<![CDATA[Adelaide & Hills HAND THERAPY

<![CDATA[Adelaide & Hills HAND THERAPY - Blog]]>Tue, 24 Mar 2026 15:55:14 +1030Weebly<![CDATA[EDS, connective tissue & hypermobility- your treatment tribe!]]>Thu, 17 Jul 2025 00:28:59 GMThttps://www.ahhot.com.au/blog/eds-connective-tissue-hypermobility-your-treatment-tribe
Living with a connective tissue disorder, such as Ehlers-Danlos Syndrome (EDS) or hypermobility spectrum disorders, often brings daily challenges. From joint instability and chronic pain to fatigue and difficulties with daily tasks, these conditions can impact quality of life in complex ways.
These conditions are often 'silent' and misunderstood by health professionals- making finding your treatment tribe vitally important to your physical and mental health.

At AHHOT we are Occupational Therapists who understand the impact of these conditions on the body, and our lead hand therapist Jo has a special interest in EDS and hypermobility/connective tissue disorders.
We believe Occupational Therapy can play a vital role in helping individuals manage symptoms, prevent injuries, and maintain independence.

We can work with you to help prevent joint pain and dislocations, help maximise muscle strength, improve coordination and manage fatigue to maximise endurance. And we can address specific difficulties with activities of daily living.

And our expertise in Hand Therapy, offers high skill set in finding joint stabilisation options for finger, thumb, wrist, elbow and shoulder joints. Whether it be custom made or silver ring splints, compression gloves or gentle strengthening exercises- we will work with you to address your specific needs.
If you’d like to learn more about our services or book an appointment with Jo, get in touch with our team today, 8339 4263, or book online here.

]]><![CDATA[February 05th, 2025]]>Tue, 04 Feb 2025 13:30:28 GMThttps://www.ahhot.com.au/blog/find-your-dream-employer-a-guide-to-a-fulfilling-career<![CDATA[All about Thoracic Outlet Syndrome]]>Mon, 20 Jan 2025 05:22:09 GMThttps://www.ahhot.com.au/blog/all-about-thoracic-outlet-syndromeThoracic Outlet Syndrome (TOS)
Thoracic Outlet Syndrome, commonly referred to as TOS, is among the most challenging and controversial diagnoses in the upper limb. This blog aims to summarise this condition and explore how hand & upper limb OT and Physios care for patients presenting with potential symptoms of TOS.

What is happening in the body
The thoracic outlet is a region comprising three spaces located between the neck and upper arm. This area houses several important structures, including nerves (Brachial PlexusO arteries and veins.
Compression typically occurs in one of three spaces. The spaces are named according to neighbouring anatomical structures. The structures are called; Inter-scalene triangle, Costo-clavicular space and the Sub-coracoid space.

Prolonged adoption of certain body postures, muscle thickening, overuse, and other factors affecting the surrounding muscles can contribute to compression of these nerves and vessels.

Types of Thoracic Outlet Syndrome
TOS is broadly classified into three main types, each presenting unique symptoms;
1. Neurogenic TOS- when the Brachial Plexus (nerves) is compressed.
2. Vascular TOS- from compression of the Subclavian artery and/or vein.
3. Non-specific TOS- cases where tests cannot definitively identify the cause of symptoms.

Common Causes and Movements
Certain movements, postures, and conditions may increase the likelihood of developing TOS, including:

Repeated overhead motions.
Trauma to the shoulder or neck, including whiplash.
Poor posture, such as slouched positions or positions required to play bowed instruments.
Pregnancy, anatomical variations, bulky muscles (hypertrophy), or bony abnormalities.

Symptoms
Symptoms of TOS vary depending on the type:

Neurogenic TOS: Localized pain in the neck, shoulder, or arm; referred pain to the hand; weakness; or muscle wasting (e.g., atrophy in the Abductor Pollicis Brevis or intrinsic hand muscles).
Vascular TOS: Swelling, cyanosis (bluish discoloration), and diminished or absent pulse in the affected limb.

Diagnostic Approach
Diagnosing TOS is complex. We will start with a comprehensive history of symptoms and then conduct a couple of provocative tests.
Other diagnostic tools include getting an; X-ray, MRI, CT scan, ultrasound or angiogram.

Management Options
Management of TOS operative or non-operative.

Non-operative:
Our treatment for neurogenic TOS includes; massage and myofascial release, trigger point release and strengthening exercises. Correcting posture, by delving into what you do and how you do it is an important step in managing symptoms. Employing relaxation techniques may also help alleviate symptoms. This treatment may last longer than a few months.
Operative:
Surgical intervention is generally reserved for vascular TOS or cases where conservative treatment has failed. Post-operative rehabilitation follows a similar protocol to non-operative management.

Your treatment plan will be customised to target your symptoms and address your needs specifically. Please book an appointment to see one of our skilled hand & upper limb Physiotherapy or Occupational Therapy team www.ahhot.com.au

]]><![CDATA[Shoulder replacement surgery: how can I prepare?]]>Mon, 02 Dec 2024 22:22:53 GMThttps://www.ahhot.com.au/blog/shoulder-replacement-surgery-how-can-i-prepareUndergoing shoulder replacement surgery can feel overwhelming. Whether prompted by severe arthritis, chronic shoulder pain, or an injury, deciding on this major procedure is a significant step. Among the most critical yet often underappreciated aspects of this process is the role of physiotherapy or specialist hand & upper limb therapy in preparing for the surgery.

Proper preparation helps ensure that you approach surgery in the best possible condition, while also laying the groundwork for a smoother recovery and better long-term results.

What Is Shoulder Replacement Surgery?Shoulder replacement surgery, or shoulder arthroplasty, involves replacing damaged components of the shoulder joint with artificial parts. This procedure is commonly recommended for individuals experiencing severe osteoarthritis, rotator cuff injuries, or complex fractures. Its primary goals are to reduce pain, restore mobility, and improve overall quality of life and function.

However, surgery itself is just one part of the solution. Physiotherapy/ Upper Limb Therapy, both before and after the procedure, is essential for achieving the best outcomes. We devise a carefully tailored treatment plan to significantly enhance the speed and success of recovery, making it a cornerstone of the process.

Why Preparation MattersPreparing for shoulder replacement surgery involves more than just selecting a surgery date. Physical preparation is key to strengthening the muscles surrounding the shoulder, improving movement, and boosting overall fitness levels. These steps can make recovery smoother, minimize post-operative complications, and reduce the overall rehabilitation time.

