Welcome to The Hand and Wrist Clinic
A Team approach to restoring Hand and Wrist Function
At our dedicated Hand and Wrist Clinic, headed by one the UK's leading Hand and Wrist Surgeons, Mr Nik Jagodzinski. We understand the importance of timely care.
That's why we've assembled an expert team to ensure you regain function and comfort without the prolonged waiting time of NHS treatment.
With our comprehensive suite of private Hand & Wrist Surgery and Therapy options, we put your well-being first. Clinic appointments within a few weeks and the possibility of same-day surgery* shorten your time to recovery.
Say goodbye to the uncertainty of long waiting lists, and hello to the care you deserve, when you need it most.
* Subject to the specific surgical procedure and pre-request requirements.
Hi, I'm Nik Jagodzinski.
Get to know me and my excellent team of Hand and Wrist specialists.
I'm a Consultant Hand & Wrist Surgeon at Royal Devon Healthcare NHS Trust's north Devon site and I live to help people with hand and wrist problems. I have an orthopaedic training background, but am also dual qualified as an Orthoplastics hand surgeon, winning the Gold Medal in the UK national Orthoplastics hand diploma. I treat most trauma and acquired problems of the hand, wrist and forearm as well as upper limb nerve problems.
It is only when you develop a problem with your hand that you realise how important they are for every function of daily living, work, sport and hobbies. We can't live without them! I pride myself in spending time with my patients to make a full assessment of their problems and discussing all possible options for treatment.
I have a special interest in WALANT surgery, hand and wrist arthritis, scaphoid fractures and non-unions, nerve compression syndromes and Dupuytren's disease. I offer the full range of surgical techniques including arthroscopy (key-hole surgery), percutaneous treatments (tiny wounds), microsurgery, joint replacements and fusions, complex fracture fixations, vascularised bone grafts and a myriad of techniques for reconstructing soft tissues such as tendons, nerves, fascia and skin. Whatever your hand or wrist problem, we can find the best surgical or non-surgical treatment for it together.
Clinical services for the whole hand.
We offer a wide range of services, including complex diagnosis, surgery, therapy and rehab — all under one roof.
Discover our servicesSurgery
WALANT, key-hole, joint replacement, fusion and microsurgery.
Investigations
X-ray, ultrasound, MRI and nerve conduction studies.
Hand Therapy
Custom splinting and rehabilitation — without surgery where possible.
Consultations
Specialist review, surgical second opinions and MDT input.
Common hand and wrist conditions
We treat numerous rare and distinct conditions of the wrist and hand. These are among the most common we successfully treat:
- Carpal Tunnel Syndrome
- Arthritis
- Joint replacement surgery
- Dupuytren's contracture
- Ganglions
- Hand and Wrist Injury
A clear path from first call to full recovery.
No bouncing around departments. You see Nik for consultation, surgery and follow-up — supported by the same small team throughout.
Get in touch
Phone, email or contact form. Same-day appointments often available.
Consultation
An unhurried conversation, focused examination, clear explanation of options.
Diagnosis & plan
On-site imaging, NCS or MRI as needed. A plan agreed together.
Treatment & recovery
Surgery, therapy or splinting — with hand-therapy follow-up included.
What our patients say
Paying for your treatment
You can self-fund your treatment by bank transfer or with any major debit/credit card.
We are recognised by all major UK insurance providers, including:
We understand you may have many questions about paying for your treatment, so we have put together a comprehensive page with lots of useful information. If you can't find the answer you're looking for, please don't hesitate to get in touch.
Funding your treatmentClinic location & contact
Our primary clinic is located in North Devon District Hospital in Barnstaple.