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Wrist and Hand

Pain or pins and needles can make everyday tasks difficult, from lifting a kettle to typing at work. We assess what is driving your symptoms, explain it in plain English, and start treatment to protect the area while we rebuild confident use. Book online to get a clear diagnosis and a practical plan.

Common conditions we treat

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  • De Quervain’s tenosynovitis

  • Carpal tunnel syndrome and other nerve compressions

  • Dupuytren’s contracture, hand therapy support

  • Tendon problems, overuse and post injury

  • Post fracture or post immobilisation stiffness and weakness

How physiotherapy helps

Physiotherapy combines education, graded protection and targeted exercise. We guide simple activity tweaks and, where useful, short term splinting to settle irritation. Treatment can include nerve and tendon glides, manual therapy to improve movement, and progressive strengthening for the wrist, thumb and hand muscles. We also review your workstation or sport setup and plan safe steps back to daily tasks.

What you might feel

  • Thumb or wrist pain with lifting, gripping or typing

  • Night symptoms such as numbness or tingling in the hand

  • Reduced grip strength or dropping objects

  • Stiffness after rest or when you first start using the hand

  • Swelling or tenderness over specific tendons or the palm

Treatment you can expect

  • Short term protection if needed, for example a soft splint or tape

  • Nerve and tendon gliding drills with clear frequency and form

  • Mobility for the wrist, thumb and fingers, plus forearm rotation

  • Strength and endurance for grip, pinch and functional tasks

  • Workstation advice for keyboard and mouse use, tool selection for trades

  • Sport and hobby tweaks, for example grip size and technique

  • Adjuncts when helpful, for example taping, sports massage or acupuncture

  • Criteria to progress back to heavier tasks, gym work and sport

Simple self care tips

  • Vary tasks through the day, take brief movement breaks from typing

  • Use larger grips or padded handles to reduce strain

  • Keep the wrist in a neutral position where possible, avoid long extremes

  • Try heat for stiffness or a cool pack after busy periods if it feels helpful

  • Short, regular exercise sessions beat long gaps

Conditions: Frequently Asked Questions

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Not sure if this is what you need help with?

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