Specialist Hand Therapy at Physiovista
Wrist and Hand Clinic
Specialist Hand Therapy at Physiovista

Wrist and Hand Clinic

Your hands do almost everything: typing, cooking, writing, driving, holding a phone, caring for your family. When the wrist or hand hurts, becomes numb or loses strength, even simple tasks become frustrating. Hand problems also tend to get worse when ignored, and some, like nerve compression, can cause lasting damage.

The Wrist and Hand Clinic at Physiovista Healthcare Network provides specialist hand therapy for injuries, nerve problems, arthritis and post-surgical recovery. We restore pain-free movement, grip and fine finger control so you can return to the activities that matter to you.

About Our Wrist and Hand Clinic

The wrist and hand contain 27 bones, dozens of small joints, many tendons and three major nerves in a compact space. Because everything is so closely packed, a small problem such as swelling, a tight tendon sheath or a stiff joint can cause a large loss of function.

At our wrist and hand clinic, we combine assessment, splinting, exercise and technology in a single plan. Our therapists understand the demands of different people: the office worker with carpal tunnel syndrome, the homemaker with trigger finger, the musician with overuse pain and the labourer who has had a crush injury. We work closely with hand and orthopaedic surgeons whenever surgery is needed, and we manage the rehabilitation that follows.

Visit our Wrist and Hand Clinic if you have:

Numbness or tingling in the fingers, especially at night
Pain or swelling at the wrist or base of the thumb
A finger that catches, locks or clicks
Weak grip or dropping things
Stiffness after a fracture, cast or surgery
Pain from repetitive work such as typing, sewing or phone use

Conditions We Treat at the Wrist and Hand Clinic

Our team manages a wide range of wrist and hand problems, including:

Carpal tunnel syndrome
Trigger finger and trigger thumb
De Quervain's tenosynovitis
Wrist fractures (including distal radius) and hand and finger fractures
Wrist sprains and ligament injuries
Thumb base arthritis and other hand osteoarthritis
Rheumatoid arthritis of the hand
Ganglion cysts (conservative management)
Dupuytren's contracture
Tendon injuries after repair
Nerve injuries (median, ulnar and radial nerves)
Mallet finger and jersey finger
Crush injuries and hand burns (rehabilitation phase)
Complex regional pain syndrome
Post-operative rehabilitation after any hand or wrist surgery
Structured, Step-by-Step Pathway

Our Rehab Process

Every wrist and hand patient at Physiovista follows a structured, step-by-step pathway.

01

Detailed Hand Assessment

We measure swelling, range of movement, grip and pinch strength, sensation and dexterity, and assess your daily and work tasks.
02

Diagnosis and Planning

We explain the problem and agree on goals such as returning to typing without numbness, opening jars or playing an instrument.
03

Pain, Swelling and Protection

Early care often includes elevation, compression, gentle movement and custom splints that protect healing structures or rest an irritated nerve or tendon.
04

Mobility and Tendon Gliding

Specific exercises keep tendons moving smoothly and prevent scar tissue from tethering them. Timing is critical, especially after tendon repair or fracture.
05

Scar and Sensory Management

We treat scars and retrain sensation when nerves have been injured, using massage, desensitisation and sensory re-education.
06

Strength, Grip and Dexterity

We rebuild grip, pinch and fine motor control with graded resistance and everyday task practice.
07

Return to Work and Prevention

We advise on ergonomics, joint protection and activity pacing so problems do not return.

Technologies We Use

Alongside skilled hands-on care, we use modern physiotherapy technologies to support recovery.

Custom Thermoplastic Splinting: protects and positions the hand during healing
Therapeutic Ultrasound: supports soft tissue healing
Laser Therapy: helps reduce inflammation and pain
TENS and IFT: relieves pain
Paraffin Wax Bath: softens tissue before stretching
Contrast Bath and Fluidotherapy: reduces swelling and stiffness
Shockwave Therapy: supports chronic tendon pain around the wrist and thumb
Hand Dynamometer and Pinch Gauge: objective strength measurement
Dexterity Boards and Putty Resistance Tools: fine motor and grip training
Kinesio Taping: supports joints and reduces swelling

Why Choose Physiovista for Hand Care?

Therapists who focus on the wrist and hand and understand their fine detail
Custom splints made to fit your hand
Careful, timed protocols after tendon repair and fracture fixation
Objective strength and dexterity measures to track progress
Coordination with hand surgeons when surgery is the best option

What to Expect at Your First Hand Therapy Visit

Your first visit usually takes 45 to 60 minutes. We look at your hand and wrist, measure movement and grip, test sensation and discuss your daily and work tasks. If a splint is needed, we may make it on the same day. Please bring any X-rays, surgical notes and your current splint or cast instructions.

Between visits: keep your hand elevated when swollen, move the fingers that are free to move, avoid prolonged gripping and take regular breaks from typing and phone use. Follow splint instructions carefully, since wearing it at the wrong time can slow healing.

Ask Yourself

Frequently Asked Questions