Archives for September 2014

Scar Management

Why do we have scars? Scarring is the process by which wounds are repaired. Following an accident/surgery, our body response to the injury by forming a collagenous ‘glue’. This glue is called granulation scar tissue which holds all structures together while healing occurs. Importance of scar management We at Hand Works Occupational Therapy value the [Read more…]

Activity Modification and Work Simplification

The team of Occupational Therapists at Hand Works have specialised knowledge and skills to help restore function after an injury, surgery or the onset of a disabling condition. Intervention has a particular emphasis on providing education and modifications related to specific tasks and the environment. The ultimate goal of this is to enable maximal functional [Read more…]

Pain Management

The experience of pain is different for everyone, and at Hand Works we ensure that we listen to our patients and their individual needs, particularly if their presenting condition is centred around pain management. A thorough clinical evaluation of pain, including both subjective and objective methods, is completed at each appointment by our therapists. This [Read more…]

Treatment – Soft Tissue Therapy

As previously discussed under soft tissue conditions (myofascial trigger points can develop within our muscle groups, and cause patterns of both localised and referred pain. These trigger points can be released to decrease symptoms, and increase your overall muscle function. At Hand Works, we are able to complete soft tissue treatment to loosen up the [Read more…]


After an injury or surgery, an area of skin (commonly around the scar) can become extra sensitive or ‘hypersensitive’. Hypersensitivity in this context refers to a reaction of extreme discomfort or pain in response to a stimulus that is usually non-threatening and does not normally provoke pain. This is a common problem encountered in rehabilitation, [Read more…]

Sensory Re-education

Following an injury where nerves have been damaged, sensory re-education is a vital aspect of the rehabilitation process. Four major areas of sensory sensibility include touch, proprioception, pain, and temperature. Sensory re-education is a multimodal process, where the cortical integration of sensory re-education is an ongoing and ever changing process. Sensory re-education allows the hand [Read more…]

Continuous Passive Motion

A Continuous Passive Motion (CPM) device allows controlled continuous passive range of motion in a reciprocal fashion to a joint. CPM has proven to be clinically effective in reducing post-operative pain, joint stiffness and oedema. At Hand Works, therapists may use the CPM to assist patients to increase, maintain and restore passive mobility, maintain gliding, [Read more…]


What is InterX Therapy? InterX Therapy is the targeted application of Interactive Neurostimulation to manage and relieve the symptoms of pain and injury. The procedure involves applying a hand held device directly to the skin over the injured or painful area. The sensation from the device resembles a tingling or vibrating sensation and is tailored [Read more…]

Exercise programs

Movement is an important part of keeping all of our joints healthy and functional. In some instances a joint and surrounding tissues may need rest or immobilisation after an injury or surgery. An exercise program developed by Occupational Therapists at Hand Works can be an effective way to regain movement in a joint and maintain [Read more…]

Oedema management

What is Oedema? Oedema, also known as swelling, is an excess accumulation of fluid in the interstitium (the spaces between cells of bodily tissues). Because one sixth of the body consists of spaces between cells, the interstitium provides a great deal of room for expansion when filled with oedema. The injured hand commonly develops oedema [Read more…]