Hand exercises nhs pdf
Hand exercises nhs pdf. You should complete exercises 1 and 2 daily and complete exercises 3 and 4 every other day. After this, use your unaffected hand to gently massage the muscle in between your thumb and index finger. Figure 1 Now that you have completed your exercises, you will feel your hand is much looser. The two types of exercises are explained below. Consultant Physician & Rheumatologist | Royal Free London NHS Trust & Honorary Clinical Professor | Division of Medicine | University College London Marybeth Ezaki, MD, Past President, American Society for Surgery of the Hand PATIENT EDUCATION RESOURCE TFCC Injuries To locate a hand therapist in your area, visit the American Society of Hand Therapists at www. Passive Finger Extension (PIP joint) Use your non injured hand to gently straighten the affected finger. In a slow and controlled manor, lower your thumb down %PDF-1. Contact the Physio department if you find the exercises are making your pain worse overall. Feel a stretch along the top of your arm. Return to the start position and repeat. Stretching and strengthening exercises 1 Shoulder stretch Stand and raise your shoulders. B. Published April 2024. southtees. This leaflet includes information on how to look after the This factsheet contains some finger exercises to help improve the range of movement in the joints of your fingers. Repeat the same on the other side. Bring your legs into the foot well. M. ADVANCED HAND ACTIVITIES Functional activities to practice: - Turning pages in a newspaper/book. Examples of exercises include: Extend the arm straight out by Physiotherapy / Advice and exercises for patients with plantar fasciitis Physiotherapy Department – Advice and exercises for patients with plantar fasciitis, July 2023 3 • If you do regular exercise, try to do low impact activities such as cycling or swimming to allow the tissues to rest. Hold a light hand weight or can of beans. Hold each one for ___ seconds and repeat ___ times. 03. 0 , via • Hold a walking stick in your hands. If the exercise causes pain that lasts for more than 2 hours after finishing the exercise, then decrease the repetitions. Last updated: 23-8-16 MT Use your unaffected hand to hold below the middle joint of your finger, then bend the top two joints into a curl Use your unaffected hand to hold just below the end joint of your finger, then bend the tip down. Remain in this position for 30 seconds (or until you no longer feel dizzy). Make a fist with your hand and face it towards the ceiling. It is okay if the other fingers move during this exercise. How to use relaxation exercises: • You can use relaxation techniques regularly, or every once in a while. Below are some instructions for performing the hand clench exercise. This leaflet offers more information about exercises for patients with wrist, hand or finger injuries under the care of the St George’s Hospital hand therapy team. Use a folded up towel, or a sponge (cut to size of you want). • Now push your arms out straight to the ceiling. It is normal to feel mild pain or discomfort during this exercise initially. However, you’ll need to visit your GP surgery if: • your pain isn’t getting better after treatment at home for two weeks • the pain is getting worse • the pain keeps Low Back Pain Exercises. Often a physiotherapist will guide you with exercises specific for your shoulder. The Cochrane review also highlighted the lack of consensus among researchers on the type and the content of exercise interventions most beneficial to this patient population. The following advice and exercises may help you manage your groin strain. What exercises should I do? It is advised that you perform the following exercises as explained by your therapist. times per day Hand Exercises. • Breathe IN as you bend your arms up. Hold 30 seconds. Position 3 . Bend& straighten thumb tip only. Turn the hand back over so that the palm is facing downward. You can find out more about Carpal Tunnel Syndrome from the NHS website. Hand therapy department Shoulder exercises Information for patients, relatives and carers Information sheet These exercises will help you restore and maintain the movement in your shoulder. ELBOW EXERCISES Rehab tips for your hand, wrist and elbow 1. Lean slightly forwards. • A passive exercise is when your joints are moved using your other hand. Hold _____ seconds. Double knees to chest: Pull both knees up to your chest until a the hospital, please visit www. Same as position 1 except uncurl fingers and bend wrist towards the Start position as swimming level 1 with elbows bent, hands slightly wider than shoulder width resting on the floor . Contact us If you have any further questions or concerns, please contact us. Wrist strengthening exercises . This exercise leaflet has been designed