Hand Therapy
Treatments
Ms Razo applies a comprehensive range of evidence-based clinical techniques tailored to your condition, stage of recovery and personal goals. Treatment is always grounded in a thorough assessment and a clearly defined plan.
Evidence-based care
from first appointment
Every patient receives a thorough initial assessment before any treatment begins. This establishes your goals and creates a measurable baseline. Treatment is then delivered using whichever combination of clinical techniques best suits your condition, adjusted at each session in response to your progress.
Ms Razo holds the Certified Hand Therapist (CHT) credential, the highest specialist qualification in Hand Therapy - ensuring that every treatment decision is informed by the deepest available specialist knowledge of upper limb rehabilitation.
Assessment & Evaluation
Every course of treatment begins with a thorough, standardised clinical assessment. This establishes a precise diagnosis and a measurable baseline from which treatment progress can be tracked.
- Range of movement measurement using goniometry
- Grip and pinch strength testing with dynamometry
- Sensory assessment including Semmes-Weinstein Monofilament Testing
- Functional ability assessments, including manual dexterity, and validated outcome measures
- Special diagnostic tests specific to the presenting condition
- Review of imaging and surgical reports where relevant
Custom Splinting
Ms Razo custom fabricates thermoplastic orthoses tailored precisely to each patient's anatomy and clinical needs. Splinting is used for protection, pain relief, positional correction and to support the healing process after injury or surgery.
- Static thermoplastic splints
- Static progressie and dynamic splints for progressive mobilisation
- Soft splints and orthoses for comfort and protection
- Night resting splints
- Splint review and modification as the condition evolves
Manual Therapy
Hands-on treatment techniques applied directly to the joints as well as soft tissues of the hand and upper limb. Manual therapy addresses pain, swelling, stiffness and restricted movement.
- Joint mobilisations to restore movement
- Soft tissue massage to reduce swelling and improve circulation
- Passive stretching to address contractures and stiffness
- Scar mobilisation and desensitisation
- Oedema management including elevation advice and compression
- Neural mobilisation for nerve entrapment conditions
Therapeutic Activities & Exercises
Progressive, evidence-based rehabilitation programmes designed to restore manual dexterity, strength, mobility and function. Tasks are prescribed to your specific condition, stage of healing and personal goals.
- Tendon and nerve gliding
- Progressive strengthening for grip, pinch and upper limb power
- Fine-motor skills and dexterity training
- Sensory re-education following nerve injury or repair
- Work hardening and return-to-work programmes
- Ergonomic advice and activity modification guidance
Thermal Treatments
Therapeutic modalities used to support tissue healing, reduce pain and improve the extensibility of stiff soft tissues. Used as an adjunct to hands-on treatment, therapeutic activities and exercises.
- Used to reduce pain and prepare tissue for Hand Therapy
- Cryotherapy to accelerate soft tissue healing
- Paraffin wax therapy providing deep, moist heat to the hand, wrist, forearm and elbow
- Heat application for pain management
Wound Care & Scar Management
Advanced wound care and scar management for post-surgical and post-traumatic presentations. Early intervention reduces the risk of scar complications that can restrict movement and function.
- Wound assessment and dressing selection
- Suture removal
- Scar massage to restore tissue mobility
- Silicone gel treatment to optimise scar remodelling
- Desensitisation programmes for hypersensitive scars
- Compression and bespoke splinting for hypertrophic or contracted scars
Your treatment
journey
From your first appointment through to discharge, every stage of your treatment is structured, goal-directed and tailored to your progress.
A thorough clinical evaluation to establish a precise diagnosis, if required, and baseline measurements.
A personalised plan combining the most appropriate techniques for your condition and goals.
Hands-on treatment, splinting and patient-centred techniques delivered at each session - progressed as you recover.
A clear endpoint with home Hand Therapy programme guidance and advice on maintaining your recovery long-term.
Conditions treated with
these techniques
These treatment techniques are applied across a wide-range of hand, upper limb and shoulder conditions. Browse the conditions library to see how they are used for your specific presentation.
Ready to start
your recovery?
Book a consultation and Ms Razo will assess your condition, explain your diagnosis and agree a treatment plan with you at your first appointment.