Hand therapy

Helping treat hand, finger, wrist and upper limb injuries

Sarah Harlington, our hand therapist can help you return to a productive lifestyle following injury, disease or deformity affecting your hand.

The hand is one of the most complex parts of your body. The movement of the tendons, bones, tissues and nerves allows someone to grip and do a wide variety of complex jobs.

Following a hand injury, the hand may not function as it did before the injury due to loss of motion, dexterity, grip and ability to complete the simplest of tasks. In turn this regularly results in loss of earnings. These patients require treatment in order to return them to work, social and sporting activities.

Hand therapy can help with

thumb pain

finger injuries

wrist pain

tingling fingers

weak wrists

What is hand therapy?

By seeing a Hand Therapist you will receive specialist care to enable the optimal management of your injury and therefore an improved outcome.

Many people think that all finger injuries are managed by strapping fingers together or that there are simply no options for arthritic hands or ‘weak wrists’. This is a myth and often a hand therapist can provide you with that treatment and/or management strategy and/or splint to enable you to continue your hobbies, get back to what you enjoy and reduce or manage your pain and symptoms.

At the very least a hand therapist might be able to assess to establish the root of your problem and instigate a referral to further physicians to get the treatment your require.


Do you experience



Where are the clinics held?

Sarah is located at our Long Eaton base.

Clinic times

Friday afternoons, appointments are available at Long Eaton.

Call us to book your session / discuss your availability  0115 972 1319.

Before your first appointment

We will discuss your treatment needs by phone/email prior to let you know what might be involved, and possible costs.


Hand therapy fees
Initial Assessment
45 minutes £70
Follow up treatments
30 minutes £45
45 minutes (if needed) £70
Other charges (e.g. splints)
Splints are not required by everyone, if you do require a splint for your treatment, typical costs for custom made
If something more cost effective can be bought off the shelf this is our preference. Options will be discussed with you prior to agreement.
Finger £7
thumb / hand £15
forearm £25

Sarah Harlington MCSP

Sarah can help evaluate and identify problems affecting the upper limbs as well as provide advice regarding exercise, preventative care, splintage, advice on aids to daily living and ergonomic consultation.

Sarah is based at our Long Eaton clinic, she specialises in hand therapy but also treats musculoskeletal issues.

Sarah qualified from The University of Birmingham in 2012 with a BSc (Hons) in Physiotherapy. After completing a wide range of clinical rotations, she went on to specialise in hand therapy and musculoskeletal physiotherapy. Over recent years Sarah has also worked in elite sport with teams including Wales Hockey. Her areas of interest are hand injuries, which can include splint fabrication, and exercise participation.

A hand therapist can help you to continue your hobbies and get back to what you enjoy

Hand therapy services available
  • Assessment (Hand, Wrist and elbow)
  • Splinting – Issue prefabricated, Remould splints, Fabricate splints
  • Exercise program
  • Strengthening program
  • Mobilisations
  • Scar management
  • Sensory re-education
  • Desensitisation program
  • Management of swelling in the hand
  • Pain management
  • Post operative care
  • Ultrasound
  • Measurement and recommendation for Pressure garments
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
  • 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.  

Treatment 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
  • Fabrication of splints
  • Provision of off the shelf splints
  • Scar management
  • Swelling management
  • Kinesiology/ dynamic tape
  • Strengthening/ upper limb conditioning
  • Mobilisations.


Reviews for Hand Therapy

impact physio
Rated 5 out of 5

Hi Emma, Just to let you know that your diagnosis was spot on! I had surgery on Sunday for a ruptured UCL and small fracture – apparently a small flake of bone had come loose with the ligament. Thank you again for your advice – I’m glad I came to see you as if I’d left it as my GP suggested, it would have been more difficult to fix. Kind regards and thanks again, Maggie