WRIST, HAND & FINGERS
Arthritis
Hand arthritis is a common condition characterized by inflammation and degeneration of the joints in the hand, often causing pain, stiffness, swelling, and reduced grip strength. It can result from wear and tear (osteoarthritis) or autoimmune conditions like rheumatoid arthritis.
Symptoms include difficulty with fine motor tasks, joint deformities, and decreased hand function. Our physiotherapy and chiropractic team provides individualized treatment plans focused on reducing pain and inflammation, improving joint mobility, and strengthening hand muscles. Through manual therapy, tailored exercises, and education on joint protection techniques, we help you maintain hand function and improve your quality of life.
Ganglion Cysts
Ganglion cysts are noncancerous, fluid-filled lumps that commonly develop near joints or tendons in the hand or wrist. While often painless, they can sometimes cause discomfort, restrict movement, or affect grip strength depending on their size and location.
Symptoms include a visible lump, occasional aching or soreness, and sometimes numbness or tingling if the cyst presses on nearby nerves. Our physiotherapy and chiropractic team provides assessment and conservative management options including manual therapy, activity modification advice, and exercises to maintain joint mobility. In some cases, referral for aspiration or surgical removal may be necessary if symptoms persist.
DeQuervains Tenosynovitis
De Quervain’s tenosynovitis is an inflammatory condition affecting the tendons on the thumb side of the wrist. It is caused by repetitive hand or wrist movements, pregnancy, and repetitive lifting, leading to pain, swelling, and difficulty gripping or pinching.
Symptoms include tenderness along the thumb side of the wrist, swelling, and pain that worsens with thumb or wrist movement. Our physiotherapy and chiropractic team offers targeted treatment involving manual therapy, modalities such as shockwave therapy, activity modification, and specific exercises to reduce inflammation and restore tendon function. Early intervention can help relieve pain, improve mobility, and prevent recurrence.
Tendon Injuries
Tendon injuries in the wrist, hand and fingers are common and can result from acute trauma or repetitive strain. These injuries may cause pain, swelling, reduced range of motion, and difficulty with gripping or fine motor tasks.
Symptoms vary depending on the tendon affected but often include tenderness, weakness, and stiffness. Our physiotherapy and chiropractic team provides comprehensive assessment and individualized treatment plans focusing on pain relief, restoring mobility, and strengthening the injured tendons. Through manual therapy, therapeutic exercises, and activity modification advice, we aim to support optimal healing and return to full function.
Triangular Fibrocartilage Complex (TFCC)
TFCC injuries involve damage to the triangular fibrocartilage complex — a group of ligaments and cartilage on the ulnar (little finger) side of the wrist that stabilizes and supports wrist movement. Injuries can result from trauma, such as a fall on an outstretched hand, or from repetitive strain in activities requiring heavy wrist rotation or loading.
Symptoms typically include pain on the ulnar side of the wrist, clicking or catching sensations, reduced grip strength, and discomfort during twisting motions like opening a jar. Our physiotherapy and chiropractic team provides targeted treatment including manual therapy, bracing if needed, and a progressive exercise program to restore stability, reduce pain, and improve wrist function. Early management is key to preventing chronic instability and ensuring a full recovery.
Fracture & Dislocations
Fractures and dislocations in the wrist, hand, and fingers are common injuries resulting from falls, sports trauma, or direct impact. These injuries can significantly impair hand function, making everyday tasks difficult and painful.
Symptoms typically include swelling, bruising, deformity, loss of movement, and severe tenderness at the injury site. Following medical management such as immobilisation or surgery, physiotherapy and chiropractic care play a crucial role in rehabilitation. Our team focuses on restoring mobility, strength, coordination, and reducing pain through targeted manual therapy, progressive exercises, and functional retraining. Early and structured rehab is essential to regain full use and prevent long-term stiffness or weakness.
Carpal Tunnel
Carpal Tunnel Syndrome is a common condition caused by compression of the median nerve as it passes through the carpal tunnel in the wrist. This compression can result from repetitive hand use, wrist posture, swelling, or underlying conditions like arthritis.
Symptoms often include numbness, tingling, or burning in the thumb, index, and middle fingers, hand weakness, and pain that may extend up the arm—especially at night. Our physiotherapy and chiropractic team provides effective non-surgical management including nerve gliding techniques, manual therapy, wrist mobilisation, ergonomic advice, and strengthening exercises. Early intervention helps reduce symptoms, restore hand function, and prevent the condition from worsening.
Nerve Pain
Nerve pain in the hand can result from conditions such as nerve entrapments (like carpal tunnel or ulnar nerve compression), neck or spinal issues, trauma, or repetitive strain. This type of pain is often described as burning, tingling, numbness, or shooting sensations, and may be accompanied by weakness or coordination difficulties.
Our physiotherapy and chiropractic team conducts thorough assessments to identify the source of nerve irritation and tailor a treatment plan accordingly. This may include nerve gliding techniques, manual therapy, posture correction, and specific exercises to improve nerve mobility and reduce compression. With early and targeted care, we aim to alleviate pain, restore function, and prevent long-term complications.
RSI (Repetitive Strain Injury)
Repetitive Strain Injuries (RSI) of the wrist and hand occur due to overuse of muscles, tendons, and nerves from repetitive tasks, poor ergonomics, or prolonged static postures—common in activities like typing, manual work, or sports.
Symptoms may include aching, throbbing, stiffness, weakness, and tingling in the wrist or hand that gradually worsen with continued use. Our physiotherapy and chiropractic team provides comprehensive care by identifying contributing factors, relieving pain, restoring mobility, and improving strength and endurance. Treatment includes manual therapy, ergonomic advice, and tailored exercise programs designed to promote healing, prevent recurrence, and support long-term function.