Miss Lauren Uppal is a Consultant Hand and Upper Limb Surgeon with expertise in the diagnosis and treatment of a wide range of hand, wrist and upper limb conditions. She provides specialist care for patients with nerve compression syndromes, arthritis, tendon disorders, traumatic injuries and congenital hand differences, offering both surgical and non-surgical treatment options tailored to individual needs.
A key area of Miss Uppal’s practice is peripheral nerve surgery, including the management of nerve injuries, nerve pain and conditions affecting hand function. She regularly treats patients with carpal tunnel syndrome, cubital tunnel syndrome and other complex nerve compression disorders, as well as those experiencing weakness, pain or loss of function following nerve injury or neurological conditions.
Miss Uppal has extensive experience in reconstructive hand and upper limb surgery, including joint replacement, tendon reconstruction, nerve grafting and trauma surgery. She also provides specialist treatment for spasticity resulting from conditions such as cerebral palsy, stroke and spinal cord injury, using advanced surgical techniques and injectable therapies where appropriate. In addition, she performs skin surgery for a range of benign and malignant conditions, including skin cancer, moles, cysts and lipomas.
Committed to delivering personalised, patient-centred care, Miss Uppal works closely with patients to understand their goals and develop tailored treatment plans. Her approach focuses on restoring function, reducing pain and improving quality of life through evidence-based treatment and specialist multidisciplinary care.
Conditions that Miss Lauren Uppal sees patients for:
- Osteoarthritis of the hand and upper limb
- Rheumatoid arthritis
- Carpal tunnel syndrome
- Cubital tunnel syndrome
- Lacertus syndrome
- Pronator syndrome
- Radial tunnel syndrome
- Nerve pain
- Nerve injuries
- Spasticity
- Cerebral palsy affecting the upper limb
- Brachial neuritis
- Tendon rupture
- Tendon scarring
- Dupuytren’s disease
- Trigger finger
- Ganglion cysts
- Congenital hand differences
- Fractures of the hand and upper limb
- Tendon injuries
- Post-traumatic stiffness and scarring
- Tumours of the hand and upper limb
- Vascular malformations
- Moles
- Skin cysts
- Lipomas
- Benign skin tumours
- Skin cancer
- Scars
Treatments that Miss Lauren Uppal
- Joint replacement surgery
- Steroid injections
- Carpal tunnel decompression
- Cubital tunnel decompression
- Lacertus release
- Pronator tunnel decompression
- Radial tunnel decompression
- Peripheral nerve surgery
- Nerve reconstruction using grafts and transfers
- Nerve surgery for pain management
- Tendon transfers
- Tendon reconstruction
- Dupuytren’s fasciectomy
- Trigger finger release
- Tumour excision
- Vascular malformation excision
- Trauma surgery
- Tendon repair
- Nerve repair
- Artery repair
- Ligament repair
- Fracture fixation
- Revision surgery following injury
- Skin biopsies
- Mole excision
- Cyst excision
- Lipoma excision
- Benign tumour excision
- Skin cancer excision
- Scar revision surgery
- Botulinum toxin injections
- Injectable treatments for spasticity
- Injectable treatments for dystonia
- Injectable treatments for myofascial pain
- Injectable treatments for bruxism
- Injectable treatments for hyperhidrosis
Miss Uppal has a specialist clinical interest in hand and upper limb surgery, peripheral nerve surgery and reconstructive techniques designed to restore function following injury, neurological conditions and complex upper limb disorders. Her practice incorporates modern surgical approaches to nerve reconstruction, tendon reconstruction and joint preservation, alongside the management of complex trauma and congenital conditions.
She also has expertise in the treatment of spasticity and conditions affecting hand function, with a focus on helping patients achieve improved mobility, independence and quality of life through tailored treatment strategies.
