An introduction to
Hand and arm therapy
Specialised treatment required
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Hand therapy is the assessment, treatment and rehabilitation of hand and upper limb injuries (elbow, forearm, wrist and hand).
In New Zealand, a registered Hand Therapist will have undertaken a physiotherapy or Occupational Therapy degree and completed post-graduate study in the hand and upper limb. As a result, they will have advanced skills in assessing, diagnosing and managing conditions of the upper limb.
Focus Health is fortunate to have a qualified Hand Therapist - Ross Simmons at our Royston Clinic in Hastings. Ross works closely with the patient and their GPs and specialists to provide a continuum of care. This often starts within days of the injury or surgery, right through the patient’s return to work and/or a productive lifestyle.
Conditions / injuries commonly treated by a Hand Therapist:
• Trigger finger
• Mallet finger
• Nail bed or crush injury
• Volar plate sprains
• Central slip (Boutoniere) tendon injuries
• Skiers thumb
• Goalkeepers thumb
• Crush injuries and amputations
• Post-operative Dupuytrens surgery
• Fractures
• Nerve compression including Carpal Tunnel Syndrome.
• Sprains of finger, thumb, wrist and elbow.
• Tendon injuries.
• Arthritic hand conditions.
• Occupational Overuse Syndrome (OOS) / Repetitive Strain Injury (RSI) including de Quervains
• Burns/skin grafts
• Chronic pain and Chronic Regional Pain Syndrome (CRPS).
Treatment may include:
• Custom made splinting for protection / rest
• Dynamic splints
• Fitting of off-the-shelf orthotics
• Manual and mobilisation therapy/exercises
• Progressive strengthening and rehabilitation exercises
• Wound management following surgery or acute trauma
• Acute swelling management including compression bandages, oedema gloves and massage
• Scar management to soften and flatten hypertrophic scars
• Sensitivity testing and retraining
• Desensitisation programmes