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…]

InterX

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…]

K-wire and Suture Removal

Your surgeon will likely utilise several stitches, or ‘sutures’, to secure wound edges together. Combinations of dissolvable and non-dissolvable sutures are often used. Once the wound has closed, your hand therapist will remove your sutures, usually between 10-14 days post operatively as requested by your doctor. This is generally a simple and non-invasive procedure. Kirschner [Read more…]

Strengthening

Strengthening programs are a routine aspect of a comprehensive treatment plan for most diagnostic groups seen at Hand Works. Strengthening may be targeted to a specific muscle group which was injured, or be a broader program applied to target multiple muscle groups or joints. Hand Works use specific exercises and integrate these during the therapy [Read more…]

Return to Work Recommendation

Hand Works service many patients who have sustained work related injuries, and are progressing through the workers compensation system. A large part of their rehabilitation is their gradual return to work programs. Work site assessments As Occupational Therapists, we are skilled to assess and provide ergonomic recommendations due to our background of task analysis and [Read more…]

Complex Regional Pain Syndrome (Reflex Sympathetic Dystrophy)

Complex regional pain syndrome (CRPS) is a chronic pain condition most often affecting one of the limbs, usually after an injury or trauma to that limb. There is no diagnostic tool to test for CRPS. Diagnosis is usually based on the individual’s medical history and symptoms that they are currently experiencing. Careful examination and assessment [Read more…]

Sensory Dysfunction

Sensory dysfunction may be caused from a myriad of underlying pathologies, with more common causes including peripheral nerve injury (proximal/distal), neurological events such as stroke, as a consequence of learned non-use, as a sequela of trauma to the upper limb such as burns/amputation/scarring, or from conditions such as complex regional pain syndrome, shoulder-hand syndrome, or [Read more…]

Joint Deformities / Contractures

What is a joint contracture? A joint contracture is a chronic reduction in joint movement due to changes in ligament, muscle or tendon. What are common causes of contractures? Contractures may result from extended periods of immobilisation, nerve injuries, neurological conditions, or poorly managed scars over the palm of the hand. When to refer for [Read more…]