Additional information about Miss Lauren Uppal
Consultant Plastic, Reconstructive and Hand Surgeon – Guy’s & St Thomas’ NHS Foundation Trust
- British Society for Surgery of the Hand (BSSH)
- Federation of European Societies for Surgery of the Hand (FESSH)
- Orthopaedic Data Evaluation Panel (ODEP)
- BSSH Surgical Implant Working Group
- General Medical Council
Current research projects:
- Joint replacement surgery: Restoring motion in fused and stiff joints.
- Nerve repair and reconstruction outcomes including use of allograft, autografts and nerve transfers.
- Efficacy of botulinum toxin on neuropathic pain.
Book Editor:
- Plastic Surgery Trauma: A Handbook of Acute Management. Sharma V, Uppal L, Ong J, Eccles SJ, Grant I, Jeffery SLA.
Book Chapters:
- Plastic Surgery Trauma: A Handbook of Acute Management.
Hand Trauma Chapter. Sharma V, Mistry RS, Uppal L, Jose RM. 2018 - Emergency Surgery for the On-Call Consultant Surgeon.
Burns and Degloving Chapter. Uppal L, Floyd D. 2012 - Operative Orthopaedics. The Stanmore Guide.
Hand Surgery Chapter. Uppal L, Pearl R, Kang N. 2009
Videos:
- Instructional video ‘Supercharged End-To-Side (SETS) Anterior Interosseous to Ulnar Nerve Transfer’ – winner of the 2020 BSSH video presentation prize for the training library. T Papavassiliou, L Uppal. BSSH Video Library Oct 2020.
Publications:
- Utilising 3D-printed ex vivo biomimetics to improve open reduction and internal fixation (ORIF) simulation training for hand fractures.
T Papavasiliou, G Batten, O Bloom, J Chan, C Bain, L Uppal
Euro J Plastic Surg. April 2023. - Implementing mindfulness meditation in hand surgery training: a feasibility study
L Cooper, T Papavasiliou, L Uppal, C Bain
Euro J Plastic Surg. June 2022 - Utilisation of a 3D printed ex vivo flexor tendon model to improve surgical training
T Papavasiliou, R Nicholas, L Cooper, JCY Chan, J Ibanez, C J Bain, L Uppal
J Plast Reconstr Aesth Surg. March 2022 - Heads up Reconstructive Microsurgery: Utilisation of the three-dimensional Microscope in Microvascular Procedures.
- A Sleiwah, P Mohanna, M Ho AsJoe, P Roblin, L Uppal, M Mughal
J Plast Reconstr Aesth Surg. Nov 2021. - Excision of a median nerve schwannoma using the 3D microscope: a heads-up ergonomic approach to microsurgical tasks in hand surgery.
S Ubong, T Papavasiliou, L Uppal
Euro J Plastic Surg. Nov 2021 - Three-dimensional printed thumb retractor: a low-cost and effective instrumentation for hand surgery
S Crooks, L Uppal, T Papavasiliou
Euro J Plastic Surg. Sept 2021 - Simulation training in hand surgery — where are we now and where should we be?
R Harsten, T Papavasiliou, L Uppal
Euro J Plastic Surg. Sept 2021 - Open reduction and internal fixation of metacarpal fractures using a thermoplastic splint as a surgical instrument
T Papavasiliou, PD Park, R Tejero, N Allain, L Uppal
Archives of Plastic Surgery. Jul 2021. - Our hand surgery unit’s technological advances in 2020
T Papavasiliou, L Uppal
Journal of Hand Surgery (European) May 2021 - A Standardised Hand Fracture Fixation Training Framework Using Novel 3D Printed Ex Vivo Hand Models: our experience as a unit.
T Papavasiliou, S Chatzimichail, J Chan, C Bain, L Uppal
Plas Recon Surg Feb 2021 - 3D-printed customised adjustable mallet finger splint: a cheap, effective and comfortable alternative.
T Papavasiliou, R Shah, S Chatzimichail, L Uppal, J Chan
Plas Recon Surg March 2021 - A new hand fracture fixation training framework for junior surgical residents using novel 3D printed ex-vivo hand models: Our experience as a unit.