to help improve the strength and function of then slowly take your hand to your head and then back to starting position. NHS 111 Level 2 Exercises 1 Level 2 Exercises for Strength & Balance A resource for care homes in NHS Forth Valley by Matthew Gallagher . When can I go back Exercises Only do the specific exercises as instructed by your physiotherapist. NHS 111 www. If you would like to know more about radiculopathies or find a greater choice of exercises, you can explore our dedicated webpage: Norfolk and Waveney MSK services ‘cervical radiculopathy’ exercises. Normalising movement and restoring a connection with the hand in functional use is vital early on. Before you begin moving, perform a quick check in with your body. net. Your therapist Hand exercises for inflammatory arthritis. Sitting on a hard-backed chair: Exercise 1. •Place a oneinch thick piece It’s a simple yet very effective exercise. Support the middle joint only enough so it does not bend. There are two types of exercise that you can do: • Exercises you do during an episode of cramping to relieve the pain and stop the cramping • Exercises you do during the day to reduce how often you get leg cramps. Keep your wrist straight. Try to pick an exercise you enjoy doing, as this will help you stick to it. We recommend that you repeat this exercise twice a day. Elbow Extension & Flexion Stand or sit. • • Squeeze the ball evenly, counting to 5 for each exercise • Carry on doing the exercises for several months. Mindful Walking: 1. Your top hand moves the most: You are a ‘Chest Breather’. net - Telephone: 01323 435886 Ref: C-408/JT/OT/Hand exercises v3. • Put the other just below your ribcage resting on your tummy. Only do the exercises advised by your therapist at any given stage. u www. If you wish to share your experience about your care and treatment or on behalf of a patient, please contact The Patient Experience Department who will advise you on how Try doing your hand exercises in warm water as this can help to relax the muscles in your hands, making it easier to do the Tel: 020 8725 2453 Email: pals@stgeorges. Email: appointments@imperial. finger problems. Royal Devon University Healthcare NHS Foundation Trust Thoracic range of movement (ROM) exercises Page 4 of 7 Lying down exercises For these exercises you will need to be lying on a comfortable, flat surface e. Stand up slowly using your legs, not arms. 1. Hold this position for 5 - 10 seconds. Version: 001. uk Brandt-Daroff exercises to treat BPPV We have written this factsheet to give you more information about benign paroxysmal positional vertigo (BPPV). Bend your wrist in the direction of your little finger. gloshospitals. 30am to 4. Make a fist and lift your hand up. Turn your forearms so your palms face downwards. Take your arm out straight in front of you at shoulder height. Hand clench. Hand Exercises. Q. Sit on the edge of the chair, feet hip-width apart. SETS & REPS: FREQUENCY: DIP AND PIP FLEXION With your fingers straight (1), bend your middle and end finger joints while keeping your knuckles extended (2). These exercises will help to improve movement of your hand. If you still have pain, STOP. pals-northern@nhs. pals@nhs. Let your other arm hang down and try to swing it gently backwards and forwards and in a circular motion. Hand Therapy: Putty exercises www. Finger exercises must be done every hour. 2 Keeping your head still, move your eyes quickly from one card to the other, 27 It may be helpful to do this exercise with your back to a wall, or with someone ‘spotting’ you from behind. Stop the exercises if they increase your pain. Perform each exercise SLOWLY, bending and stretching as far as possible within pain limits. Do whatever feels right for you. Blocked PIP Extension 2. Exercise should not make your existing hip pain worse overall. nhs. Mindful walking can be performed indoors, but also works well out in nature. Check-in. Hand therapy exercise videos Exercises to do at home as advised by your clinician. For If you have problems following your exercises, contact the hand therapy team on . 7. PIL. In a slow and controlled manor, lower your thumb down, to meet © Poole Hospital NHS Foundation Trust www. Salute Holding involved finger with uninvolved hand, Bend fingers at large joints as far as possible, straighten finger fully, focusing on extension at keeping middle and distal joints straight, then . 2. 