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  Hand Therapy Specialists recognises hand and arm injuries are often complex in nature and require specialised, injury specific management to achieve optimal outcomes.  

Hand Conditions/Injuries

Patients may be referred following trauma or elective
hand surgery including:

• Fractures
• Dislocations
• Joint replacements and fusions
• Dupuytrens Release
• Peripheral Nerve Repairs
• Tendon repairs and transfers
• Burns
• Replant/revascularization
• Grafts/Flaps

Patients may develop hand problems from degenerative changes, congenital abnormalities or from injury whereby hand therapy may prevent surgical intervention:

• Arthritis
• Pain Syndromes
• Nerve compression syndromes (e.g., Carpal Tunnel Syndrome)
• Scarring (e.g., Keloid or Hypertrophic scars)
• Tendonitis/Tenosynovitis
• Joint stiffness or contractures
• Ligament injury
• Epicondylitis (Tennis and Golfers Elbow)
• Instability/weakness
• Hypermobility conditions

picture of wrist splint
 
 

Assessment/Treatment

Upon referral the therapist will administer objective assessments of upper limb function including movement, strength and sensation.

Treatment is tailored to the individual and varies depending on the condition. The therapist may utilise the following tools:

• Static and dynamic splinting
• Home exercise programmes
• Massage
• Joint mobilisations
• Management of scars and swelling
• Custom made pressure garments
• Strengthening
• Ultrasound and TENS
• Sensory re-education
• Dressing changes and wound check
• Education regarding surgery or condition
• Advice and information for return to previous level of functioning

 

hand assessment
 

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