Here are the essential elements of preparation:

Overall health and conditioning Working on your general health and fitness pre-op will assist your outcome. We can guide you to help build cardiovascular fitness.
Range of Motion Exercises Maintaining or improving shoulder mobility before surgery is important for retaining as much range of motion as possible post op.
Strengthening Exercises Targeted strengthening to the muscles which stabilise the shoulder joint and contribute to smooth and pain-free shoulder movement is key.

Our Physio and Occupational Therapists can guide you to help achieve this. Our team specialise in the treatment of elbow shoulder and hand conditions, and are dedicating to providing excellence in upper limb rehabilitation.

]]><![CDATA[Shoulder bursitis: Physio and OT treatment]]>Mon, 02 Dec 2024 07:03:29 GMThttps://www.ahhot.com.au/blog/shoulder-bursitis-physio-and-ot-treatment

Shoulder bursitis, the inflammation of the bursa (fluid-filled sacs that reduce friction between tissues), can significantly impact daily life. This condition often causes pain, swelling, and restricted movement, making it challenging to perform routine tasks. Fortunately, at AHHOT we offer a combination of occupational therapy (OT) and physiotherapy (PT) providing a holistic approach to managing and overcoming shoulder bursitis.

What is Shoulder Bursitis?The shoulder joint requires precise coordination between bones, muscles, and tendons to function smooth and painlessly.
Bursitis occurs when the bursa (a fluid sack in the joint) becomes irritated due to overuse, repetitive motions, poor posture, or injury.

Common symptoms include:

Pain, especially when moving the arm, and in bed at night
Swelling and tenderness around the shoulder joint
Stiffness & weakness in the shoulder and arm

Addressing this condition requires more than rest and pain relief; targeted therapy ensures a sustainable recovery and prevents future complications.

The Role of OT and Physiotherapy in Shoulder Bursitis Treatment
Our treatment focuses on restoring movement, strength, and function through targeted interventions. Your therapist will tailor a plan to address the underlying causes and symptoms of shoulder bursitis.

Pain Relief and Inflammation Management
Modalities like ultrasound, heat packs, or cold therapy can alleviate pain and reduce swelling.
Range of Motion (ROM) Exercises
Stretching and mobilisation techniques restore shoulder movement and prevent stiffness.
Strengthening Exercises
Gradual strengthening of the rotator cuff muscles and surrounding areas improves joint stability and prevents further injury.
Manual Therapy
Hands-on techniques, such as joint mobilisation and soft tissue release, reduce tension and improve joint mechanics.
Movement Retraining
Targeted treatment help retrain movements to correct faulty patterns that may have contributed to bursitis, promoting long-term health.
Task Modification
Therapists assess how shoulder pain limits your ability to perform everyday activities, like dressing, cooking, or writing. They suggest adaptive tools and techniques to minimise strain on the shoulder.
Postural Education
Poor posture is a common contributor to bursitis. We guide clients in maintaining ergonomic alignment during tasks to reduce stress on the shoulder joint.
Energy Conservation Techniques
By teaching pacing strategies and efficient movement patterns, our therapists help clients reduce unnecessary strain during repetitive or strenuous tasks.
Home and Workplace Adaptations
Changes in your environment, such as adjustable workstations or ergonomic tools, can minimise pain triggers and support your recovery.

Self-Management Tips for Shoulder Bursitis
In addition to professional therapy, integrating these practices into your routine can support recovery:

Stretch Daily: Incorporate gentle stretches to maintain mobility.
Warm up before use
Use Cold or Heat Packs: Apply as needed to manage pain and swelling.
Avoid Overuse: Rest your shoulder, and avoid repetitive or strenuous activities during flare-ups.
Maintain Proper Posture: Be mindful of your shoulder alignment, especially during desk work or lifting.

Shoulder bursitis doesn’t have to limit your quality of life. A combination of occupational therapy, physiotherapy, and self-care practices can help you recover and return to your daily activities with confidence. Consult with our therapy team to start your personalised treatment plan and take the first step toward pain-free living.

]]><![CDATA[Prevent upper limb osteoporotic fractures]]>Tue, 17 Sep 2024 12:21:13 GMThttps://www.ahhot.com.au/blog/prevent-upper-limb-osteoporotic-fractures
Osteoporotic fractures, particularly in aging populations, pose a significant public health challenge. With research projecting the incidence of osteoporotic fractures expected to increase by 25% over the next decade.
Physical exercise has been proven to reduce the risk of low-trauma, major osteoporotic fractures—without adverse effects.
Recent research, including systematic reviews and meta-analyses, provides strong evidence that exercise reduces fractures by approximately 23%, particularly in older adults.

The benefits of a targeted upper limb program includes;

Fracture Prevention: Exercises tailored to reduce low-trauma arm and wrist fractures in those with osteoporosis.
Personalised Intensity Progression: Adaptable to each client's capacity, applying the overload principle to ensure continuous bone adaptation.
Comprehensive Protocols: Designed to focus on both bone strengthening and fall prevention, addressing two key areas of fracture risk.

We offer safe, targeted, personalised strengthening programs which are simple to replicate at home. One on one sessions with our fully qualified staff.
With the ultimate aim of preserving the independence and quality of life of older members in our community.

]]><![CDATA[How Hand Therapists treat Focal Dystonia]]>Wed, 11 Sep 2024 06:59:23 GMThttps://www.ahhot.com.au/blog/how-hand-therapists-treat-focal-dystonia
Focal dystonia is a neurological condition that causes involuntary muscle contractions in a specific area of the body. When it affects the hands, it can significantly impact the fine motor skills needed for activities like writing, playing an instrument, or even everyday tasks like typing or cooking. Hand therapists play a crucial role in helping individuals with focal dystonia regain function and manage symptoms.

What is Focal Dystonia?
Focal dystonia is often referred to as "task-specific dystonia," meaning it usually occurs when performing certain tasks. For example, a pianist may experience cramping or uncontrollable movements in their hand only when playing the piano, while a writer might struggle when holding a pen. The exact cause isn’t fully understood, but it’s believed to involve abnormal communication between the brain and the muscles, leading to misfiring of motor signals.

Types of focal dystonia that affect the hand include:

Musician’s Dystonia: Common in musicians, this affects the muscles used for playing specific instruments.
Writer’s Cramp: Affects people who write frequently, leading to cramps and spasms when holding a pen or pencil.

