I have worked as an Occupational Therapist for 16 years, 8 of which have been in Hand Therapy. Prior to specialising in hands, I worked predominantly in the clinical setting of trauma and orthopaedics. In addition to working in Independent Practice, I continue to work as a Specialist Occupational Therapist in the local NHS hand unit. As a result, I have significant experience in managing a wide range of traumatic injuries which include simple and complex fractures of the hand and wrist, tendon repairs, nerve repairs, ligament injuries, crush injuries, terminalisation and replantation and Complex Regional Pain Syndrome (CRPS). Additionally, I have experience in the management of acquired conditions such as osteoarthritis, tendinopathies, compression neuropathies (carpal and cubital tunnel syndromes) and Dupuytren's contracture.
A thorough process of objective and subjective assessment will identify the impact of the injury/condition on your daily life. It may involve an assessment of the movement, strength, sensation or dexterity of the hand. It may also consider how pain levels and patterns affect you during the day. This information is used to formulate a list of problems and goals on which to base the treatment programme.
Dependent on need, the treatment programmes may involve thermoplastic or soft splinting, joint mobilisations and stretches, range of movement exercise programmes and strength/conditioning programmes. They may also include advice on scar management, desensitisation and sensory re-education. I am also able to offer support and guidance in the therapeutic management of Complex Regional Pain Syndrome (CRPS).
The treatment programme may be completed in your home or work setting to incorporate the activities that are meaningful to you into your rehabilitation.
Guidance in the form of a structured return to work programme can also be provided, and may include an assessment of functional ability, work place visit, activity-specific conditioning programme and consideration of the wider impact an injury or condition might have on a person in the workplace. Advice on compensatory approaches, aids and adaptions can also be provided.
Specialist in the Assessment and Treatment of Hand Trauma
Email: [email protected]