Physiotherapy For Wrist and Hand Pain

The hand and wrist are complex parts of the body, with a lot of nerves, tendons, joints and muscles all in one place.  It’s no surprise that wrist & hand pain can be among the most distracting discomforts on a day to day basis.

Our team has plenty of experience at getting to the root cause of your wrist pain and using a combination of physiotherapy techniques to relieve that pain.

All it takes to get started is an initial consultation with our physiotherapy team, who will take a look at your hand and decide on the best way to get you back to pain-free full working order.

We can usually offer an appointment within 24 working hours.

Call now or complete the enquiry form and we’ll call you back.

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Call Gatley on 0161 491 1999 or the Heatons on 0161 432 3232

Our Experienced Physiotherapists Regulary Treat Patients with Wrist and Hand Pain at our Clinics in Gatley, Cheadle, Heaton Moor, Stockport and Didsbury.

When the wrist & hand are painful, it can affect most of your daily activities.

If you have pain or stiffness in your hand or wrist, you will be less likely to use your hand which will further reduce your dexterity, getting in the way of everyday life.

But hand & wrist pain can be tackled using physiotherapy. Our physio team has experience of examining the wrist, getting to the root cause of your problem, and therefore able to diagnose the cause of your pain.

No matter what they cause of your problem is, we can make sure you get the right treatment to reduce your symptoms and get you back to normal activities as soon as possible.

Wrist and Hand Pain Diagnosis

During an initial consultation, a member of our physiotherapy team will assess your wrist/hand, assess the route cause,and decide on the best course of action to get you back to pain-free full working order.

Following the examination, with an appropriate combination of physiotherapy treatment modalities, pain and stiffness will be reduced, helping you to regain your function to allow you to get on with your normal activities.

physio for shoulder pain

What are the common causes of wrist and hand pain?

Wrist and hand pain may be caused by injury – for example, you may have broken your wrist or bones in your hand and suffer lasting discomfort in the trauma area.

However, we often see patients whose wrist pain has developed over time due to repetitive strain and poor wrist posture, especially in the workplace where many of us perform the same hand movements time after time.


Wrist and hand pain may be caused by an injury – for example, following a fall, you may have broken your wrist or bones in your hand.

Repetitive strain

Wrist pain can develop over time due to repetitive strain and poor wrist posture, especially in the workplace where many of us perform the same hand movements time after time, for example when using a keyboard. Repetitive actions from activities such as decorating, and gardening can also cause an overuse problem.


Wrist pain may be a result of a change in technique within your sport e.g. altered forehand in tennis resulting in an overuse of the muscles.

Carpal tunnel syndrome

This can cause weakness in the hand, tingling or numbness. If present, to prevent long term nerve damage, do not delay in consulting with a member of our team.

De Quervain’s Tenosynovitis

This causes pain and swelling at the base of the thumb.

Cartilage tears (TFCC)

Pain on the inner side of the wrist.

Call Gatley on 0161 491 1999 or the Heatons on 0161 432 3232

How do I know if my pain is bad enough to need treatment?

Soft tissue problems of the wrist or hand often begin as a mild discomfort but gradually worsen over time.

Untreated hand and wrist injuries can get worse with time, especially if you continue to put the joints under strain or perform repetitive motion in your job, personal or athletic life, without modifying your activities. In the worst cases, such as carpal tunnel syndrome, permanent nerve damage can occur.

With early intervention, physiotherapy treatment can rehabilitate your joints and muscles faster getting your hand/wrist back to normal as soon as possible. If your pain does not settle after a two-week period, arrange a consultation with the physiotherapist to ascertain the reason for your continued pain.

A physiotherapy examination will diagnose your problem. A treatment plan will be made to reduce your symptoms, prevent the condition progressing and help prevent problems in the future.

What will happen if I don’t get it treated?

Untreated hand and wrist injuries can get worse with time, especially if you continue to put the joints under strain or perform repetitive motion in your job or personal life.

In the worst cases, such as carpal tunnel syndrome, permanent nerve damage can occur. Even in such circumstances, it’s important to get treatment for wrist and hand pain, as physiotherapy can help to reduce any pain and prevent the condition from progressing.

How long do physiotherapy treatment sessions take?

Treatment sessions are for 30 minutes. Sessions will include ‘hands on’ treatment in the form of soft tissue massage and joint mobilisations. Your physiotherapist may give you strategies to use to reduce your pain and an exercises programme will also be given to help you manage the symptoms and to prevent them returning in the future.

The number of treatment sessions required will depend on how quickly your body responds to the treatment. The average number treatments for hand pain is 4-6 sessions,

As it’s important to fully rehabilitate your problem, we will track your progress carefully. 

What are the most common causes of wrist and hand pain?