How Hand Therapists Help Treat Focal Dystonia
Hand therapists, who specialize in treating conditions affecting the hand and upper extremities, use a combination of techniques to manage focal dystonia. While there’s no cure, therapy focuses on retraining the muscles, improving coordination, and reducing discomfort.
Here’s a look at the approaches hand therapists use:

1. Sensory Retraining
One of the primary issues with focal dystonia is the miscommunication between the brain and the affected muscles. Sensory retraining involves exercises that help to “reset” or retrain this communication pathway.

Tactile Stimulation: This involves stimulating different areas of the hand with textures or light touch to increase sensory awareness.
Proprioception Training: Therapists may guide the patient through movements without using vision to help reconnect the brain’s sense of the hand’s position in space.
Mirror Therapy: The patient performs movements with the unaffected hand while watching it in a mirror, which tricks the brain into thinking the affected hand is moving properly.

2. Task-Specific Training
Since focal dystonia is often task-specific, a major part of treatment involves relearning the affected task in a controlled, step-by-step process.

Breaking Down the Movement: A therapist may break down the problematic movement into smaller, manageable steps. For example, if writing triggers dystonia, they may start by practicing holding a pen correctly before progressing to more complex movements.
Graded Motor Imagery: This technique involves mentally practicing the task without physically performing it. Visualization helps the brain reestablish proper motor patterns before attempting the movement again.
Constraint-Induced Movement Therapy: In some cases, therapists will restrict the use of the unaffected hand to encourage the use of the affected hand and gradually retrain the muscles.

3. Strengthening and Stretching Exercises
Muscle imbalance is common in focal dystonia, and hand therapists often prescribe specific exercises to strengthen weak muscles and stretch overactive ones. These exercises help improve overall hand coordination and prevent further complications like muscle stiffness or atrophy.

Strengthening Exercises: Therapists may use small hand weights, therapy putty, or resistance bands to help build strength in weaker muscles.
Stretching: Gentle stretches target overactive or tight muscles, helping reduce cramping and spasms. This can be done with the assistance of a therapist or through self-guided exercises at home.

4. Splinting and Adaptive Devices
For some patients, the use of splints or other adaptive devices can help temporarily alleviate symptoms.

Splints: A hand therapist may create custom splints that help keep the fingers and hand in a more functional position, especially during tasks that trigger dystonia.
Adaptive Tools: For activities like writing, therapists might recommend tools like specially designed grips that make it easier to hold a pen or utensil without triggering symptoms.

5. Biofeedback and Neuromodulation
Biofeedback is a technique that helps individuals become more aware of their muscle movements and control.

Biofeedback Devices: These devices measure muscle activity, providing real-time feedback to the patient and therapist. The patient learns to control and adjust muscle contractions during specific tasks, which can be incredibly helpful for relearning proper motor patterns.
Neuromodulation: In some cases, therapists might work alongside neurologists to incorporate neuromodulation techniques like electrical stimulation to alter abnormal muscle activity.

6. Behavioral and Lifestyle Modifications
Focal dystonia can be triggered by overuse, stress, or fatigue. A hand therapist may provide guidance on how to modify daily habits and routines to minimize these factors.

Ergonomic Adjustments: Simple changes, like adjusting the height of a desk or the positioning of a musical instrument, can help reduce strain on the hand muscles.
Activity Modification: Therapists often recommend taking frequent breaks during repetitive tasks to prevent overuse and give muscles time to rest and recover.

Conclusion
While focal dystonia can be challenging to manage, hand therapists offer a range of treatments that help patients improve muscle control, reduce symptoms, and regain function. By focusing on sensory retraining, task-specific training, strengthening exercises, and behavioral adjustments, hand therapists can help individuals lead more comfortable and productive lives despite this condition. If you or someone you know is experiencing focal dystonia, reaching out to a hand therapist can be a crucial step toward recovery.

]]><![CDATA[Mallet Finger: Causes, Symptoms, and Treatment Options]]>Wed, 11 Sep 2024 06:41:03 GMThttps://www.ahhot.com.au/blog/understanding-mallet-finger-causes-symtoms-and-treatment-options
Mallet finger is a common injury that affects the finger’s extensor tendon—the one responsible for straightening the fingertip. This injury usually happens when the fingertip is suddenly jammed or bent forcefully, like when a ball hits an outstretched finger. It's also known as "baseball finger" because it often occurs during sports, but it can happen in other everyday activities as well.

What is Mallet Finger?
Mallet finger occurs when the tendon that straightens the tip of the finger (called the extensor tendon) is torn or stretched. In some cases, a small piece of bone is pulled away with the tendon. This results in the fingertip being unable to straighten on its own.

Causes of Mallet Finger
Mallet finger is caused by direct trauma to the tip of the finger, forcing it to bend more than it should. This can result from trauma (e.g. a ball banging onto the tip of the finger), or in simple daily tasks (e.g. pushing sheets under mattress or pulling on socks).

Symptoms of Mallet Finger
The key symptoms include:

The fingertip droops and cannot be straightened.
Swelling near where your finger nail grows.
In some cases, bruising may occur.
The finger may feel tender when touched.

Treatment Options:

1. Non-Operative Treatment
Non-surgical treatment is often the first step in managing a mallet finger injury, especially if the tendon is torn without a significant fracture.
Splinting

The most common non-operative treatment is wearing a splint. This holds the fingertip straight (in extension) to allow the torn tendon to heal. Custom made splints are more comfortable and effective.
Duration: The splint is usually worn full-time for about 6-8 weeks. It's essential not to remove the splint, as even a slight bend can re-injure the tendon.
After 6-8 weeks, the splint is gradually worn less, but continued part-time use (for example, at night) is often recommended for an additional few weeks.
Pros: This method has a high success rate, especially for simple mallet finger injuries. It avoids surgery and complications.
Cons: It requires strict compliance. The splint needs to stay in place, even during bathing or other activities, to ensure healing.

What to Expect: Swelling and tenderness may gradually improve with time. Although the finger may not look exactly the same as before, most people regain normal function.

2. Operative Treatment
Surgical intervention is considered if:

There is a large fracture that involves a portion of the bone where the tendon attaches.
Non-surgical treatment fails to correct the finger after the splinting process.
There is an open wound or the joint is misaligned.

Surgical Procedures There are several techniques used, depending on the injury's severity:

Pinning the Joint (K-wire): This involves placing a small pin to keep the joint straight while the tendon or bone heals.
Tendon Repair: In cases where the tendon is severely damaged, the surgeon may stitch the tendon to the bone.
Bone Fragment Fixation: If a bone fragment has been pulled off, the surgeon may reattach it with tiny screws or wires.
Pros: Surgery can fix more severe injuries, particularly those that involve fractures or tendon ruptures.
Cons: There are risks associated with surgery, such as infection, stiffness, or complications with the pin or wire.