T Papavasiliou, S Chatzimichail, J Chan, C Bain, L Uppal
Journal of Hand Surgery (European) Dec 2020 - Scaphoid Non-union with Poor Prognostic Factors: The Role of the Free Medial Femoral Condyle Vascularised Bone Graft.
Uppal L, Chaudhry T, Power D, Craigen M, Tan S.
Hand. 12(2):135-9. Aug 2016 - Botulinum toxin improves symptoms and hand function in patients with Raynaud’s syndrome secondary to scleroderma.
Uppal L, Dhaliwal K, Butler P.
J Hand Surg (Eur) 39(8):876-80. 2014. - “Efficacy of collagenase in patients who did and did not have previous hand surgery for Dupuytren’s contracture. Bainbridge C. J Plast Surg Hand Surg. 2012. 46:177-183”. Uppal L.
Invited review by J Hand Surg (Eur) 38:336-9. 2013. - Use of botulinum toxin in Complex Regional Pain Syndrome in the hand.
Uppal L, Dewar D.
Euro J Plast Surg. 36(1):37-9. Jan 2013. - Improved outcomes in the management of high-risk incisional hernias utilising biological mesh and soft tissue reconstruction: a single centre experience.
Skipworth JRA, Uppal L, Floyd D, Shankar A.
World J Surg 38(5):1026-34. 2014 - Complex lower genitourinary reconstruction following combat-related injury.
Uppal L, Anderson P, Evriviades D.
J R Army Med Corps 2013; 159(Supp I):i49–i51 - Objective evidence for the use of Coleman fat transfer in scleroderma associated facial lipoatrophy.
Bavan L, Uppal L, Butler PE. J Plast Reconstr Aesth Surg. - The use of a template to accurately position the inframammary fold in breast reconstruction.
Sadri A, Akhavani M, Uppal L, Floyd D. J Plast Reconstr Aesth Surg 64(10):259-61. Oct 2011. - Effect of quilting sutures on seroma formation post-abdominoplasty.
Uppal L, Pickford MA. Euro J Plast Surg 32(4):177-80. Aug 2009. - Repair of complex abdominal defects using Permacol implant.
Nastro P, Gravante G, Madeddu F, Uppal L, Giordano P. Euro Hernia Soc Abstract Book. May 2008. - Systematic review of controlled trials comparing the long term outcomes of conventional haemorrhoidectomy to stapled haemorrhoidopexy. Uppal L, Nastro P, Giordano P. Arch Surg. 144(3):266-272. Mar 2009
- Simple advancement flap anoplasty for chronic fissure.
Giordano P, Uppal L, Grondona P, Porret T, Lunnis PJ. Colorectal Dis. 85;P20. Sept 2005 - Transanal haemorrhoidal dearterialisation for the treatment of second and third degree haemorrhoids – preliminary experience. Nastro P, Uppal L, Giordano P. Colorectal Dis. 87;P28. Sept 2005
- Follow-up of patients with St Jude Medical Silzone mechanical valves.
Uppal L, Lainchbury J, Frizelle F, Singh H. J Heart Valve Dis. 13(5):870-1 Sept 2004. - No time to train the surgeons: Learning from the New Zealand Experience.
Uppal, L. British Medical Journal. May 2004. 328:1134a. - Dilemmas in managing intracerebral haemorrhage and thromboembolism.
Chikwe J, Uppal L. J Royal Soc Med. May 2004. 97:309 - A new elective angioplasty programme: trends in the first 500 cases at Christchurch Hospital.
Uppal L, Bridgman, Richards, AM, Smyth DW, Elliot JM. New Zealand Med J. May 2001. 114:243
Miss Uppal is constantly seeking out new technology and innovative surgical advances to improve care for my patients. She is committed to improving safety and outcomes following surgery. Miss Uppal has pioneered a ‘Wide Awake Surgery’ service which reduces the risks associated with surgery and anaesthesia. She works within a multidisciplinary team, including other surgeons, hand therapists, anaesthetists, nurses, radiologists and physicians to ensure the best decisions are made for patient care.
Videos from Miss Lauren Uppal
