Hand therapy

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

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Restore Strength, Regain Function

How Hand Therapy Helps

Hand therapy is a specialized 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.

Hands-On Treatment Solutions

Pain-Free Movement Starts Here

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  1. Therapeutic Exercises

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

  2. Manual Therapy

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

  3. Splinting

    Custom splints to support healing, protect injured areas, and optimize function.

Hand therapy fees
Initial Assessment (60 minutes)

£85
Follow up treatments (30 minutes)£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.

Helen Tunstall

Hand Therapy FAQs

  • What Hand therapy services are available?

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

  • What conditions can be treated ?

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

  • What sort of injuries can be treated?

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

  • Can I be seen following an acute hand injury?

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

  • What treatments are available following elective surgery?

    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

  • What treatment modalities can be used?

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