Recovery and Rehabilitation

Non-operative Recovery: After wearing the splint, some stiffness is normal, but hand therapy or exercises may be recommended to regain motion.
Operative Recovery: Depending on the procedure, hand therapy may be necessary to restore movement and strength. Recovery time may be longer than non-operative treatment, depending on the injury's complexity.

Conclusion
Mallet finger, is a reasonably common finger tip injury which can usually be treated successfully with non-operative methods like splinting. However, for more severe cases, surgery may be necessary to restore function. If you suspect a mallet finger injury, seek prompt medical attention to ensure the best outcome, whether through splinting or surgery.

]]><![CDATA[Hand OA update - AHTA conference learnings]]>Tue, 10 Sep 2024 14:11:26 GMThttps://www.ahhot.com.au/blog/finger-oa-osteoarthritis
Following on from our Hand Therapist Jo Marsh's attendance at the recent Australian Hand Therapy Conference (August 2024); we have been contemplating how our new learnings might impact upon our management of hand osteoarthritis with our clients. Our team has come together and are considering the following and discussing how these concepts might alter the way we help our clients deal with the symptoms of their hand and upper limb OA.

We understand that there are currently no disease modifying drugs for osteoarthritis. Several drugs, which are designed to help other conditions (such as Rheumatoid or inflammatory Arthritis's) may have a beneficial impact, however none are designed specifically for osteoarthritis. There is currently no evidence to support complimentary medications for OA.
We understand that possibly a subterranean diet (low inflammatory) may help to manage symptoms of OA.
We also understand that if a person does not have symptoms of OA before the age of 55 years, they are unlikely to develop osteoarthritis at all.
Pain in hand OA is now thought to have a central sensitisation component. This is also a new concept to our therapists, although it makes total sense. Why do we see two clients with the same looking scans, however two totally different pain experiences? This concept will inform the way we discuss with and guide our client in managing symptoms.
An option for the treatment of hand osteoarthritis, which we at our clinic have not implemented in the past, is resistance training for hand osteoarthritis. Trials are underway to assess the impact. Early feasibility trials seem to support resistance training in this group. Following careful consideration- this useful new knowledge is challenging and changing the way we prescribe exercises, and we are changing our practice.

As always, attending our national AHTA (Australian Hand Therapy Association) conference provides our staff with the latest research and innervation in hand therapy. We are excited to share with our community the learnings and look forward to helping our clients as best we possibly can!
]]><![CDATA[Pain at the base of your thumb? You are not alone]]>Tue, 10 Sep 2024 13:52:45 GMThttps://www.ahhot.com.au/blog/pain-at-the-base-of-your-thumb-you-are-not-aloneIf you’re experiencing pain at the base of your thumb, you are not alone: Osteoarthritis (OA) at the base of the thumb affects 1 in 3 women and 1 in 4 men.

What is Osteoarthritis?
Osteoarthritis is a common condition that often begins in middle age and affects various joints in the hand. The base of the thumb, is the most frequently impacted.
OA develops when the cartilage protecting the joint wears down. This can lead to:

Bony Growths: Small growth forming around the joint.
Joint Compression: The joint surfaces move closer together.
Lax Ligaments: Supportive ligaments become loose.
Joint Instability: The joint becomes unstable, making movement painful and functional use unreliable.

How Hand Therapy Can Help
Hand Therapy can be effective in managing osteoarthritis pain and improving joint function:

Acute Pain Relief: Splinting can provide immediate relief of pain.
Long-Term Stability: Targeted stretching and strengthening exercises can help stabilise the joint. We know through cavaderic studies which muscles stabilise (n 4) and which muscles destabilise (n 2) the base of the thumb. Our program is graded, and works to stabilise the thumb for function.
Education, small aides and equipment: Learn how to use your hands in daily activities to prevent aggravation. Our Occupational Therapists can guide you through the myriad of options of aides and equipment which can help you decide what you might need to help managing with less pain in your daily tasks.

If you're dealing with thumb base pain, don't hesitate to seek our professional help. Proper treatment can make a significant difference in managing your symptoms and improving your quality of life. 8339 4263

]]><![CDATA[Understanding Nerve Compression in the Arm: Causes, Symptoms, and Solutions]]>Tue, 10 Sep 2024 13:26:21 GMThttps://www.ahhot.com.au/blog/understanding-nerve-compression-in-the-arm-causes-symptoms-and-solutions
Our fascination with nerves is well-justified given their complexity and the multitude of ways they can become compressed. In the arm alone, there are three main nerves and over 30 potential sites where these nerves can experience compression.

What is Nerve Compression?
Nerve compression occurs when one or more nerves are pressed or squeezed by surrounding soft tissues or bones. In the upper limb, this can happen anywhere along the nerve’s pathway—from the neck and shoulder to the arm, elbow, forearm, wrist, or hand. Compression can occur at multiple points along this path, making it a complex issue to address.

Symptoms of Nerve Compression
When a nerve is compressed, you might experience various symptoms, including:

Pins and Needles: This sensation often occurs at night or during specific activities or postures.
Loss of Strength or Dexterity: You might find it difficult to hold or manipulate objects, or you may drop things more frequently.
Changes in Finger Tips: They may lose their typical shape or produce less sweat, making gripping challenging.
Color Changes and Discomfort: Some people notice their hand’s color changing or experience a burning or heavy sensation.

Causes of Nerve Compression
Several factors can lead to nerve compression, such as:

Posture: Poor sleeping or resting positions can contribute.
Repetitive Movements: Holding your arm or hand in one position for extended periods or performing repetitive tasks can cause compression.
External Pressure: Pressure from tools or even jewelry can compress nerves.
Anatomical Factors: Sometimes, nerve compression is related to how your body is structured or moves.

How We Can Help
Hand Therapists play a crucial role in diagnosing and managing nerve compression. Here’s how we assist:

Assessment: We evaluate where the compression might be occurring, often using diagnostic tools like ultrasound or nerve conduction studies for confirmation.
Diagnosis: By analyzing your body mechanics and daily activities, we can pinpoint the likely causes of compression.
Treatment: We provide advice, exercises, and sometimes recommend supportive splints for daytime or nighttime use to alleviate symptoms.
Specialist Referral: When necessary, we can guide you to other specialists to ensure comprehensive and timely care.

If you're experiencing symptoms of nerve compression, we can help. Early intervention can make a significant difference in managing and resolving the issue. Call us today to make an appointment 8339 4263.

