Volar Plate Injuries

Volar plate (VP) injuries are very common and typically a simple injury to manage.  However, early diagnosis and treatment is key to ensuring a good clinical result.  The consequences of delayed treatment may result in complications that require extended periods of hand therapy input and a delay in returning to work and sports. Case Study:  [Read more…]

Strategies to combat wrist pain for new mums

By adopting some simple strategies early, symptoms can be reduced for new mothers who experience wrist pain after the birth of their baby. DeQuervains Tenosynovitis is a common hand condition that causes pain at the base of the thumb and into the wrist. It can be classified as a repetitive strain injury due to increased repetition in lifting and prolonged awkward [Read more…]

Digital Nerve Study

Post-operative splinting of isolated digital nerve repairs is a contentious issue. Although suture repair techniques have advanced significantly in the past several decades, orthosis design and the use of a restricted mobilisation protocol have remained fairly consistent. Hand Works OT in conjunction with Curtin University Honours students are involved with a proposed case-control study that [Read more…]

Hand Works In-house Professional Development Event

On the 3rd of October, Karen Marthins, Senior Occupational Therapist ran a workshop on the use of the InterX with Hand Works staff. Karen has used the InterX in hand therapy for over 7 years, attended numerous workshops at an advanced level and presented on the device at a Brisbane AHTA Conference. The focus for [Read more…]

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…]

Desensitisation

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…]