump or deformity, or symptoms following a hand or wrist injury. Early assessment may help identify the cause and allow for earlier management, which is often advantageous for non-surgical conditions such as carpal tunnel syndrome and trigger finger.
What is the difference between a hand surgeon and an orthopaedic surgeon?
You may wish to consult a hand specialist if you are experiencing persistent pain, numbness, tingling, or stiffness in the hand, fingers, or wrist that has not improved with rest after a few days. Other indicators include reduced grip strength, difficulty with everyday tasks such as typing, writing, or gripping, a visible lump or deformity, or symptoms following a hand or wrist injury. Early assessment may help identify the cause and allow for earlier management, which is often advantageous for non-surgical conditions such as carpal tunnel syndrome and trigger finger.
Is carpal tunnel syndrome treatable without surgery?
You may wish to consult a hand specialist if you are experiencing persistent pain, numbness, tingling, or stiffness in the hand, fingers, or wrist that has not improved with rest after a few days. Other indicators include reduced grip strength, difficulty with everyday tasks such as typing, writing, or gripping, a visible lump or deformity, or symptoms following a hand or wrist injury. Early assessment may help identify the cause and allow for earlier management, which is often advantageous for non-surgical conditions such as carpal tunnel syndrome and trigger finger.
What is trigger finger and how is it treated?
You may wish to consult a hand specialist if you are experiencing persistent pain, numbness, tingling, or stiffness in the hand, fingers, or wrist that has not improved with rest after a few days. Other indicators include reduced grip strength, difficulty with everyday tasks such as typing, writing, or gripping, a visible lump or deformity, or symptoms following a hand or wrist injury. Early assessment may help identify the cause and allow for earlier management, which is often advantageous for non-surgical conditions such as carpal tunnel syndrome and trigger finger.
What does hand therapy involve and is it different from physiotherapy?
You may wish to consult a hand specialist if you are experiencing persistent pain, numbness, tingling, or stiffness in the hand, fingers, or wrist that has not improved with rest after a few days. Other indicators include reduced grip strength, difficulty with everyday tasks such as typing, writing, or gripping, a visible lump or deformity, or symptoms following a hand or wrist injury. Early assessment may help identify the cause and allow for earlier management, which is often advantageous for non-surgical conditions such as carpal tunnel syndrome and trigger finger.
How long does recovery take after hand or wrist surgery?
You may wish to consult a hand specialist if you are experiencing persistent pain, numbness, tingling, or stiffness in the hand, fingers, or wrist that has not improved with rest after a few days. Other indicators include reduced grip strength, difficulty with everyday tasks such as typing, writing, or gripping, a visible lump or deformity, or symptoms following a hand or wrist injury. Early assessment may help identify the cause and allow for earlier management, which is often advantageous for non-surgical conditions such as carpal tunnel syndrome and trigger finger.
Can hand and wrist conditions be covered by Medisave or insurance?
You may wish to consult a hand specialist if you are experiencing persistent pain, numbness, tingling, or stiffness in the hand, fingers, or wrist that has not improved with rest after a few days. Other indicators include reduced grip strength, difficulty with everyday tasks such as typing, writing, or gripping, a visible lump or deformity, or symptoms following a hand or wrist injury. Early assessment may help identify the cause and allow for earlier management, which is often advantageous for non-surgical conditions such as carpal tunnel syndrome and trigger finger.
What conditions does Dr Chee Kin Ghee specialise in?
You may wish to consult a hand specialist if you are experiencing persistent pain, numbness, tingling, or stiffness in the hand, fingers, or wrist that has not improved with rest after a few days. Other indicators include reduced grip strength, difficulty with everyday tasks such as typing, writing, or gripping, a visible lump or deformity, or symptoms following a hand or wrist injury. Early assessment may help identify the cause and allow for earlier management, which is often advantageous for non-surgical conditions such as carpal tunnel syndrome and trigger finger.