]]><![CDATA[Our telehealth history helps shape the present]]>Sat, 28 Mar 2020 18:56:53 GMThttps://www.ahhot.com.au/blog/our-telehealth-history

Providing creative ways of treating our clients is not new at AHHOT. This is because our business has successfully grown by responding innovatively to change and challenge.
Now, more than ever, we are using our creative & problem solving Occupational Therapy brains, to overcome the difficulties the Corona virus has thrown at us in providing a hands on service.
Obviously we need to see clients to custom make splints, measure for pressure garments and closely check wounds. However at AHHOT our method of service delivery is through educating a client about what is causing their concern and guiding them through the process of how they can get better. We don't provide repeated passive treatment sessions, because we don't believe this helps our clients get better faster.
Much of how we assess, educate and treat can be done online. And at the moment much of what we do MUST be done online. As health professionals it is our responsibility to advocate for health in our community. And even though the Federal Government currently assesses our services as 'essential' and encourages us to stay open- it is important that we play our part in stopping the spread.

]]><![CDATA[Wrist ganglion]]>Tue, 21 Jan 2020 22:29:34 GMThttps://www.ahhot.com.au/blog/wrist-ganglion

Before I was a hand therapist I made my first every splint, on myself!
I had a wrist ganglion and was intent on practicing on myself before I applied for my first hand therapy position.
Here is some information we are commonly asked about in our clinics.
And if you are interested- my ganglion story following.

What is a ganglion?
Ganglion cyst is a non harmful fluid filled lump which often occurs on the back (dorsum) of the wrist. Less commonly they are found next to the radial artery on the front (volar aspect) of the wrist. And they can also occur at other parts of the body.
The ganglion cyst fluid has most commonly leaked from a nearby joint. Less commonly ganglions arise from a joint some distance from the ganglion. And in rare instances ganglions have been reported within a nerve.

What does a ganglion feel and look like?
A ganglion may result in wrist pain. The ganglion itself is not painful, however it can push on surrounding soft tissues such as nerves, tendons or other joints. Although ganglions at the wrist are a common cause of wrist pain, they are not the only cause of wrist pain.
And most ganglions do not cause any pain at all!
A lot of people have a ganglion in their wrist and never see or feel it.
If you do see a ganglion, is usually looks like a small round or oval lump or ball on the surface of the wrist. The ball may be firm or soft to touch.

What can I do to help fix my ganglion?
Hand Therapy for ganglion management involves resting the wrist in the best position to avoid the ganglion getting better. We usually use a custom made thermoplastic splint for this. The splint is usually worn over night when you are asleep, splints may also be used during heavier or work tasks or for symptomatic relief. An experienced hand therapist may provide exercises specially designed to stabilise the ligaments of the wrist. And also treat associated nerve or tendon issues. In some instances a ganglion will reduce in size with this treatment, however this can take time. And in some instances surgery is recommended.

Surgery for wrist ganglions
Surgery to remove the ganglion can be very successful. The surgery may be relatively simple if the ganglion has a short root and is not farm from the joint that it comes from. However if the root is long and / or the joint is deep, then surgery can become more involved. Your surgeon will likely discuss this with you.
It is often recommended to rest your wrist in a splint for 2-4 weeks after the surgery. And a hand therapist can help with targeted strengthening and graded functional use programs which address the needs according to your specific ganglion and needs.

Hand Therapist's ganglion
I suspect my wrist ganglion resulted from a wrist injury sustained at netball several years earlier. My ganglion grew and grew until it sat 2 cm out of the back of my hand! I didn't experience any wrist pain. However the ganglion got in the way when pushing myself up from a chair or doing push ups. Resting it unfortunately didn't work, so I had surgery with a now retired Adelaide Plastic Surgeon. I rested my wrist in the splint I had made myself for 2 weeks and then gradually started moving it. What I didn't do was manage my scar correctly. And I often show this to my clients as an example of why they need to manage their scars according to hand therapist recommendations!

]]><![CDATA[How to treat wrist RSI]]>Tue, 07 May 2019 04:13:55 GMThttps://www.ahhot.com.au/blog/may-07th-2019

Repetitive Strain Injury (RSI) at the wrist is common and can involve nagging and ongoing pain.
Treating RSI is often not a simple fix, it involves a multifaceted approach. Passive treatment techniques, such as; massage, ultrasound, dry needling, alone rarely get quick results or prevent symptoms from returning.
Gaining a good understanding of the problem and cause, is valuable, and often essential, to getting back to doing the things you love quicker and for longer.

To help you manage your wrist RSI try the following;
Rest
Resting the involved area will help prevent overuse and the likely cause of pain. This may involve stopping what you are doing, or slowing down the speed at which you conduct a task. A hand therapist can help to provide you with an orthosis (or splint) which can help to rest your wrist, fingers or thumb- whist still being able to carryout the work / play activities you enjoy.
Apply cold
Applying cold immediately after an agitating activity can help to alleviate swelling and pain. Running the area under a cold tap for 5mintues, or applying ice (covered by a towel to avoid direct skin contact) are ways to apply cold. Keep in mind that cold is best used AFTER activity, not during or before.
Stretch
Stretching out the sore area before, during and after a task which causes agitation can help. Start by stretching gently, until the amount of stretch would equal a 2/10 feeling of discomfort. Gentle stretch is far more advantageous than forceful stretching, particularly early on and when there is reasonable to significant pain.
Stretch can be applied along with heat, stretch with heat will help to lengthen the involved parts. Applying gentle stretch with the palm of your hand is a great way to achieve combination of warmth and stretch.
Strengthen
Graded strengthening; working from gentle isometric up to targeted concentric exercises will help load the involved tendon and muscle structures whilst you are healing. Strengthening during the rest phase is a balancing act- you can trust us to help you get the balance right. Early and appropriate strengthening will help you return to work and daily tasks faster.
Massage
The key to massage when the symptoms are acute (new and most painful), is to massage the area gently yet firmly. The idea of gentle and firm don't seem to go together, but try this;
- start by applying a gentle constant pressure over the sore area,
- after a minute or so you may try pressing a little firmer on the area,
- and then after another minute or so start slowly yet firmly over the area. The warmth and pressure and movement will help the body to recover.
Using a roller or rolling a spiky or tennis ball over the area might help once the symptoms settle and the pain has decreased.
Activity Modification
Of vital importance is knowing how your body works and how your body reacts to certain tasks and positions. This understanding will help you to keep doing the things you love. Our Hand Therapist will take the time to listen to how you use your body and recommend alternative methods or equipment to help during your recovery from wrist RSI.

