Specialized Treatment

Hand Pain Relief
in London

Expert clinicians providing evidence-based treatments
for arthritis, carpal tunnel syndrome, trigger finger, and all forms of hand discomfort.

Hand Specialists

Expert hand pain practitioners

Root Cause Analysis

Targeted, effective solutions

Holistic Approach

Long-term pain relief

Hand Pain Assessment in London

Expert Hand Pain Treatment in London

Comprehensive care for all types of hand pain

At Holistic Healthcare Clinics, our multidisciplinary team specializes in the diagnosis and treatment of all forms of hand pain, from acute injuries to chronic conditions. We understand how limiting hand pain can be, affecting your work, daily activities, and overall quality of life.

Our approach combines evidence-based treatments including physiotherapy, osteopathy, massage therapy, acupuncture, and rehabilitation exercises to create a personalized recovery program that addresses your specific condition and lifestyle needs. We don't just mask symptoms – we identify and treat the underlying causes of your hand pain for long-term relief.

Common Hand Pain Issues

Understanding the various types and causes of hand pain

Carpal Tunnel Syndrome

Compression of the median nerve as it passes through the wrist, causing numbness, tingling, weakness, and pain in the hand and fingers, often worse at night.

Trigger Finger

A condition where a finger gets stuck in a bent position and then straightens with a snap, like a trigger being pulled and released, caused by inflammation of the tendon sheath.

Hand Arthritis

Inflammation and degeneration in the joints of the hand, causing pain, stiffness, and reduced range of motion, commonly affecting the base of the thumb and finger joints.

De Quervain's Tenosynovitis

Inflammation of the tendons on the thumb side of the wrist causing pain with movements like gripping, grasping, or turning the wrist, often related to repetitive activities.

Ganglion Cysts

Fluid-filled lumps that develop along tendons or joints of the wrist or hand, sometimes causing pain or discomfort, particularly when they press on nearby nerves.

Tendonitis

Inflammation of tendons in the hand or wrist, typically from overuse, causing pain and tenderness that worsens with movement of the affected area.

Dupuytren's Contracture

A condition where tissue under the skin of the palm thickens and tightens, causing fingers to curl inward toward the palm and restricting full extension of the affected fingers.

Fractures & Sprains

Injuries to bones, ligaments, or tendons in the hand or wrist resulting from falls, impacts, or twisting movements, causing pain, swelling, and functional limitations.

Nerve Compression Syndromes

Conditions where nerves in the hand or wrist are compressed or irritated, causing pain, tingling, numbness, or weakness in specific patterns depending on the nerve involved.

Our Approach to Hand Pain Treatment

A comprehensive, evidence-based strategy for effective hand pain management

Thorough Assessment

We begin with a comprehensive evaluation of your condition, including detailed history-taking, physical examination, and specialized hand assessments to identify the specific causes and contributing factors to your hand pain.

Root Cause Focus

Rather than just treating symptoms, we work to identify and address the underlying causes of your hand pain, whether it's related to overuse, poor ergonomics, joint degeneration, or nerve compression.

Personalised Treatment Plans

We develop individualized care strategies based on your specific diagnosis, occupational demands, hobbies, and lifestyle needs, combining different therapeutic approaches for optimal results.

Active Rehabilitation

We emphasize active involvement in your recovery through targeted exercises, movement retraining, and self-management strategies that empower you to take control of your hand health and function.

Multi-disciplinary Collaboration

Our team works together to provide integrated care, drawing on expertise from physiotherapy, osteopathy, massage therapy, and other disciplines to address all aspects of your hand condition.

Long-term Prevention

Beyond immediate pain relief, we focus on strategies to prevent recurrence through education, ergonomic advice, activity modification, and ongoing self-care techniques to maintain hand health.

Effective Treatment Methods

Evidence-based therapies to relieve hand pain and restore function

Manual Therapy

Skilled hands-on techniques to mobilize joints, improve range of motion, and address soft tissue restrictions in the hand, wrist, and forearm to reduce pain and enhance function.

Hand Strengthening

Targeted exercise programs to rebuild strength in the intrinsic hand muscles, grip, and supporting structures of the wrist and forearm for improved function and stability.

Soft Tissue Techniques

Specialized massage, myofascial release, and trigger point therapy to address tension in the muscles and tendons of the hand, wrist, and forearm to improve circulation and tissue health.

