A wide range of hand therapy treatment techniques are used in order to aid your rehabiliation following hand/wrist surgery and soft-tissue trauma. These treatments may include a combination of the following:
These can be made to-measure thermoplastic or off the shelf neoprene splints and are generally used for a variety of reasons such as: to comfortably rest an area, to protect healing tissues, to correct deformity, to help stretch soft tissues. These splints tend to be lightweight and easy to put on/take off.
Joint Mobilisation Techniques:
Specialist manual therapy to encourage restoration of the natural glide that occurs between joint surfaces. Without these glides, joints can feel very stiff and painful and active range of movement can be restricted. These techniques also help maintain the length of the soft tissues.
It is important to try and improve the tensile strength and flexibility of the collagen fibres as they are being formed by techniques such as scar massage. This also helps to prevent the scar from 'sticking down' where it shouldn't. Sometimes silicone gel sheeting is used to help flatten scars and keep them hydrated.
The use of pressure gloves, compression bandaging and digital sleeves can be useful.
This can be helpful to encourage healing of ligaments/tendons and is also often beneficial for scarring.
Home Exercise Programme:
These will help you gain the most from your therapy by helping to increase flexibiility and range of motion as well as providing strengthening as you progress through your treatment. They are vital if you are to get the best possible outcome.
Soft Tissue Management:
Keeping the soft tissues in their optimal state ie: stretching tight muscles, decreasing trigger point tension, scar management.