Hand therapy

Specialist care for hand, wrist, and upper limb conditions to restore movement, reduce pain, and improve function.

Restore Strength, Regain Function

How Hand Therapy Helps

Hand therapy is a specialised rehabilitation service focused on restoring function and alleviating pain in the hand, wrist, and upper limb. Our tailored treatment plans use a combination of advanced techniques to promote healing and improve movement.

  • Thumb and Wrist Pain 

    Treatment for osteoarthritis, tendinitis, and other conditions affecting mobility and comfort.

  • Injury and Post-Surgical Rehabilitation

    Guided recovery for fractures, ligament injuries, and tendon repairs to restore strength and function.

  • Nerve Compression Syndromes

    Effective management of carpal tunnel and other nerve conditions to reduce numbness and tingling.

Pain-Free Movement Starts Here

Hands-On Treatment Solutions

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  • Therapeutic Exercises

    Strengthening and flexibility programmes designed to enhance coordination and restore function.

  • Manual Therapy

    Hands-on techniques to mobilise joints and soft tissues, improving movement and reducing stiffness.

  • Personalised care 

    Focusing on your specific and individualised needs

Hand Therapy Fees

Initial Assessment (approx. 60 mins)
£85
Follow up appointment (approx. 30 mins)
£65

Meet Helen Tunstall

Hand Physiotherapist

I have a specialist interest in hand therapy and am aware of the importance that being able to use our hands independently has on our level of function.

I qualified with a BSc (Hons) in Physiotherapy from the University of Birmingham in 1996. I have worked in the NHS since then, initially at QMC in Nottingham.

After completing the core rotations at QMC I then worked as a locum at various locations for 2 years before starting as a rotational MSK physiotherapist at LRI in Leicester in 2002. I have worked in the MSK outpatients department at LRI for 2 years and then specialised in hands, burns and plastics in 2004.

I am still based at LRI as a clinical specialist in hands, burns and plastics. I am qualified to use acupuncture and have also completed many courses in hand therapy. I am keen to use my specialist knowledge in upper limb pathologies to provide a valuable service. Due to the links with plastic surgery I am also interested in post op care for those following breast reconstruction after a mastectomy and also in care and rehab following neck dissection for head and neck cancer.

What our patients say

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      Hand Therapy FAQs

      • Assessment (Hand, Wrist and elbow)
      • Exercise programme
      • Strengthening programme
      • Mobilisations
      • Scar management
      • Sensory re-education
      • Desensitisation programme
      • Management of swelling in the hand
      • Pain management
      • Post operative care

      • Basal thumb/ wrist/ Finger arthritis
      • Carpal tunnel syndrome
      • Cubital tunnel syndrome
      • Trigger finger
      • Dequervains.
      • Chronic pain
      • Tennis/golfers elbow
      • CRPS

      • Fractures
      • Tendon repairs
      • Nerve injuries
      • Ligament repairs
      • Soft tissue lacerations.
      • Sprains/ Strains
      • Post Dislocations

      The simple answer is yes – however knowledge regarding any diagnostic tests and/or surgical procedures and post operative plan is useful.

      We can provide hand therapy following any kind of elective hand surgery. This may include but is not exclusive to the following.

      • Dupuytrens Release/ Needle apponeurotomies/ Xiapex injections
      • Carpal or cubital tunnel syndrome
      • Tendon transfers
      • Joint replacements
      • Soft tissue release eg. Dequervains, trigger release.
      • Wrist surgery – eg. TFCC repairs, ECU stabilisations, Osteotomies
      • Joint releases
      • Tenolysis

      • Exercise prescription
      • Provision of off the shelf splints
      • Scar management
      • Swelling management
      • Strengthening/ upper limb conditioning
      • Mobilisations.