For more see our blog on , How to prevent RSI, Prune in June pay for it in July . Preventing musician RSI , Gamer's thumb.

]]><![CDATA[What is RSI- repetitive strain injury]]>Thu, 04 Apr 2019 10:34:58 GMThttps://www.ahhot.com.au/blog/what-is-rsi-repetitive-strain-injury

RSI or repetitive strain injury is the name given to a number of injuries which can occur with repetitive use of a body part.
Most moving parts of the body can get RSI. Hand therapists most often treat wrist RSI.

Symptoms of RSI
The symptoms of RSI are varied and multiple.
Symptoms may be specific to the part of the body or the structure at that part which is involved. For example overloading of a tendon will result in different symptoms to a nerve which may be pressed on by firm and overworked muscles.
Some symptoms include:

sore muscle or painful joint in the affected area
burning or heavy feeling of the involved part
pins and needles, numbness or tingling at the area or further down the arm or leg
change in feeling in the hand or foot
decreased strength
sometimes swelling or throbbing

Causes of RSI
The primary cause of RSI is repetitive use or overloading of a body part over a prolonged period of time. Other causes can include;

exposure to vibrating tools e.g. vibrating power tools, older machinery
prolonged positioning of body parts e.g. holding onto something for a long period of time like a knife hand holding a knife all shift
poor posture or awkward positioning during tasks, may include stooping, or reaching
repetitive use of force during tasks e.g. hammering, gripping
holding the same posture for prolonged periods e.g. driving long distances, working at computer
direct pressure to particular area e.g. hitting heel of hand on a tool, holding onto a tool or handle
dealing with heavy loads or forces involving push, pulling, lifting, carrying
stress has been shown to increase the symptoms of RSI

Hand Therapists can help manage RSI of the wrist, thumb, elbow or shoulder.
See other blogs for some information about different types of RSI.
Nerve compression, Biceps tendonitis and how to prevent it, Prune in June and pay for it in July, Do I have carpal tunnel syndrome, What is carpal tunnel syndrome,
How to prevent musicians RSI, Gamer's thumb, Golfer's elbow, Manual workers with carpal tunnel syndrome, Tennis elbow- does a strap help?

]]><![CDATA[How to prevent RSI]]>Wed, 20 Mar 2019 23:09:35 GMThttps://www.ahhot.com.au/blog/how-to-prevent-rsi

RSI or repetitive strain injury, as the name suggests, usually results from cumulative trauma over time, as a result of repetitive movements/loads or demands. This is often work related, or related to a recent change in the way the body is required to move during specific tasks.
Preventing RSI from developing or getting worse can be difficult if the cause is work related, or due to an activity which is required (e.g breast feeding).

The main way to decrease the risk of getting RSI or making a niggling repetitive strain injury worse is to identify the risky cause or movement and stop or change the way the activity is being done.

Often the activity can not be stopped, or the intensity can not be changed (common for self-employed manual workers).
In these cases, there are still things that can be done to minimise the risk of developing RSI, these include;

Take regular rest breaks
Including regular breaks during repetitive tasks can help. Try setting an alarm to help remind yourself to stop and take a break.
Down tools or change position
Putting down tools or getting up from the desk/chair and standing up or walking around for a few minutes will decrease or change the load, and get the muscles and tendons moving in different ways.
Stretch and warm up
Stretching and warming up the main muscle groups which are working hard during repetitive tasks is key to helping prevent RSI. Start by stretching and warming up before carrying out tasks; stretch the muscles which will be used a lot and applying warmth with the palm of your hand will ready your body for work. It is important to stretch during the activity/work day, taking time for micro pauses to stretch is a great way to prevent injury and RSI. And stretchering at the end of the work day or specific demanding task will also help to prevent the muscles from cooling down quickly and possibly being injured.
Stretch the elbows our straight, stretch the wrist in each direction, extend your back, move head side to side- your hand therapist will be able to advise depending upon the repetitive tasks you do.
Take care of your whole self
Taking care of your general overall health is useful in preventing RSI. This includes drinking plenty of water, eating well and making sure you get regular exercise and avoid habits which are known to cause disease such as smoking cigarettes.

Keep you eye on our blog box for our series about RSI, and wrist RSI.
And see our other blogs; manual workers, musicians, gamer's thumb, golfers elbow , golfers elbow, does a tennis elbow strap help?
And you-tube clip for breast feeding mothers.

]]><![CDATA[Congratulations! Adelaide Hills Hand Therapist successfully completes the CHT recertification credentials]]>Sat, 02 Mar 2019 00:21:15 GMThttps://www.ahhot.com.au/blog/congratulations-adelaide-hills-hand-therapist-successfully-completes-the-cht-recertification-credentials

Congratulations are in order!
Our Hand Therapist, Jo Marsh, has successfully completed the recertification process as a Certified Hand Therapist (CHT).
Five years after being titled a Certified Hand Therapist, and over 200 hours of professional development and contribution to the profession of hand therapy later- Jo has re-certified.
The hand therapy certification and the recertification process ensures clients that a therapist with the CHT title continues to develop their specialist skills and practice to a high level treating hand, wrist, elbow and shoulder injuries.
When not with clients, Jo's involvement in hand therapy does not stop; "I lecture Masters of OT students in Hand Therapy, informally mentor, I attend conferences & courses about hand therapy as often as I can in Australia and internationally, participate in courses, and present to colleagues findings of my research, read our journal publications and engage with hand therapy and hand surgery colleagues on different platforms".
Jo practices in her own rooms in Stirling, and visits Mount Barker and Rose Park for weekly clinics, 8339 HAND (8339 4263).

]]><![CDATA[NDIS- what Assistive Technology (AT) is..]]>Thu, 22 Nov 2018 04:19:55 GMThttps://www.ahhot.com.au/blog/ndis-what-assistive-technology-at-isAssistive Technology is a device or system that enables a person to perform daily or work tasks that they would otherwise be unable to do. Assistive Technology (or AT) can also be something that makes a task easier or increases safety when performing a task.

Assistive Technology may be something seemingly simple, like a built up pencil grip or non-slip mat. It may also be something more complex like voice recognition to turn on the bedroom lights.

The NDIS has listed categories of assistive technology ranging from basic, through standard, specialised and complex. The category of the item will depend upon how readily available it is, whether it requires modification or customisation, how much the item costs, and whether there is any risk involved in using the AT.

The NDIS fund AT supports when allocation of funding is made in the current NDIS plan. The level of complexity and degree of cost and potential risk of the item, will depend upon how they are accessed. Low risk and low cost items can be purchased without special forms being completed. However most items require assessment by an AT Assessor with relevant experience involving the item being sought / modified.

