The hand is an amazing, complex part of the human body, essential for all of our daily activities. Whether writing with a pen, typing on a computer or turning a screwdriver, our hands are important tools in our daily lives. When the hand and upper extremity are unable to function properly, a specialised approach is essential.

Our experienced team of therapists provide support to a wide variety of clients.  Injuries such as fractures, tendon and ligament injuries, nerve compressions, burns, amputations or conditions such as carpal tunnel syndrome, de Quervains tenosynovitis and arthritis are commonly treated at our practices.

1 Custom made splints for the upper extremity
Splints are designed to immobilise joints, prevent/correct deformities, provide rest and pain relief, improve function, assist in muscle re-education.

2 Edema management
Techniques commonly utilised at our practices include elevation, cold therapy, compression bandaging / garments, manual edema mobilisation, contrast bathing and movement to activate muscle pumps.

3 Custom made compression garments
Compression garments are applied for burns and traumatic hand injuries, chronic pain, amputation, edema and scar management.

4 Scar management
Techniques utilised to improve the appearance of scars within the first year of healing includes compression, silicone gel dressings, massage and desensitisation.

5  Nervous system re-education
Techniques used in an attempt to retrain sensory pathways or stimulate unused pathways can include the handling of different textured objects, massage, vibration, pressure, determining joint position, identifying different temperatures and electrical stimulation.

6 Taping techniques
Facilitates the body’s natural healing process while providing support and stability to muscles and joints without restricting the body’s range of motion.

7 Therapeutic activities, range of motion, tissue mobilisation and strengthening.
These modalities are utilised to improve functional use of the upper limb and facilitate return to meaningful activities.

8 Group rehabilitation for work injuries
The aim is to strengthen clients hands and upper limb and to get them fit and strong for early return to work by making use of functional activities and simulated work tasks.

9 Assistive devices
Education is the key in managing chronic hand conditions. We stock a variety of assistive devices which are often recommended to reduce the load on joints or to promote functional independence, especially in clients with chronic hand conditions, arthritis or injuries such as amputations.

10 Handwriting assessments 
In cases where students or senior learners experience difficulty during exam or test situations due to handwriting related problems we can perform standardised assessments to highlight problem areas and make appropriate recommendations to assist the student or learner.

1 Meticulous skin care
Education regarding healthy skin and nail care is essential to avoid break of the skin or the spreading of infection in an already compromised lymphovenous limb.

2 Manual lymph drainage
A unique, gentle type of skin massage technique that promotes lymph to drain out of a limb into an area that drains normally.

3 Compression bandaging (including mobiderm and taping)
Multi layer bandages are applied to limbs with or without a padding layer to create continuous low resting pressure. It is generally used during the acute phase of lymphoedema

4 Compression garments
Used for maintenance compression therapy to prevent re-accumulation of lymphatic fluid after reduction of limb swelling

5 Home exercises including breathing exercises
Muscle and joint activity during exercise and breathing has a positive impact on lymphatic and venous return.