• Pain in the hand and wrist (there may also be very little pain!)
• Tenderness on palpation
• Deformity of the finger/wrist/hand
• Swelling (a little or a lot)
• Bruising
• Pins and needle or numbness in the hand or fingers
• Reduced ability to move the hand/fingers or grip objects
• Feeling of light-headedness

• Falling on an outstretched hand
• Crush (eg hand in a door, finger tip in a window or between a bat and a ball)
• Direct forceful contract in sports (boxing, martial arts, ball sports, rock climbing)
• Enchondroma
• Osteoporosis
• Stress Fracture (Overuse injury most commonly seen in the lower limb ie leg and foot)

Subjective assessment: We will ask you about your hand and wrist pain, how and when it is limiting you, your general health and other potential factors that may contribute to your concerns. We will also ask you what activities you enjoy and what your goal is.

Objective assessment: We will look at how your hand and wrist move, your strength and palpate around the area. We will also look at the rest of your body including your elbow, shoulder and core to see if they are contributing to your condition. We may refer you for imaging ro aid our diagnosis.

• Custom Casting (waterproof or non-waterproof) or thermoplastic splint
• Cast care and education
• Taping
• Activity modification
• Muscle and/or other soft tissue release
• Joint mobilisation after bone healing
• Dry needling
• Home exercise program including stretching, movement and strengthening exercises as appropriate