Hand, Wrist and elbow Therapy

Here at Physiotherapy and Wellness we run a specialist hand, wrist and elbow clinic on Wednesday’s between 5-8pm. Our resident expert Helen Keanie has many years experience in treating all manner of injuries to these areas, and will provide the expert care and attention required to facilitate your recovery. 

Hand and wrist injuries can be debilitating and should not be ignored. Helen will help to correctly diagnose and treat your pain quickly and effectively using a number of different techniques. As with most injuries, prompt attention is best to avoid longer term chronic conditions, so avoid delay and book today.

Some common conditions include:


Acute or chronic inflammation of a joint, associated with pain and structural changes with diverse causes, such as infection, crystal deposition, or injury.

Carpal Tunnel Syndrome

Caused by compression of the median nerve as it travels through the wrist at the carpal tunnel. Symptoms include pain, numbness and/or tingling in the thumb, index finger, middle finger and the thumb side of the ring fingers.

Cubital Tunnel Syndrome

Comprises of pressure or stretching of the ulnar nerve, which can cause numbness and/or tingling in the ring and small fingers, pain in the forearm, and/or weakness in the hand.

De Quervain’s Tenosynovitis

Characterised by swelling and pain at the base of the thumb. De Quervain's tenosynovitis is the inflammation of the sheath, or synovium, that surrounds the two tendons that run between the wrist and the thumb.

Dupuytren’s Contracture

A hand deformity that develops over a long period of time. The condition affects a layer of tissue that lies under the skin of your palm whereby knots of tissue form under the skin. These then create a thick cord that can pull one or more fingers into a bent position

Mallet Finger

A deformity of the finger caused when  damage occurs to the extensor tendon that straightens your finger. This can occur, for example, when a ball or other object strikes the tip of the finger or thumb and forcibly bends it. The force then tears the tendon that straightens the finger

Triangular Fibrocartilage Complex Injury (TFCC)

The triangular fibrocartilage complex (TFCC) is a cpmplex network of ligaments, tendons, and cartilage that lie between the ulna and radius bones on the small finger side of the wrist. The TFCC stabilises and cushions the wrist, particularly when a person rotates their hand or grasps something with it. The TFCC is vulnerable to injury, and injuries to this area are common.


A condition associated with repetitive forearm and elbow activities. Both lateral epicondylitis (commonly known as tennis elbow) and medial epicondylitis (commonly known as golfer's elbow) are characterised by elbow pain during or following elbow flexion and extension. Predisposing factors include; poor mechanics, overload, microtears, and a delayed healing response contribute to the pathophysiology of the condition.

Ulnar Collateral Ligament (UCL) Injury

The UCL is a ligament complex located on the inside of the elbow. The UCL is typically injured by repeated stress from overhead movement but can occur through traumatic injury. This motion is common in sports that involve throwing, such as cricket and javelin.

Elbow, Wrist, and Hand Sprains

Occur following direct or indirect trauma, forcing the joint beyond its normal anatomical range. This can overstretch or even tear the joints supporting ligaments.

Fractures of the Elbow, Wrist and Hand

Fractures occur when sufficient force is applied through the wrist, such as a fall on an outstretched hand. The most commonly injured bone in the forearm is the radius. Some injuries can be managed conservatively, whilst others require surgical intervention. Prompt diagnosis and management is key. Physiotherapy can help in this respect but more importantly, the recovery of the use of the elbow, wrist and hand, requires in depth knowledge of the complex anatomy in this area. Our expert therapist can ensure you get the best possible outcome following injury.

How We Can Help

We can treat back pain in a variety of ways:

  • Early advice and activity in line with current best practice research
  • Mobilisation and/or manipulation
  • Exercise prescription
  • Acupuncture
  • Shockwave therapy (ESWT)
  • Ultrasound
  • Kinesiology Taping
  • Massage

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