Understand movement. Strengthen life.
Perilunate and lunate dislocations require urgent assessment. Physiotherapy after treatment is planned around protection of repaired structures, swelling management and restoration of movement and strength.
Distal radioulnar joint instability can cause pain and insecurity during forearm rotation. Physiotherapy is planned around the cause of instability, appropriate protection, muscular control and progressive loading.
TFCC injuries can cause pain on the little-finger side of the wrist and difficulty bearing weight through the hand. Physiotherapy is planned around joint stability, appropriate protection and progressive restoration of movement and load tolerance.
Thumb-side wrist pain is not always tendon-related. Superficial radial nerve involvement can cause burning, numbness and touch sensitivity despite preserved strength.
Ulnar nerve involvement around Guyon’s canal can cause numbness, weakness or both. Rehabilitation begins by identifying the affected branch and cause of compression.
Night-time hand numbness may involve more than sleeping position. Carpal tunnel treatment aims to preserve sensation, thumb function and daily hand use.
Pain and a rubbing sensation a few centimetres above the wrist may indicate intersection syndrome. Assessment considers both pain location and daily loading.
Thumb-side wrist pain is not always simply inflammation. In de Quervain’s, tendon passage anatomy, daily loading and hand function should be assessed together.