Our Occupational Therapist is a registered NDIS provider and AT assessor for several items. We are happy to discuss how we might help you access the Assistive Technology that you require through the NDIS, 08 8339 HAND (4263).
]]><![CDATA[Women footballer's fingers at risk]]>Tue, 13 Nov 2018 05:40:53 GMThttps://www.ahhot.com.au/blog/women-footballers-fingers-at-riskIn our clinic this winter we noticed an increased number of women footballers coming in with injured fingers.
Usually these injuries occur from football v tip (sudden hyper extension) or tackling (rotation and hyper extension).
Most common injuries have been volar plate injuries (+/- avulsion fractures). That is, damaging the middle joint (PIPJ) on the palm side of the hand.

A few have arrived late having been buddy taped without success.
Buddy taping a volar plate injury will usually not allow for quick healing and delay return to play.

Volar plate injuries are best treated as a ligament injury (even if there is a bony avulsion fracture). Limiting movement in the direction of the impact, such that the fibers are kept at a shortened position to enable them to heal.
Buddy taping allows ongoing stretch at the damaged structures.
Extending the PIPJ following volar plate injury (+/- avulsion) will continue to pull the damaged ligament apart and not enable healing. In a similar way, if the joint is straightened the bone fragment is pulled away from the remaining bone- and healing will be delayed.
Delayed healing may result in chronic instability and development of swan neck deformities.

We treat volar plate injuries (+/- avulsion) in an extension blocking splint. This allows for full early bending, but limits the risky extended movement. The splint can be gradually straightened as deemed clinically safe to do so.

Footy code (locally) enables play when plastic splint is fully covered with tape- we will usually have a splint for sport and another for the rest of the time.

We are encouraging early referral so we can get them moving within safe limits immediately. Whilst enabling repair and preventing deformity.

]]><![CDATA[Who is an Accredited Hand Therapist?]]>Tue, 25 Sep 2018 07:33:49 GMThttps://www.ahhot.com.au/blog/who-is-an-accredited-hand-therapist

The term Accredited Hand Therapist (AHT) is the name given to a practitioner of Hand Therapy who meets specific criteria listed below;

is a registered Occupational Therapist (OT) or Physiotherapist (Physio) with the professional registration body in Australia (AHPRA, Australian Health Practitioner Regulation Agency).
has undertaken further study & education and gained clinical experience treating hand & upper limb conditions which may result from trauma, disease or deformity.
has met the requirements to be awarded the title of AHT based on a set of assess-able standards of practice and mentorship as set out by the Australian Hand Therapy Association (AHTA).

The AHTA is the professional association in Australia which represents Practitioners of Hand Therapy. The association supports it's members by building upon public awareness of the specialty of Hand Therapy through networking and representation. And provides professional development opportunities through education and courses and mentorship support.

]]><![CDATA[Who is a Certified Hand Therapist?]]>Tue, 25 Sep 2018 07:31:03 GMThttps://www.ahhot.com.au/blog/who-is-a-certified-hand-therapist

A Certified Hand Therapist (CHT) has internally recognised specialist hand & upper limb rehabilitation skills. To be titled as a CHT an individual must;

be a registered Occupational Therapist or Physiotherapist with over 3 years full time experience as an OT or Physio,
have a minimum of 4000 hours of clinical experience in the specialist area of hand therapy,
& has passed a stringent exam assessing detailed knowledge about hand and upper limb rehabilitation,
& continues to demonstrate ongoing competency in as a hand therapist through participating in a high level of professional development every 5 years to enable recertification.

There are almost 6600 CHT's world wide, and over 180 in Australia and New Zealand.
85% of CHT's are Occupational Therapists.
Choosing a CHT means you are choosing a professional who has demonstrated a high level of knowledge about how the hand & upper limb (fingertip to shoulder) usually are, and how injuries and conditions impact upon the upper limb and how it functions.

]]><![CDATA[Understanding base of thumb arthritis]]>Thu, 13 Sep 2018 03:54:08 GMThttps://www.ahhot.com.au/blog/more-about-arthritic-base-of-thumb-pain

Did you know that 1 in 3 to 4 women over the age of 50 will develop osteoarthritis (OA) at the base of their thumb? While this condition is less common in men, the symptoms and causes are the same for both genders.
Osteoarthritis is a degenerative joint condition that typically results in pain, swelling, and reduced mobility at the affected joint. It can arise from previous trauma, repetitive stress, or chemical changes within the joint that alter the surfaces and surrounding tissues over time. A particularly painful form of OA occurs at the base of the thumb, known as thumb osteoarthritis.
What is Thumb Osteoarthritis?The joint at the base of the thumb, located on the thumb side of the wrist, is called the first carpometacarpal joint (CMCJ). This joint is unique because it allows for a wide range of movements, including opposition, which enables the thumb to touch and pinch the fingertips. This ability to oppose the fingers is essential for countless hand functions—from gripping objects to fine motor tasks like writing or sewing.
However, because the CMCJ supports such complex movement, it relies heavily on the soft tissues around it (ligaments, tendons, muscles) for stability. In cases of thumb osteoarthritis, these stabilizing structures become compromised, leading to pain and dysfunction.
How Does OA Affect the CMCJ?Throughout our lives, the first CMCJ endures a great deal of wear and tear. It positions the thumb so that it can participate in almost every activity involving our hands. It also absorbs and distributes pressure from activities like pinching and gripping. Under normal conditions, the soft tissues around the joint stabilize it, allowing it to tolerate the forces applied during these activities.
However, osteoarthritis affects both the bone and the soft tissues. As the joint capsule and ligaments around the CMCJ loosen and deteriorate, the bones can shift out of alignment. This misalignment leads to the development of joint deformities, which are often seen in advanced stages of thumb OA. These deformities result from imbalances in muscle strength, ligament integrity, and the way the bones move during different activities.
How Can Hand Therapy Help?If you are experiencing pain or stiffness in the base of your thumb, hand therapy can help by:

Assessing the Pattern of Deformity: We evaluate how the joint is shifting during use and how it sits at rest.
Restoring Joint Alignment: Through targeted exercises and manual techniques, we work to reposition the joint and restore proper alignment.
Balancing Soft Tissues: By identifying which structures are loose and which are tight, we can bring balance back to the muscles, ligaments, and tendons, helping to stabilize the thumb.