Ergonomic Assessment

Analysis of work, computer use, and daily activities to identify and modify movements or setups that contribute to hand strain, overuse injuries, and nerve compression syndromes.

Electrotherapy

Including TENS, ultrasound, and laser therapy to reduce pain, decrease inflammation, and enhance tissue healing in various hand conditions such as arthritis and tendonitis.

Acupuncture

Fine needles inserted at specific points to stimulate the body's natural pain-relieving mechanisms, reduce inflammation, and improve nerve function in conditions like carpal tunnel syndrome.

Splinting & Support

Custom or prefabricated splints and braces to provide rest for irritated structures, support joints, and improve alignment while healing occurs in various hand conditions.

Hot & Cold Therapy

Strategic application of thermal treatments to manage inflammation, improve circulation, and provide pain relief for hand and wrist conditions at different stages of healing.

Fine Motor Retraining

Specialized exercises and activities to restore precision movements, dexterity, and coordination in the fingers and hand for improved functional abilities in daily tasks.

Benefits of Our Hand Pain Care

How our comprehensive approach can transform your hand health

Pain Relief

Effective reduction in acute and chronic hand pain through multiple therapeutic approaches, allowing comfortable use of your hands again.

Improved Dexterity

Enhanced ability to perform fine motor movements and precision tasks, restoring function for writing, typing, and intricate hand activities.

Increased Strength

Rebuilt hand and grip strength for better function in daily activities, from opening jars to carrying groceries and using tools effectively.

Reduced Recurrence

Lower risk of hand pain returning through improved work techniques, proper ergonomics, and preventative exercises and habits.

Greater Range of Motion

Restored flexibility and joint mobility in the fingers, thumb, and wrist, allowing more complete and comfortable hand movements.

Work Capacity

Improved ability to perform occupational tasks involving the hands, from typing and writing to skilled manual work and precision activities.

Return to Hobbies

Safely resume crafts, musical instruments, gardening, and other leisure activities that require hand coordination and fine motor control.

Self-Management

Knowledge and skills to independently care for your hand health and respond effectively to early warning signs of strain or overuse.

Our Services for Hand Pain Relief

Specialised treatments that can help resolve your hand pain

Physiotherapy

Our physiotherapists use manual therapy, exercise prescription, and specialized hand rehabilitation techniques to address joint mobility, muscle strength, and fine motor control.

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Osteopathy

Osteopathic treatment takes a whole-body approach to hand pain, addressing how shoulder, neck, and arm mechanics can influence hand function and overall upper limb health.

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Massage Therapy

Therapeutic massage helps release tension in hand, wrist, and forearm muscles, improve circulation, and reduce pain through specialized soft tissue techniques focused on the upper extremities.

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Acupuncture

Many hand pain conditions, particularly carpal tunnel syndrome and arthritis, respond well to acupuncture therapy that targets nerve function, inflammation, and the body's natural healing processes.

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Ergonomic Assessment

Detailed analysis of your work environment and daily activities to identify and modify factors contributing to hand strain, overuse injuries, and repetitive stress conditions.

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Rehabilitation

Our comprehensive rehabilitation programmes focus on restoring hand function after injuries, surgeries, or chronic conditions through progressive exercise protocols and fine motor retraining.

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Hand Pain Prevention & Management Tips

Practical strategies to maintain healthy hands and prevent pain recurrence

Use Ergonomic Equipment

Choose ergonomic keyboards, mice, and tools designed to keep your wrists and hands in neutral positions. Ergonomic equipment can significantly reduce strain on tendons and nerves that lead to conditions like carpal tunnel syndrome.

Strengthen Hand Muscles

Regular hand and finger strengthening exercises can improve grip strength, enhance joint stability, and maintain dexterity. Simple exercises like squeezing a stress ball or using therapy putty can be very effective.

Take Regular Breaks

When performing repetitive hand movements like typing or crafting, take short breaks every 30 minutes to rest your hands. Use this time to gently stretch your fingers, wrists, and forearms.

Optimize Workstation Setup

Ensure your desk, chair, and computer are positioned correctly. Your forearms should be parallel to the floor, wrists neutral (not bent up or down), and shoulders relaxed when working.

Consider Wrist Support

For activities that put pressure on your wrists or during sleep if you have symptoms, wearing a wrist brace can help maintain proper alignment and reduce strain on tendons and nerves.

