Wrist & Hand Injuries
Wrist and Hand Injuries can be quite common and complex in nature. There are 29 bones within the hand and wrist complex with several ligaments, muscles, and joints contributing to the biomechanics of this area. Our day-to-day living, repetitive tasks, and sporting activities can place excessive load and stress on the wrist complex. Due to the intricate nature of the wrist, early assessment and diagnosis are vital in order to optimise function in the long term.
Common Hand/Wrist Presentations We Manage:
- Wrist (Ulna/Radius) Fractures
- Carpal and Metacarpal Fractures (Scaphoid, Boxer’s Fractures, etc)
- Tendon Ruptures (Mallet Finger, Boutonniere Deformity, Skier’s Thumb, etc)
- Joint Sprains
- Carpal Tunnel
- DeQuervain’s Tenosynovitis
- Ganglion Cysts
- TFCC Sprains
- Post Fracture/Surgical Rehabilitation
Management Principles and Treatment Modalities
- Assessment: we perform a thorough assessment to identify the source and cause of the pain. This includes a detailed history and physical examination, as well as an in-depth biomechanical analysis. We also examine above and below the area of concern.
- Education: we educate you on your diagnosis, the nature of the injury and what to expect, and utilise anatomy programs to assist with your understanding of the injury.
- Manual Therapy/Strengthening: we utilise a combination of manual therapy, soft tissue massage, joint mobilisations, and range of motion exercises to manage pain and restore movement. This is accompanied by a strengthening/proprioception program to build functional strength and stability.
- Home Exercise Program: we utilise the Physitrack app that allows us to provide you with a tailored home-based exercise program. This technology allows us to send videos or printouts to your email to follow along at home.
- Sports/Functional Modifications: if necessary we may advise you on any sports-specific or home-based modifications that may be necessary for your rehabilitation process.
- Rehabilitation Equipment: we have access to the latest equipment including Shockwave Therapy, Grip Strengthening Devices, Digital Dynamometer, and Therabar Strengthening Device
- Taping/Bracing (if required): we may utilise taping/braces (EXOS) as an adjunct to our treatment to improve biomechanics and provide pain relief while we get you stronger and more stable. Exos® is a revolutionary, thermoformable technology, offering an adjustable and reformable solution.
- Referral (if required): we have connections with hand/wrist Orthopaedic Surgeons/Specialists should your injury require further investigation. We also have onsite Exercise Physiologists who can assist in long-term management and prevention through strength and conditioning.
Our Unique Advantage
Our unique advantage is our collaborative multidisciplinary team. We are fortunate to have Physiotherapists, Exercise Physiologists, Orthopaedic Specialists, Massage Therapists, and Psychologists, who all work under one roof. This allows us to closely work together to provide our patients with a true collaborative management plan addressing all Biopsychosocial factors. This allows our patients to get access to the leaders in their fields to ensure they get the best care possible.
In addition to this, we have access to an extensive range of specialist equipment in our onsite functional rehabilitation centre. Our fully equipped and functional rehabilitation gym houses specialist equipment which is specific to the rehabilitation of certain injuries. With 35 years of excellent service on the Central Coast, Hills Street Sports Medicine is one of the longest established multi-discipline Sports Medicine Centres in Australia.
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