Hand Physiotherapy
The three most common hand conditions we help with are:
Carpal Tunnel Syndrome (CTS)
This is compression of the median nerve at the wrist.
Symptoms include numbness, tingling, or weakness in the thumb, index, middle, and part of the ring finger, often worse at night. Hand Physiotherapy Services are commonly recommended for office workers, manual labourers, and individuals with repetitive hand use. These services help improve mobility, reduce pain, and strengthen the hand muscles, ensuring effective recovery and prevention of further injury.
Treatment: Activity modification, splinting (especially at night), nerve gliding exercises, ergonomic advice and focused shockwave which provides a non-invasive effective treatment of the condition which avoids surgery or injections.
De Quervain’s Tenosynovitis
Inflammation of the sheath surrounding the tendons of the thumb (abductor pollicis longus and extensor pollicis brevis). Symptoms include pain and swelling near the base of the thumb and wrist, especially with thumb movements or gripping. Often seen in patients who do repetitive lifting or gripping.
Treatment: Thumb spica splinting, soft tissue techniques, stretches, and gradual strengthening.
Osteoarthritis (OA) of the Hand
Degeneration of joint cartilage often affects the thumb CMC joint and finger joints, leading to stiffness, pain, reduced grip strength, and sometimes visible swelling or deformity. It is commonly seen in older patients who may also experience elevated inflammation in other joints. Joint protection techniques, range of motion exercises, strengthening, heat therapy, and activity modification can help reduce pain. At our clinic, we take a holistic approach to patient care, offering a range of specialised services, from hand therapy to Erectile Dysfunction Treatment, to support overall wellbeing and functional independence.
These conditions can be effectively managed with Focused shockwave therapy. Outcomes are usually extremely good and prevent the need for either injections or surgery which both remain clinical options.