Wrist & Hand

We provide care for a variety of wrist and hand conditions, including:

✔  Arthritis (Osteoarthritis and Rheumatoid Arthritis)

✔  Carpal Tunnel Syndrome

✔  De Quervain's Tenosynovitis

✔  Fractures (eg. Scaphoid fracture)

✔  Sprains and strains

✔  ​Tendon and Ligament Injuries (eg. Wrist sprains)

✔  Triangular Fibrocartilage Complex (TFCC) Injury

✔  Trigger Finger

✔  Wrist Fractures (post-injury rehabilitation)

✔  Wrist Instability

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Symptoms We Help With

We help relieve and manage symptoms like:​​​

• Pain or tenderness in the wrist or hand

• Swelling or stiffness

• Limited range of motion

• Weakness or difficulty gripping

• Numbness or tingling (especially in conditions like Carpal Tunnel Syndrome)

• Difficulty performing daily tasks like typing, holding objects or writing​

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What Are Causes of Wrist and Hand Injuries?

Wrist and hand injuries can be caused by a wide range of factors, each leading to different symptoms. Some common causes include:

• Repetitive strain: Activities that require frequent gripping or wrist motion (such as typing, using a mouse, or playing sports) can lead to overuse injuries like tendonitis or carpal tunnel syndrome.

• Trauma: Falls or direct blows to the wrist or hand can result in fractures, sprains, or strains. Scaphoid fractures, for example, often occur when a person falls onto an outstretched hand.

• Arthritis: Both rheumatoid arthritis and osteoarthritis can affect the wrist and hand joints, leading to pain, stiffness and reduced function.

• Carpal tunnel syndrome: A compression of the median nerve in the wrist can cause pain, numbness and tingling, especially in the thumb, index and middle fingers.

• Tendon injuries: Overuse or sudden trauma can cause tendon tears or inflammation. For example, flexor or extensor tendon injuries can occur from sports like rock climbing or contact sports.

• Nerve compression: Conditions like cubital tunnel syndrome (pressure on the ulnar nerve) can lead to tingling, numbness and weakness in the hand.

• Cysts and soft tissue injuries: Ganglion cysts or soft tissue injuries can cause swelling, pain or discomfort in the wrist and hand.

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How Can Physiotherapy Help?

At Lokahi Healthcare, we take a comprehensive approach to treating wrist and hand injuries by targeting the underlying causes and restoring function. We combine various physiotherapy techniques to help you recover effectively. Here’s how we can help:

1. Postural and Movement Assessment: If your wrist or hand pain stems from poor posture or repetitive strain, we perform a detailed assessment to identify any movement patterns contributing to the issue. By addressing these underlying factors, we help prevent reoccurrence and ensure more lasting recovery.

2. Manual Therapy: Our physiotherapists use hands-on techniques to improve joint mobility, release tension in muscles, and reduce pain. Manual therapy such as joint mobilisation, soft tissue release and fascia mobilisation is particularly helpful for conditions like carpal tunnel syndrome or arthritis, where joint stiffness and soft tissue tension often cause discomfort.

3. Dry Needling: This technique involves inserting fine needles into specific points in the muscle or connective tissue to reduce muscle tension, relieve pain and promote healing. For wrist and hand injuries caused by overuse or muscle strain, dry needling can be highly effective in targeting deep-seated muscular problems and improving mobility.

4. Exercise Therapy: We design custom exercise programmes aimed at strengthening the muscles, improving flexibility, and preventing future injuries. Whether it's for recovering from a wrist fracture or rehabilitation after surgery, strengthening exercises are crucial to supporting joint health and reducing the risk of re-injury.

5. Sports Taping: For active individuals or those recovering from injuries like tendonitis or sprains, sports taping helps support the injured area while allowing movement. It can reduce strain, provide stability and help protect the wrist and hand during daily activities or sports.

6. Education and Lifestyle Advice: We educate our patients on body mechanics, posture and ergonomics to help prevent further injury. Simple changes, such as improving workstation ergonomics or adjusting your grip, can have a significant impact on long-term recovery and pain relief.

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Ready to feel better? Reach out to us.

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