Some of the Upper Limb Conditions Treated

 

Trauma and Scars 

  • Sports injuries, dislocations, sprains, tendon ruptures

  • Crush Injuries

  • Amputations

  • Lacerations

  • Tendon lacerations

  • Nerve issues

  • Burns which cross joints

  • Sprains and strains

  • Finger, hand, wrist and elbow fractures

  • Fractures with stiffness (eg, wrist fractures with stiff hand)

  • Hypertrophic scars

  • Complex and simple wounds

 

Hand Therapy intervention-

  • Education including home exercise programs

  • Custom splinting 

  • Sport splinting to keep playing

  • Oedema control

  • Range of motion stretches/exercises

  • Scar/wound management

  • Functional retraining

  • Adaptive equipment as needed

  • Nerve re-education

  • Custom splinting-including dynamic, static-progressive and static splinting

  • Modalities, such as US and iontophoresis if indicated.

  • Dry Needling

Arthritis

  • 1st CMC OA pain  (base of thumb)

  • Joint stiffness and weakness

  • Pain

  • Deformity 

 

Hand Therapy interventions-

  • Education

  • Splinting for increased support, reduce pain and increase function

  • Joint protection techniques

  • Exercises to maintain or gain motion

  • Prevent contractures particularly of intrinsic hand muscles

  • Prevent functional loss and deformity

  • Adaptive equipment to increase independent functioning

 

 

Painful Conditions of the Upper Limbs

  • Tendonosis

  • DeQuervains tenosynovitis

  • Intersection syndrome

  • Wrist tendonosis both flexors and extensors

  • Trigger finger/thumb

  • Epicondylosis Lateral and Medial (Tennis and golfers elbow)

 

Nerve Compression Syndromes

  • Carpal Tunnel syndrome

  • Radial Tunnel syndrome

  • Ulnar nerve compression in hand or elbow

  • Superficial Radial Nerve

  • Rule out Thoracic Outlet Syndrome Cervical radiculopathy

  • Upper extremity fractures with nerve involvement

 

Hand, wrist or arm pain of unclear origin and Hand Writing issues

For evaluation, opinion and treatment

Hand Therapy Interventions-

  • Thorough evaluation of work and leisure practices and habits to identify causation and assist patient to change practices to prevent continued irritation and future problems

  • Splinting, taping, or other methods of providing rest

  • Modalities to decrease pain and oedema and promote healing

  • Graded home exercise program including stretching and strengthening

  • Close liaison with work environment, return to work specialists, employer if needed, and GP’s to ensure successful return to work or activity

  • Neural gliding exercises and other stretches to facilitate healing and prevent re-occurrence

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