Hand therapists are skilled in using custom splints, exercises, and other therapeutic interventions to relieve pain, improve function, and prevent further joint deterioration.
Get the Most Out of Your Thumb!If you’re suffering from thumb osteoarthritis, there are effective treatments that can help reduce pain and improve function. Contact us today to schedule an assessment and start your journey toward healthier, pain-free thumb movement.
Call us today at 08 8339 HAND (8339 4263). We’re here to help!

]]><![CDATA[Cold intolerance following hand trauma]]>Thu, 30 Aug 2018 01:15:36 GMThttps://www.ahhot.com.au/blog/cold-intolerance-following-hand-traumaFollowing hand injury sensitivity to cold, or cold intolerance is not uncommon. In fact around 40% of those suffering hand trauma will experience cold intolerance (Novak & McCabe, 2015).
Cold intolerance is more than the usual feelings of chill. Symptoms include ache or pain in and around the injured part. The feeling is excessive to what would usually be expected following exposure to the cold. And in some cases can be severe and result in stiffness. Change in colour of the finger or hand to blue, red or whiter can also occur. Symptoms usually persist until or after the hand is warmed.

The exact cause of cold intolerance is unknown. Some research suggests it is more likely following injury to a nerve in the hand (Median or combination Median and Ulnar nerves), +/- damage to a blood vessel. This same research concluded that blunt injury was also more likely to cause issues tolerating the cold (Irwin et al 1997). Other studies have researched cold intolerance following tendon and bone injuries in the hand.

Exposure to cold air is the usual trigger, which makes those living and working in cold environments more susceptible. And most research concludes that those who smoke and injury severity are the main predictors of a poor outcome.

What can I do to stop cold intolerance?
Preventing the fingers / hands getting cold seems to be the only real way of managing cold intolerance. Avoiding exposure to cold air appears to be the best solution for minimising the impact of cold intolerance. And where the temperature can not be controlled using good quality gloves made of natural materials can help. Donning the gloves before leaving the house or car, of before entering the cold environment can help - as warming hands once cold can take time and be painful.
A hand therapist or occupational therapist can provide advice about tool handles / grips and other tricks to minimise exposure and the onset of symptoms. In the first instance- avoid cold and don good quality gloves!
]]><![CDATA[Caution is key: proximal pole of scaphoid fractures]]>Tue, 21 Aug 2018 05:32:03 GMThttps://www.ahhot.com.au/blog/caution-is-key-proximal-pole-of-scaphoid-fractures

The scaphoid is one of the carpal bones of the wrist joint.
Scaphoid fractures usually occur following a fall on the outstretched hand. A fracture can occur at differing locations and differing patterns in the bone including; the tubercle, the waist and the proximal pole.
Healing of the scaphoid following fracture can take longer than other fractures. This is because the blood supply to the bone is easily disrupted following fracture. And even if a fracture is not seen on x-ray, blood flow can be interrupted. Which may result in ongoing pain and discomfort particularly in forceful gripping tasks.
Management of scaphoid fractures requires close and repeated radiographical assessment. And immobilisation in a custom-made cast is required to keep the bones well supported and still such that they can heal.

Proximal pole scaphoid fractures
Proximal pole fractures account for 10-20% of scaphoid fractures. If left untreated they have a high rate of non-union, that is not healing. Without healing, the blood flow to the bone can be compromised, which results in death or necrosis of the bone. This will almost certainly lead to a painful wrist and over time a change in the way the wrist bones and ligaments work together- and ultimately osteoarthritic changes.
Proximal pole fractures are not always seen on x-ray. Therefore, if we have a reasonable degree of suspicion of proximal pole fracture we will always refer back to the treating GP for further radiographical examination.

Non-operative management of proximal pole of the scaphoid fractures is unlikely going to be successful- hence we always recommend early referral to a Plastic or Orthopaedic surgeon who is experienced in carpal bone surgery. Surgery usually involves the insertion of a screw to stabilise the fracture and often a k-wire- which will be removed within the first couple of months following surgery. Immobilisation in a custom-made thermoplastic splint is required for several weeks. Managing swelling, scar formation and splint position is the role of the hand therapist. We have tricks to help maintain strength in the hand whilst it is resting in the splint. And as the bone is healed help you regain strength and function once the bone is well healed.

The take home message here is: if you are diagnosed with a proximal pole of the scaphoid fracture- it is best to seek early surgical opinion.

]]><![CDATA[How to minimise the size & impact of your scar]]>Wed, 08 Aug 2018 14:30:00 GMThttps://www.ahhot.com.au/blog/how-to-minimise-the-size-impact-of-your-scar

Scaring from traumatic injury can pose a reminder of unwanted memories. Research suggests scars on the hand & arm are particularly difficult for people to accept, as they can be repeatedly seen throughout the day by the person who suffered them. Reminders of injury and altered appearance can result in negative emotions that limit people to achieve their best. Minimising the appearance and impact of scars is an important role of therapists and surgeons who in the field of burns, plastics & reconstruction.

Therapists employ non-operative techniques which help decrease the size and appearance of scars as they change over time. Discomfort, itchiness and decreased joint movement can also be improved with the right approach at the right time.
Some techniques burns & plastics therapist employ to manage scars include;

Hydrate & mobilise the scar
Frequent application of an oily cream to the scar via firm massage can help minimise the scar height, thickness and itchiness. Scar massage and hydration is required at regular intervals to optimise outcomes. Scar massage helps maintain pliability and movement of the scar around joints or underlying tissues.

Contact media
Silicon contact media can also help to hydrate the scar, which can result in a flatter, smoother and paler coloured scar. It is believed that applying appropriate silicon products to the scar for a prescribed time frame, can decrease evaporation of moisture through the scar, which in turn may slow down the production of scar within the scar bed.

Apply compression
Some scars can become raised or thickened over time, specifically deeper scars and burns. The application of pressure over the scar in the form of a compression garment can help to flatten a scar as it changes over time. Compression is especially required for hypertrophic, keloid and full thickness burns scars.

Splinting & exercise
Most scars will contract, that is get smaller, over time. This can also result in skin contractures, which can limit movement and function. Splinting and exercises can be used to maintain joint range of movement. Preventing skin contracture due to scarring early is far better than trying to fix the problem once it has occurred.

Therapists work closely with Plastic & Reconstructive Surgeons to obtain optimal outcomes for clients. Surgeons employ other techniques to help minimise the appearance and impact of scars, these include injecting corticosteroid into the scar and various operative techniques. Along with sustaining a deep scar can come a emotional and psychological hurt- talking this through with the right professional can help to overcome the trauma. And working together with a hand therapist to help manage the appearance of scars can have a positive impact on outcomes all round!

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