Treatments

Hand and arm injuries are often complex in nature and require specialised, diagnosis specific management to optimise functional outcomes.

Conditions and injuries affecting the fingers, hand, wrist and elbow:

  • Arthritis and painful joints
  • Work related upper limb disorders
  • Fractures
  • Joint Dislocations and ligament injuries
  • Tendonitis/tenosynovitis/tenovaginitis eg de Quervains
  • Wrist injuries and pain
  • Epicondyalgia (tennis and golfers elbow)
  • Joint replacements and fusions
  • Dupuytrens
  • Peripheral Nerve Repairs
  • Tendon repairs and injuries eg Mallet finger, trigger finger
  • Burns
  • Campodactyly and congenital conditions
  • Pain Syndromes
  • Nerve compression syndromes eg.Carpal Tunnel Syndrome
  • Scarring (eg.Keloid or Hypertrophic scars)
  • Joint stiffness and contractures
  • Instability/weakness

Treatment modalities for adults and children may include:

  • Explanation and education of diagnosis
  • Bespoke splinting - utilising soft and thermoplastic materials
  • Taping
  • Accessory joint mobilisations
  • Management of wounds including removal of stitches and change of dressings
  • Ranging exercises
  • Strengthening exercises
  • Scar management
  • Oedema (swelling) management
  • Electrical modalities eg therapeutic ultrasound
  • Pain management
  • Advice on activity modification and prescription of appropriate assistive devices
  • Desensitization/sensory re-education
  • Computer Ëurgonomic assessment
  • Advice to prevent injury