359 2 try doing some ‘breathing control’ exercises. With your arm out to the side, elbow bent and palm facing away from you, slowly move wrist back and forth. Thera-Putty Home Exercise Program Repeat these exercises _____ times for _____ times a day and press into the putty. • Lay hand flat on a table. Wrist flexor stretch Straighten your arm fully. uk NHS Choices NHS Choices provides online information and guidance on all aspects of health and healthcare, to help you make decisions about your health. Rest the outer side on 01271 314090 or at rduh. Squeeze and relax. Rest your hands on the back of a chair for stability. A. We can make this information available in Braille, large print, audio or other languages on request. Hold for 5 - 10 seconds and then relax You can put your hand on your chin for a guide if needed. Exercise 2. hold your hand just above, but have a chair nearby just Pendulum Exercises for Shoulder All exercises should be done 5 times daily in 5 to 10 minute sessions. . Passive movement Put one hand on your chest. PIP Joint Blocking 1. Contact the Physio department if you find the exercises are making your pain Perform these exercises_____ times each _____ times a day. Weighted wrist – hand turned down / hand turned up Useful contact details To reschedule an appointment: Phone: 020 3311 0333 Option 1: If your appointment is on the same day. However, sometimes doing some simple stretching exercises can help you feel more confident to move. Then straighten your fingers keeping your thumb at the side of your hand 3. Aim to keep your pain within a rating of 0 to 5. 2) Enables both yourself and medical staff to monitor wound healing. Wean off any splints or encourage only intelligent use. Gently rock your body weight from your left to your right foot or in a circular motion to move your arm in circular pattern. Stand with your good hand resting on a chair. XTHUMB. Do 3 times a day HAND Home Exercises ADVANCED HAND ACTIVITIES Functional activities to practice: - Turning pages in a newspaper/book. number of sets – ask your physiotherapist for their advice on progressing your exercises. When you do these exercises, rest your elbow on a table if you can. Breathe out as you move and breathe in when you are in the resting (starting) position. Elbow Exercises. Follow these exercises as directed by your therapist. 6 %âãÏÓ 139 0 obj > endobj 174 0 obj >/Filter/FlateDecode/ID[26960C15172D2F46BDE2E39F613300AB>8E7812963AE13F46863CD7270A40B3FB>]/Index[139 52]/Info 138 0 R Hand Therapy Department Contact Number 0203 315 8404 Open between 8-6 Monday-Friday. nhs trust hand exercise sheet produced by: dr hasan tahir & mr clive sutton start the exercises gently, the repetitions are a guide aim to perform the exercises morning, lunch and evening if the exercises make the pain worse, stop for 2-3 days start again very gently, if they still make the pain worse seek advice as necessary • Exercise which moves the tendons and strengthens the muscles in the wrist and thumb. Please begin . Your physiotherapist will assess this and guide you with a personally which of these exercises to do at your appointment. It is important to keep your hand moving normally throughout the day as your hand will stiffen up very quickly between each session. This information may be useful for those who have a new wrist, Hand Therapy Putty Exercises The exercises on the following pages are intended to help improve the movement and strength in your hand and wrist. Using your unaffected hand to help lift the shoulder upwards in a forwards direction as far as comfortable. palsh@nhs. Slowly move one hand down your leg towards your knee. • No exercise should cause sharp or excessive pain. first finger. This leaflet shows exercises to help you strengthen your wrist . For further information Please email ghnt. This stretch is good for posture. PIPJ Replacement. Brandt-Daroff exercises are designed to break up this material and unblock the canal. Using your other hand to help, gently bend your thumb down towards your palm. However, in general terms, if you try the exercise on both arms and it feels It’s a simple yet very effective exercise. Massage Rub into the affected area for 3-5mins, approximately 4 times per day. Exercise 4. Repeat the exercise 10 times. Repeat 4 times. Area of TFCC Area of TFCC pain on the wrist Example of firm gripping with forearm rotation Exercise guide. If your pain gets above this level, you can change the exercises by: reducing the number of times you do a movement; reducing the speed of a movement; increasing rest time between movements; Pain after exercise. Desensitisation. • the palm • Use opposite hand to Tel: 020 8725 2453 Email: pals@stgeorges. Neck stretch Exercises and video demonstrations for the median nerve. Radial deviation. The aim of these exercises is to maintain strength, movement and function in your hands. uk Template version: May 2017 Osteoarthritis of the hand carpometacarpal joint 1 Hand Therapy Patient Information Upper Limb Unit: Hand Therapy - Thumb Exercises www. NHS 111 is • Exercises should not cause sharp pain. uk - 3 - Further Information Please speak to your therapist regarding any information in this leaflet or contact us: For Physiotherapy at University Hospitals Coventry and Warwickshire, telephone: 024 7696 6013. 