Archives for January 2014

Lower limb casting

On recent discussion with our referring GP’s, the question as to whether we can provide casting for the lower extremity was raised. The answer is YES! The team at Hand Works Occupational Therapy can provide the option for either a waterproof or a standard fibreglass cast for the lower extremity. If you require the cast [Read more…]


Scarring is the process by which wounds are repaired. Following an accident/surgery, our body responds to the injury by forming a collagenous ‘glue’. This body glue is called granulation scar tissue which holds all structures together while healing occurs.  In a perfect world this process progresses through the following stages: 1. Inflammatory Phase (0-3 days) [Read more…]

Carpal Tunnel Syndrome

What is Carpal Tunnel Syndrome? Carpal tunnel syndrome (CTS) is the most common nerve compression syndrome of the upper extremity. It is caused by compression of the median nerve as it passes through the carpal tunnel into the hand. Common symptoms include pain, tingling and numbness, primarily affecting the thumb, index and middle fingers. In [Read more…]

Clinical Wrist Examination

In the past, a diagnosis of “wrist sprain” or “undiagnosed wrist pain” was a common diagnosis for a patient. However, as our understanding of anatomy, mechanics , and pathology has developed, so too have more sophisticated examination procedures. These allow a more specific diagnosis of wrist problems and enable patients to receive timely and appropriate [Read more…]

Manual Edema Mobilisation (MEM)

Edema is defined as an accumulation of excessive fluid in intercellular spaces. It is a natural byproduct of the healing process that changes as an injury advances through the stages of healing. Decreasing or managing edema, especially in the sub acute or chronic stage, is of great importance to the therapists at Hand Works Occupational [Read more…]

Triangular Fibrocartilage Complex Injuries

The TFCC is a fibrocartilaginous structure extending from the distal ulna to the ulnar carpus. It consists of:  Triangular fibrocartilage proper Meniscal homolog Palmar and dorsal radioulnar ligaments Ulnar collateral ligament, and the subsheath of the ECU tendon. The TFCC is considered to be the primary stabiliser of the distal radio-ulnar joint (DRUJ), and is [Read more…]

PhD: Lateral Epicondylitis Study

Hand Works therapist Thuy (“Twee”) Tran is in the process of applying to commence her Doctor of Philosophy degree in the area of hand therapy. She aims to study part-time, whilst maintaining a clinical caseload in 2014. The research will investigate if education in functional biomechanics is an effective treatment in the outcome of patients [Read more…]

Benefits of Thermoplastic splints compared to Plaster of Paris

Choosing the right type of material for our orthoses is an important factor in providing the best possible outcome for our patients. You may have noticed that at Hand Works Occupational Therapy our material of choice is low temperature thermoplastic material. This material has the ability to be remoulded, is lightweight, waterproof, removable, comes in [Read more…]

Acting Clinical Coordinator – Stuart Wilson

Senior Therapist Stuart Wilson will be acting as our Clinical Coordinator while Alison is on maternity leave. Stuart commenced with Hand Works in October 2010. He completed a Bachelor of Science in Occupational Therapy at Curtin University and has prior experience in both the private and public sectors. Throughout his career, Stuart has developed extensive [Read more…]