Knowledge

What patients bring in.

Short descriptions of the conditions we see most often — written from both the surgical and physiotherapy points of view.

CRPS — Complex Regional Pain Syndrome

Pain disproportionate to injury, swelling, skin changes and stiffness.

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.

After flexor and extensor tendon repair

A post-op plan stage by stage — from splint to a full fist.

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.

PIP joints — stiffness and post-injury limits

The most sensitive finger joint. It needs attention, time, and the right splint.

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.

Splints and straps — fitted individually

Splints made to measure, with daily wear in mind.

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.

Scar therapy

Tissue mobilisation, so the scar does not limit motion.

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.

Education and home plan

You know what you're doing between visits. That is half of therapy.

Every visit ends with a clear plan for home — exercises, splint schedule, and what to avoid. Nothing left to memory — everything written and illustrated.