Special Interests


Valerie has a special interest in minimally invasive and percutaneous procedures, believing they provide the patient with a less intrusive treatment with a shorter recovery time.

She has pioneered these techniques in the management of basal thumb osteoarthritis, Dupuytren's contracture, carpal tunnel syndrome and complex wrist fractures.



Basal thumb arthroscopy and debridement can be a useful intervention in some patients. 

By shaving away worn cartilage, inflamed joint lining, scar tissue, and removing loose bodies, it gives the joint a new lease of life.

Endoscopic, or minimally invasive carpal tunnel release is an alternative in patients who need to get back to work soon with minimal downtime.

PNF or Percutaneous Needle Fasciotomy is an office based procedure performed under local anaesthetic.

It is a great alternative to surgery in a lot of patients, where the downtime is minimal, and there are no wounds or scars to recover from.