Expert care for shoulder, elbow, wrist and hand problems, led by Consultant Mr Marck Van Liefland.
A painful shoulder, a stiff elbow or a hand that tingles, locks or won’t straighten can affect everything from sleep to work. You deserve a clear diagnosis and honest advice on whether you need surgery at all.
Every appointment is with Mr Marck Van Liefland, a Consultant Orthopaedic Surgeon specialising in the upper limb. He has practised as an NHS and private consultant at the Robert Jones & Agnes Hunt Orthopaedic Hospital in Oswestry for over 15 years.
Many problems can be treated without an operation. When surgery is the right option, Mr Van Liefland can carry out some procedures here in Tarporley, and others at a partner hospital, with our team arranging it so you stay under his care throughout.
You don’t need a GP referral to book.
Book an initial consultation with Mr Marck Van Liefland Call us on 01829 863 331Mr Van Liefland treats conditions ranging from long-standing wear and tear to sudden injuries.
Rotator cuff tears and tendon problems, shoulder impingement, frozen shoulder, shoulder arthritis and shoulders that dislocate or feel unstable.
Tennis elbow, golfer's elbow, elbow arthritis and cubital tunnel syndrome (a trapped nerve at the elbow causing tingling in the ring and little fingers).
Carpal tunnel syndrome, trigger finger, Dupuytren's contracture, arthritis at the base of the thumb, ganglion cysts and tendonitis around the wrist.
Broken collarbones and fractures of the shoulder, elbow, wrist and hand, tendon and ligament ruptures, and dislocated joints.
Injuries to the shoulder, elbow, wrist and hand from sport, including skier's thumb and tendon and ligament injuries.
Shoulder, elbow, wrist and hand problems caused by repetitive strain or an injury at work.
It’s worth seeing a specialist if your shoulder, elbow, wrist or hand problem:
Seeing an orthopaedic surgeon doesn’t mean you’ll need an operation. Many people are treated successfully with injections, splints or physiotherapy, and Mr Van Liefland will only recommend surgery if it’s likely to help.
Book an initial consultation with Mr Marck Van Liefland Call us on 01829 863 331
Your initial consultation is with Mr Van Liefland from start to finish. Here’s what to expect.
Where it hurts, when it started, what makes it worse, and how it’s affecting your work, sleep and everyday life.
Previous injuries, treatments, scans and other health conditions. Bring any scan reports, X-rays or nerve test results you have.
A hands-on examination of your shoulder, elbow, wrist or hand, checking movement, strength, feeling and stability.
If you need a scan to confirm the diagnosis, Mr Van Liefland will refer you. Ultrasound scans can be done here at our clinic in Tarporley, and MRI and other scans are arranged externally. He reviews all your scan results himself.
A clear explanation of what’s causing your symptoms and your options, from splints, injections and physiotherapy to surgery. You’ll have time to ask questions, and nothing goes ahead without your agreement.
Mr Van Liefland will recommend the simplest treatment likely to work, and explain every option before you decide.
Cortisone (steroid) injections to ease pain and inflammation in the shoulder, elbow, wrist and hand, including for tendonitis, arthritis and trigger finger.
An injection of sterile saline, local anaesthetic and steroid that stretches the stiffened shoulder capsule and releases adhesions, helping to restore movement.
Splints, activity advice and referral for physiotherapy, which are often the first step for conditions such as carpal tunnel syndrome and tennis elbow.
Surgery to release pressure on the median nerve in the wrist, easing numbness, tingling and pain in the hand.
A short procedure to free a finger that catches, locks or clicks when you bend it.
Surgery to straighten fingers pulled towards the palm when other treatments haven’t worked.
A small joint replacement for arthritis at the base of the thumb, to ease pain and improve grip.
Arthroscopic (keyhole) rotator cuff repair, shoulder decompression for impingement, and stabilisation surgery for shoulders that dislocate.
Joint replacement for severe arthritis or complex fractures of the shoulder or elbow.
Surgery for tennis elbow that hasn’t settled with other treatment, and release of trapped nerves at the elbow, such as cubital tunnel syndrome.
If surgery is the right option, Mr Van Liefland will perform it himself at a partner hospital where he operates, including Nuffield Health Shrewsbury Hospital.
Either way, our team will liaise with the hospital to book your surgery, so you don’t have to arrange it yourself. You’ll see Mr Van Liefland before and after your operation, giving you continuity of care from your first appointment to your recovery.
Every orthopaedic appointment at Enigma Healthcare is with Mr Van Liefland, from your first consultation to any surgery and follow-up.
Consultant Orthopaedic Surgeon
MBBCh, FRCS (Eng), FRCS (Tr&Orth) · GMC 4087447
Mr Van Liefland has practised for over 15 years as an NHS and private consultant at the Robert Jones & Agnes Hunt Orthopaedic Hospital in Oswestry, specialising in disorders of the shoulder, elbow and hand. His most common procedures include keyhole rotator cuff repair, shoulder replacement, carpal tunnel and other nerve releases, trigger finger release, Dupuytren’s surgery and small joint replacements for thumb arthritis.
He is involved in research and teaches junior and senior surgeons, both in the UK and abroad.
Not sure an orthopaedic surgeon is the right specialist for you? See all our bones, joints & muscles services ›
An orthopaedic surgeon diagnoses and treats problems with bones, joints, tendons, ligaments and nerves, both with and without surgery. Mr Van Liefland specialises in the upper limb: the shoulder, elbow, wrist and hand.
No. You can book an initial consultation directly. If you’re using private health insurance, check with your insurer first, as they may ask for a GP referral.
Not necessarily. Many shoulder, elbow and hand problems improve with injections, splints or physiotherapy. Mr Van Liefland will explain all your options and only recommend surgery if it’s likely to help.
Both are trapped nerves. Carpal tunnel syndrome affects the median nerve at the wrist, causing tingling and numbness in the thumb and first fingers. Cubital tunnel syndrome affects the ulnar nerve at the elbow, causing tingling in the ring and little fingers.
Trigger finger is when a finger catches or locks as you bend it, because the tendon can’t glide smoothly. It’s often treated with a steroid injection first, and a short release procedure if it keeps coming back.
Smaller hand and wrist procedures can be carried out at our clinic in Tarporley. Larger operations take place at a local partner hospital where Mr Van Liefland operates. Our team arranges it for you, and you stay under his care throughout.
An initial consultation with Mr Marck Van Liefland at Enigma Healthcare costs £250.
Yes. We accept private health insurance through major insurers, including AXA, Bupa and Vitality. Check with your insurer that your policy covers your consultation and any treatment.
Not sure whether Mr Van Liefland is the right specialist for you, or whether you might need surgery?
Send us your question and a member of our team will get back to you personally.
Prefer to talk straight away? Call us on 01829 863 331.
