Using transcutaneous electrical nerve stimulation (TENS) is a great medium to achieve decreased pain as well as increase function and range of motion. We use TENS for a variety of different diagnosis and have seen great results from our patients. TENS does not hurt and gives maximum relieve and function.

After trauma or surgery the body naturally heals by creating scar tissue. In the hand any formation of scar tissue can reduce or restrict movement as scar tissue can grow onto the structures underneath. Adequate scar tissue formation and scar healing is very important to ensure that the scar does not cause any problems. Hypertrophic or keloid scarring can cause pain and other problems. We use different scar management techniques to ensure normal/”healthy” scar formation. It is important to commence scar management within the first 3 months of scar formation (earlier is always better) to ensure the best possible outcome.

To regain range of motion and strength it is important to follow a graded exercise program. We individualise exercise programs for each of our patients to assist with improving the original problem. We are trained to analyze the pattern of movement as well as the resistance and the frequency needed to regain the range and strength. Your unique exercise program will enable you to achieve what is needed to ensure optimal function and use of your hand.

We make custom splints using a material called low temperature thermoplastic. Splints are made to fit the finger/hand/wrist perfectly as it is molded to the individuals own finger. We melt the plastic and custom fit the splint. Meaning that the sky’s the limit in terms of possibilities of fit and function. Using simple physics to assess the 3 point force needed for adequate pressure we custom make the splints to ensure it works for you.

We aim to reduce swelling in the hand as quickly as possible as the swelling in the hand restricts movement, causes compression on nerves and leads to stiffness and the inability to use the hand in functional activities. Using pressure garments, oedema wrapping, kinesio tape, manual oedema massaging and many other modalities will assist in decreasing the swelling in the fingers, hand, wrist and forearm. We are specially trained to make and apply all the different treatment modalities to assist you in decreasing the swelling you experience.

When nerve compression is present it is of utmost importance to do the correct nerve gliding and sliding exercises to ensure that the compression is limited and does not lead to the nerve being so compressed that the muscles die. There are three main nerves in the upper limb, each of them have a different path and innervates different muscles. Gliding exercises are specific to each nerve and it is important to consult a therapist to ensure that the correct exercises are performed.

After an injury or trauma to a finger or hand, stiffness is one of the greatest concerns and limitations for patients. We use passive joint mobilisation to increase the range of motion and ensure long lasting function and improvement.

This is the benitis, tissue effect of Laser treatmnt