Stay Hydrated

Proper hydration helps maintain the elasticity of soft tissues including tendons and ligaments in the hands. Dehydration can make tissues less pliable and more susceptible to injury.

Keep Hands Warm

Cold environments can increase stiffness and pain in the hands, especially for those with arthritis or Raynaud's syndrome. Wear gloves in cold weather and maintain good circulation to your extremities.

Apply Ice For Inflammation

If you notice swelling or acute pain after extensive hand use, applying ice for 15-20 minutes can help reduce inflammation and manage early symptoms before they worsen.

Use Proper Lifting Technique

When lifting objects, use your whole hand and all fingers rather than just fingertips. For heavier items, hold them close to your body and use larger muscle groups when possible to reduce strain on small hand joints.

Address Early Signs

Don't ignore tingling, numbness, or mild hand pain. Early intervention when symptoms first appear can prevent minor issues from developing into more serious conditions that require lengthy treatment.

What Our Patients Say

Read about the experiences of those we've helped

Patient Testimonial

"After struggling with carpal tunnel syndrome for over six months, my ability to work as a graphic designer was seriously affected. The team at Holistic Healthcare Clinics created a comprehensive treatment plan combining physical therapy, ergonomic adjustments, and specific exercises. Within weeks, I noticed significant improvement and have now returned to designing without the constant numbness and pain."

Emma Wilson
Carpal Tunnel Syndrome Patient
Patient Testimonial

"As a musician, developing trigger finger was devastating for me. Previous treatments elsewhere had limited success, but the specialists at Holistic Healthcare Clinics took a different approach. Their combination of manual therapy, specialized splinting, and appropriate exercises has allowed me to return to playing my instrument without the painful locking and catching. Their attention to detail and personalized care made all the difference."

David Thompson
Trigger Finger Patient
Patient Testimonial

"Working as a hairdresser led to severe thumb and wrist pain that was affecting both my work and quality of life. The team diagnosed De Quervain's tenosynovitis and developed a treatment plan including therapeutic ultrasound, proper bracing, and specific strengthening exercises. Their expert care and holistic approach resolved my symptoms completely, and the preventative advice has stopped any recurrence despite my demanding profession."

Sophia Chen
De Quervain's Tenosynovitis Patient

Frequently Asked Questions About Hand Pain

Answers to common questions about hand pain and treatment

The main differences relate to the underlying cause and symptoms:

  • Carpal Tunnel Syndrome: This is a nerve compression condition where the median nerve is squeezed as it passes through the carpal tunnel in the wrist. Symptoms typically include numbness, tingling, and weakness primarily affecting the thumb, index, middle, and half of the ring finger. Symptoms often worsen at night and may include burning sensations or "pins and needles."
  • Hand/Wrist Tendonitis: This involves inflammation of the tendons that move your fingers and wrist. The pain is usually localized to the affected tendon and worsens with specific movements. Unlike carpal tunnel syndrome, tendonitis typically doesn't cause numbness or tingling but instead produces pain with movement and possibly swelling along the tendon.

These conditions can sometimes coexist, but they require different treatment approaches because one affects nerves (carpal tunnel syndrome) while the other affects tendons (tendonitis). Proper diagnosis is essential for determining the most effective treatment plan, as symptoms can sometimes overlap or mimic other conditions.

Complete rest is rarely the best approach for hand conditions. Instead, we typically recommend:

  • Activity modification: Temporarily reducing or modifying repetitive activities that aggravate your symptoms, rather than stopping completely
  • Ergonomic adjustments: Changing how you perform activities by improving posture, tool design, or technique to reduce strain
  • Pacing: Breaking up continuous hand use with regular short breaks and stretches
  • Assistive devices: Using ergonomic equipment, voice dictation software, or other tools that reduce hand strain
  • Graded return: Gradually reintroducing activities as your condition improves, with careful attention to technique and duration

The key is finding the right balance. Too much rest can lead to stiffness and weakness, while continuing painful activities without modification can delay healing. Our specialists will help you determine which activities you can safely continue, which should be modified, and which may need to be temporarily avoided during your recovery period.

We'll also teach you proper stretching techniques, strengthening exercises, and ergonomic principles to help you continue necessary activities while promoting healing.