There are a huge number of possible causes of hand and wrist injuries, from acute injuries due to trauma (broken bones and sprains) to more chronic gradual causes such a repetitive strain.

Some of the most common hand and wrist injuries are listed below.


Arthritis is not only associated with old age. Stiffness in the smaller finger joints can be an early symptom of arthritis that  can start at any age. The joint at the base of the thumb is a typical joint that can be affected by arthritis.

Carpal Tunnel Syndrome

Compression of the major nerves in the hand can lead to carpal tunnel syndrome, a condition that varyingly causes numbness, tingling or pain.

Repetitive Strain Injury (RSI)

Performing the same motion time and time again can put specific strain on joints in the hands and wrists, leading to sharp pains and discomfort over the long term.

TFCC – Triangular fibrous cartilage complex

Pain on the inner side of the wrist which can come on suddenly with trauma such as a fall or without trauma due to age related changes. There is usually no swelling or bruising but movements of the wrist are painful.

De Quervains Tenosynovitis

This is inflammation of the tendons at the base of the thumb. Pain is felt when the thumb is extended.

Call Gatley on 0161 491 1999 or the Heatons on 0161 432 3232

How is hand pain usually treated by a physiotherapist?

Physiotherapists have a wide range of different treatments for hand and wrist pain. For best results we will usually suggest a combination of the best therapies for you. These can vary depending on the cause and location of your hand pain, but some examples of treatments we might recommend include:

  • Joint mobilisations
  • Soft tissue massage
  • Acupuncture
  • Electrotherapy
  • Lifestyle changes
  • Rehabilitation with exercise
  • Steroid Injections

If you’re interested in a specific treatment, please let us know and we will be happy to advise whether it would be a suitable way to reduce wrist and hand pain in your case.

How many sessions would I need?

Your overall programme of physiotherapy for hand and wrist injuries will depend on how quickly and how well the injury responds to treatment. On average, 3-4 sessions are required.

As well as receiving hands on physio treatment, your physiotherapist will recommend strategies for you to continue at home to speed up your recovery, such as giving you home exercises, using wrist supports and advise ways to avoid putting strain on your joints.

If physiotherapy is not appropriate, we will refer you to your General Practitioner or an Orthopaedic Surgeon for a further opinion.

Will surgery to help my wrist injury be likely?

Wrist and hand injuries usually respond well to physiotherapy without invasive surgical treatment.

Instead, we can recommend a combination of lifestyle changes and better positioning, rehabilitation of the muscles and other therapies like acupuncture that can target the pain without surgery.

Often rehabilitation by physiotherapy and future lifestyle adjustments that put less strain on your hands and wrists can recover them to a normal level of comfort, with further treatment if required for chronic conditions like arthritis and carpal tunnel syndrome.

Is there anything I can do at home to help reduce hand and wrist pain?

Try to avoid putting excess strain on your joints and muscles. If your job involves typing, or you are a regular computer or smartphone user at home, try to take regular breaks and adopt a comfortable, neutral position during use.

Listen to your body. If your hands feel tired or ache, or you feel more aware of your bones and joints than usual, avoid strenuous activity and consider consulting a physiotherapist to check for any damage.

Get in touch

If your body is telling you something is wrong, we’re here to listen. Whether you’ve noticed hand and wrist pain, stiffness, numbness or a lack of mobility in your hand joints, we can arrange a consultation to determine the problem and decide on suitable physiotherapy to relieve the symptoms.

How To Make an Appointment

We are usually able to offer an appointment time within 24 working hours of your call. 

Please either call the clinic or leave your details in the online enquiry form and we’ll call you back to confirm the arrangements.

Gatley: 0161 491 1999
Heaton Moor: 0161 432 3232

Why Choose Gatley & Heatons Physio?

We provide expert physiotherapy treatments from our clinics in Heaton Moor, Gatley and Didsbury and we regularly help patients from across Stockport and Manchester reduce their pain and return to normal activities.

We frequently work with clients in Cheadle, Bramhall, Poynton, Wilmslow, Northenden, Altrincham, Sale, West Didsbury, Withington, Burnage, Heaton Moor, Heaton Chapel, Heaton Norris, Heaton Mersey and Reddish, and we are regularly able to provide home visits for those who are not able to attend one of our clinics.

We have been established in these areas for many years and have a fantastic relationship with most of the Doctors in these areas. If needed, we will liaise with your Doctor about your condition, for example if medication is needed or a referral to another speciality.

We have an excellent reputation of providing high standards of clinical physiotherapy and a professional service through a trusted, personal and friendly approach.

We offer flexible appointment times to all patients including extended working hours and home visits.

Professional and caring treatment received with sound follow up advice. Would recommend to others without hesitation!

Juan Pardo