This is specialised physiotherapy for the hand. The focus is on:
-reducing pain
-reducing stiffness
-reducing swelling
The hand therapist is useful pre- and post-operatively or when the patient has not had surgery for a condition that can be managed non-operatively. The hand therapist works closely with the surgeon to achieve the best outcome.
Splints
These can be custom made by the hand therapist using thermoplastic materials which can be reheated and changed to accommodate hand range of movement etc. Your surgeon will advise you regarding the length of time to wear the splint, or when to eg night-time.
Taping
Coban taping can be useful in reducing swelling.
Hot/Cold treatment
The hand therapist may use this modality to improve hand function.
Desensitisation Exercises
This is to reduce sensitivity around a scar usually. It involves touching , caressing the affected part and using different textures applied eg Velcro/fabrics etc to ‘desensitise’ the hand.
Dupuytren’s Surgery- post-operative exercises and splints
If you are booked to have either a needle fasciotomy or fasciectomy you will require hand therapy preferably within a week post -procedure . It is therefore essential that you book hand therapy (see details below) at the same time as booking your surgical procedure . It is essential that the patient books hand therapy in a timely manner at a location that works for them . The hand therapy appointments tend to be booked up therefore the patien is advised to book this as a matter of priority.
The hand therapist will often remove sutures and apply dressings too.
Hand Therapists Miss Umarji works with
Ann Garewal, Physiocentric, Ridgway, Wimbledon Village , London SW19 4QN. 020 8793608
Hand Therapy Specialists Sally Mayfield , Jenna du Preez 07528 000730
