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Hand Therapy

Our hands are our connection with the outside world.  We use them to perform tasks, to feel sensations such as temperature or texture and for communication and expression.  An injury, no matter how big or small, can have a huge impact on the function of this amazing and intricate tool.  

Hand therapy involves the assessment and treatment of hand, wrist and arm conditions to establish a diagnosis and to create and implement a treatment plan working towards end goals.  Treatment modalities include soft tissue techniques, stretches, strengthening, proprioception retraining, scar management, wax, desensitisation, splinting and sensory reeducation.  

A large variety of off shelf splints are available to try on and purchase. There is the option of thermoplastic heat moulded splints if deemed more suitable. Fitting assessment for We Design Silver Splints is now available. All splints are charged at an extra cost.      

Having worked in the region since 2003 Nicki has worked closely with specialist hand consultants and can advise onward referral for imaging and consultant opinion as required.    


Common hand and wrist conditions 

Thumb / finger joint osteoarthritis 

Rheumatoid arthritis

Wrist and finger fractures

Finger soft tissue injuries

Wrist pain (various causes)

Dupuytren’s Disease - post operatively

De Quervains tenosynovitis

Trigger finger / thumb

Tendon injuries

Mallet finger

Work, sports or musician related hand or wrist pain

Sensitive or problematic scarring following injury or surgery

Complex Regional Pain Syndrome (CRPS)

Nerve injuries

Hypermobility and hEDS

Treatments Offered

Soft tissue release

Exercise: proprioception, stability and strengthening

Thermoplastic splinting & provision of ‘off-shelf’ splinting

Heated wax treatment

Scar management

Oedema management

Desensitisation

Serial casting

We Design Silver Splint fitting

Taping, strapping, Kinesiotaping

Joint Protection Education