Knowledge
Short descriptions of the conditions and complaints we see most often — written from both the surgical and physiotherapy points of view.
I work with post-operative patients and with overuse and sports injuries (tennis elbow, golfer's elbow, de Quervain's disease, trigger finger, pulley injuries, tenosynovitis, mallet finger and more). Below you'll find key information on the most common complaints my patients face.
CRPS is a chronic pain syndrome in which the nervous system over-reacts after a relatively small injury. Work includes desensitisation, graded loading, pain education and mobilisation — all at a pace the nervous system can accept.
This fracture affects both physically active people — usually after a fall onto an outstretched hand — and older patients, in whom healing may take longer and the injury mechanism can be more complex. Depending on the treatment, rehabilitation can begin right after surgery (when stable plate fixation is used) or after waiting 4–6 weeks for bone union (in conservative treatment).
After tendon repair the hand returns to function in carefully staged steps. With your surgeon we agree the protocol, fit the splint, and lead passive and active motion so the repair holds and the tendon's glide is restored.
The proximal interphalangeal joint answers injury with stiffness that sets in quickly. We combine mobilisation, active exercise, and dynamic or static-progressive splinting to recover range gradually, without provoking inflammation.
A good splint disappears into daily life. We make thermoplastic splints and soft straps fitted to anatomy and stage of recovery — with attention to how you work, sleep, and carry things.
A surgical scar can bind tissue layers, restrict tendon glide and create hypersensitivity. We work it systematically — massage, silicone, compression — for as long as it needs.
Every visit ends with a clear plan for home — exercises, splint schedule, and what to avoid. Nothing left to memory — everything written and illustrated.
Don't see your case? Write to me — I'll tell you whether it's something I take on.
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