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Physiotherapy

Hand & Wrist
Pain.

The hand performs over 1,000 distinct movements — making it among the most complex structures in the human body. Hand and wrist pain disrupts every aspect of daily life. Our hand therapy specialists restore function using precision rehabilitation and custom splinting.

Causes & Conditions

Protecting your
most used tools.

Hand and wrist conditions range from acute traumatic injuries to chronic repetitive strain disorders. The complexity of hand anatomy — 27 bones, 29 joints, and 34 muscles — means accurate diagnosis requires specialized assessment.

Repetitive strain injuries of the hand and wrist are among the most common occupational health conditions. Early physiotherapy intervention significantly reduces the risk of surgical intervention and permanent functional limitation.

  • Carpal tunnel syndrome — median nerve compression causing thumb, index, and middle finger numbness
  • Trigger finger and trigger thumb — A1 pulley stenosis causing locking and pain
  • De Quervain’s tenosynovitis — first extensor compartment inflammation causing radial wrist pain
  • Thumb basal joint (CMC) arthritis — carpometacarpal osteoarthritis causing pinch pain
  • Dupuytren’s contracture — palmar fascia fibrosis causing progressive ring and small finger flexion
  • Scaphoid fracture and wrist fractures — distal radius, ulnar styloid, and metacarpal injuries
  • TFCC tears — triangular fibrocartilage complex injuries causing ulnar wrist pain
  • Flexor and extensor tendon injuries — lacerations, ruptures, and attritional tears
  • Ganglion cysts — dorsal and volar wrist ganglions causing pain and pressure
  • Cubital tunnel syndrome — ulnar nerve compression causing ring and small finger symptoms
Our Treatment

Precision hand
rehabilitation.

Hand Therapy

Specialized hand therapy including joint mobilization, tendon gliding, edema management, and fine motor retraining.

Custom Splinting

Static, dynamic, and serial casting splints fabricated in-clinic for post-surgical protection and deformity correction.

Class IV Laser

Reduces carpal tunnel inflammation, accelerates tendon healing, and provides nerve pain relief.

IMS / Dry Needling

Forearm trigger point release for conditions driven by muscle tightness upstream of the wrist and hand.

Ergonomic Assessment

Workstation analysis and tool modification to address the occupational drivers of repetitive strain conditions.

Strengthening Programs

Progressive grip, pinch, and fine motor exercise programs tailored to your injury and functional goals.

What to Expect

Back to full
function.

Assessment includes grip and pinch strength measurement, provocative tests for carpal tunnel, De Quervain’s, and trigger finger, range of motion of all wrist and finger joints, and neurological assessment.

Carpal tunnel and trigger finger often respond within 6–10 sessions with splinting and manual therapy. Post-surgical hand therapy follows strict protocol timelines set by your surgeon — particularly for tendon repairs where timing of mobilization is critical.

  • WorkSafeBC accepted for occupational hand and wrist conditions
  • ICBC direct billing for MVA hand injuries
  • Custom splints fabricated in-clinic
  • Protocol-based post-surgical rehab in collaboration with your hand surgeon
  • No referral required in BC
  • Ergonomic workplace assessment available

Ready to start
your recovery?

Surrey, BC · ICBC & WorkSafeBC Accepted · Direct Billing

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