FOR PATIENTS · REHABILITATION

Hand and wrist rehabilitation after injury

A guide to hand and wrist injuries selected for nonsurgical treatment. The topics distinguish the type of injury, not just the location of pain.

Physiotherapy of the hand and wrist — illustration of movement and function assessment. Medical content prepared by: Tomasz Poboży - orthopaedic surgeon.

Problems an orthopaedic surgeon assesses in this area

The topics below provide an overview. Detailed exercise protocols are being developed as separate pages; these summaries are not complete exercise programmes.

Distal radius fracture

Restoring function after a wrist fracture treated without surgery. Healing and permitted loading determine the scope of activity.

Metacarpal fractures

Restoring hand function following metacarpal fractures treated without surgery. Fracture location, alignment and stability, and adjacent finger function, matter.

Finger fractures

A separate group of finger injuries that requires attention to the particular phalanx and joint involvement. One programme does not suit every finger fracture.

Finger joint sprains

Stable finger ligament injuries selected for nonsurgical care. Protection and restoration of movement must match the injury.

Mallet finger treated without surgery

Injury to the extensor mechanism at the fingertip joint. This requires specific protection; a general hand exercise set should not replace the prescribed management.

What to prepare before planning rehabilitation

Identify whether the main difficulty is wrist movement, bending the fingers, precision grip or thumb use. Hand rehabilitation considers how symptoms relate to specific everyday tasks.

Prepare the injury date, diagnosis and instructions about protection, movement and loading. Time elapsed alone does not mean every activity is permitted. Your treating team’s individual instructions take priority.

Author: Tomasz Poboży - orthopaedic surgeon, MD, PhD. Educational information; it does not replace individual assessment and advice.