Wrist braces can be effective components of a comprehensive treatment plan for many hand and wrist conditions, but they should not be relied upon as the sole treatment. Their effectiveness varies depending on the specific condition and individual factors:

  • Carpal Tunnel Syndrome: Research shows that night splinting to keep the wrist in a neutral position can be particularly effective for reducing nighttime symptoms and improving overall condition.
  • Tendonitis and Tenosynovitis: Braces that limit specific painful movements while allowing other motions can help reduce strain on inflamed tendons while maintaining some function.
  • Trigger Finger: Specialized splints that keep the affected finger extended, particularly at night, can help prevent the finger from locking in a bent position.
  • Arthritis: Supportive braces can provide stability to affected joints and redistribute forces to reduce pain during activities.

When prescribed appropriately, braces can:

  • Rest overused structures by limiting certain movements
  • Maintain optimal joint position to reduce pressure on nerves or tendons
  • Provide support during activities that would otherwise be painful
  • Prevent extreme positions during sleep or unconscious movements
  • Serve as a reminder to be mindful of hand and wrist positions

However, braces work best when combined with appropriate exercises, ergonomic adjustments, and addressing the underlying causes of your hand pain. Overreliance on braces without addressing these other factors can sometimes lead to muscle weakness or dependency. Our specialists can determine whether a brace would be beneficial for your specific condition, which type would be most appropriate, and how and when it should be worn.

Recovery timeframes for carpal tunnel syndrome vary considerably depending on several factors:

  • Severity: Mild cases typically recover more quickly than moderate or severe cases where there is already significant nerve damage
  • Duration of symptoms: Recent onset cases generally respond better to conservative treatment than longstanding conditions
  • Contributing factors: Whether activities, ergonomics, and other factors that contribute to the condition can be effectively modified
  • Individual factors: Age, other health conditions (like diabetes or thyroid disorders), pregnancy status, and compliance with treatment recommendations
  • Treatment approach: Whether treatment is conservative (splinting, exercises, ergonomic modifications) or surgical

As a general guideline:

  • Mild cases with conservative treatment: Often show significant improvement within 4-6 weeks with appropriate interventions like night splinting, activity modification, and exercises
  • Moderate cases with conservative treatment: Typically require 2-3 months for substantial improvement
  • Severe cases or those requiring surgery: Recovery after carpal tunnel release surgery typically takes 6-12 weeks for basic activities, but full recovery and maximum improvement may take up to a year, especially if there was significant pre-surgical nerve damage

Improvement is usually gradual rather than sudden. Nighttime symptoms often improve first, followed by daytime symptoms. Sensations like tingling and numbness typically improve before strength returns in cases with muscle weakness.

Our approach focuses not just on symptom relief but on addressing the underlying causes and preventing recurrence. After your assessment, we can provide a more personalized estimate based on your specific condition.

The most effective exercises for hand pain depend on your specific condition, but generally fall into several categories:

For Carpal Tunnel Syndrome:

  • Nerve gliding exercises that help the median nerve move more freely
  • Gentle stretches for the wrist flexors and extensors
  • Exercises to strengthen the muscles that support the wrist in a neutral position

For Tendonitis and Tenosynovitis:

  • Eccentric loading exercises that strengthen tendons while they're lengthening
  • Progressive resistance training using therapy putty or hand exercisers
  • Controlled stretching of the affected muscles and tendons

For Arthritis:

  • Range of motion exercises to maintain joint mobility
  • Gentle strengthening exercises that don't stress inflamed joints
  • Finger walking and other exercises to maintain dexterity

For General Hand Health:

  • Finger spreading and thumb opposition exercises
  • Wrist stabilization exercises
  • Forearm strengthening to support hand function
  • Grip and pinch strength training

Important guidelines for hand exercises:

  • Exercises should be performed without causing pain
  • Start with gentle movements and gradually increase intensity
  • Consistency is more important than intensity
  • Warm up your hands before exercising (warm water soak or gentle movement)
  • Quality of movement is more important than quantity

Our therapists will assess your specific condition and design a personalized exercise program that addresses your needs while avoiding movements that could aggravate your symptoms. We'll also ensure you're performing exercises with proper technique for maximum benefit and safety.

Have other questions about hand pain treatment? Contact our team for personalized answers.

Don't Let Hand Pain Limit Your Activities

Book an assessment today and take the first step toward pain-free hand function.

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