Conditions treated

Common conditions treated include:

• Sprains and strains through to assessment of possible ruptures (and onward referral if needed)
• Dislocations
• Mallet finger, skiers thumb, central slip (Boutoniere) injuries
• Tendon, ligament and nerve repairs
• Dupuytrens – after surgery
• After tendon ligament or nerve surgery
• Fractures (after plaster or surgery) – minor chip fractures can often be treated like a sprain
• Chronic pain problems, hypersensitivity
• RSI/tendonitis problems, including De Quervains
• Carpal tunnel syndrome
• Burns
• Crush injuries/ amputations
• Arthritis

Note: If you have a serious hand injury, for example possible fractures or lacerations, we recommend you attend the emergency department of your hospital, or see your GP for further advice.

Treatment techniques

Treatment techniques include:

• Detailed assessment, education and advice
• Control of acute oedema including compression bandages, neoprene wraps
• Progressive exercise programmes starting with gentle active movement to resisted and work hardening as needed
• Splinting for protection/rest, restricted range or to gain range – see examples of our customised splints
• Massage and soft tissue mobilisation
• Scar management to soften and flatten hypertrophic scars
• Wound care e.g. post operative
• Sensory reeducation following nerve damage
• Pain relieving modalities
• Treatment of complex regional pain syndrome (CRPS/RSD)
• Ergonomic and function activity advice including provision of adaptive equipment and devices
• Dry Needling