Articles/ Note
✎ For patients

Hand therapy: what it involves, and why it matters

· Professor Holly Morris

Hand therapy: what it involves, and why it matters

When people think about hand and wrist problems, they often think about surgery. But a great deal of good is done without an operation at all, and even when surgery is needed, what happens afterwards matters just as much. That work is hand therapy, and it is quietly one of the most important parts of looking after a hand.

What a hand therapist does

A hand therapist is a specialist physiotherapist or occupational therapist who focuses on the hand, wrist and arm. They assess how your hand moves, where it hurts, and what you need it to do, and then build a plan around that. I work closely with a team of hand therapists, before and after surgery. {{CONFIRM with Holly}}

The tools of the trade

  • Exercises to restore movement, strength and confidence, given little and often rather than all at once.
  • Splints, sometimes custom-made, to rest a joint, protect a repair, or gently guide a finger.
  • Scar and swelling care, which can make a real difference to comfort and the final result.
  • Advice for everyday life, from how to hold a kettle to how to get back to your keyboard.

Often the first step, not the last

For many conditions, hand therapy is where we start, not where we end up. Carpal tunnel, trigger finger, arthritis and tendon problems can all settle with the right exercises, splints and time, which is why I view surgery as a last resort for many people. {{CONFIRM with Holly}}

After surgery

If you do have an operation, therapy helps your hand heal in the right shape and get moving safely. Starting at the right time, and doing a little regularly, gives the best chance of a comfortable, reliable recovery. Your therapist and I work to the same plan, so nothing is left to chance.

The takeaway

A hand is a delicate, busy thing, and it recovers best with patience and guidance. If hand therapy is part of your plan, it is not an optional extra. It is often the part that gets you back to the things you want to do.

Have a question about your hand or wrist?

Send an enquiry and Holly’s team will be in touch. Referrals from GPs and other clinicians are warmly welcomed.

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