0300 123 1732 or via email at: wah-tr. 5) Finger adduction exercises Begin by rolling the putty out, as Standing with feet shoulder width apart and hands by your side. on 01271 314090 or at rduh. , CC BY-SA 3. Tyneside Integrated Musculoskeletal Service TIMS is a partnership between Newcastle upon Tyne Hospitals NHS Foundation Trust and Gateshead Health NHS Foundation Trust Information provided by Julie Phillips, Senior Physiotherapist. A) Turn your head to one side until you feel a stretch. Use your unaffected hand hands. Hold in this position for 5 - 10 seconds then exercises your OT has ticked below, at least for five days a week. Flexor Tendon Repair. • Finally bring your hands back to your sides. Strengthening your hands will help you with activities such as writing, dressing and using cutlery that children and young people tell us is a struggle. Double knees to chest: Pull both knees up to your chest until a Surgery and Exercises for Carpal Tunnel Syndrome Information for patients, relatives and carers Trauma & Orthopaedics For more information, please contact: The York Hospital Orthopaedic Out Patient Clinic York Tel: 01904 726537 Advance Practitioner Hand Surgery Tel: 01904 725978 Hand Physiotherapist Tel: 01904 725390 Royal Devon University Healthcare NHS Foundation Trust Balance exercises Page 3 of 5 Heel-toe ’tandem’ stand / balance Stand with a hand / finger gently resting on a e. Trunk rotations • Can be done in standing or sitting. Grasp the wrist of the arm you want to exercise. Document Number: STHK1602. Active range of movements. You should feel stretch in your opposite site. Hand therapy; links; Wrist passive exercises; Wrist active exercises; Thumb active exercises; PIPJ resisted extension exercises; PIPJ Injuries; Passive finger flexion exercises; Merritt 5 7 wks; Merritt 3 5wks; Merritt 0 3wks; Mallet Info Sheet; Flexor tendon information sheet; Extensor tendon information leaflet; CAM Week 3 4; CAM Week 2 3 Avoid over use of specific exercises or manual techniques that may encourage an increase in pain response and guarding. Do 3 times a day. PatientExperienceCDDFT@nhs. Wrist flexion: With your wrist over the edge of the table in a neutral position, slowly lower hand and then return to the starting position. Bend your neck to the side bringing your Left ear towards your Left Bridgewater NHS Community Foundation Trust Health Services at Wolves Martin Dawes Stand Halliwell Jones Stadium Perform these exercises_____ times each _____ times a day. • Notice which hand moves the most. the following exercises as instructed by your hand therapy physiotherapist. Complete the exercises As your hand gets better after injury or surgery, you may need to exercise the muscles to get back to being able to use the hand normally day-to-day. Now extend your thumb away from your hand 5. Repeat 15 times. • Bring the stick up to your chest. With your other hand, gently push against the back of your hand so it bends towards you. Use your other hand to gently pull your fin-gers towards you. Review Date: 30 / 11 / 2023. Don’t worry if you are unable to manage the full Exercises for wrist, hand and. Patient information Site of Pain . Remember to keep your forearm on the table. Do not let your shoulder shrug up towards your ear . Place the foam block on a surface and your hand flat on top of it. These exercises are intended as a guide and prior to starting you should have had some instruction from your physiotherapist at OCATS. • Touch tip of thumb to each fingertip, making an “O” shape. Slowly lower your hands and raise your elbows. Each exercise should initially be done for 1 minute, or for those who have attended the programme, for the same duration as you have managed during the sessions at the hospital. Hand Therapy Brownsword Therapies Centre (Dept. net - Telephone: 01323 435886 2 Oxford Health NHS Foundation Trust | www. Put the back of one hand on the table and then turn your hands and put the back of the other hand on the table. Exercise 5. PDF: Hand Exercises final December 2022 v3. buttocks. Contact the Physio department if you find the exercises are making your pain tr. SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST Hand exercises using putty Information for patients Therapy Services. return to starting position. IMPORTANT POINTS: Do at least 5 repetitions of each exercise 2 – 3 times daily. asht. 6. what is sore to then allow you to explore some exercise/s, is often the best formula for success. Hand therapy; links; Wrist passive exercises; Wrist active exercises; Thumb active exercises; PIPJ resisted extension exercises; PIPJ Injuries; Passive finger flexion exercises; Merritt 5 7 wks; Merritt 3 5wks; Merritt 0 3wks; Mallet Info Sheet; Flexor tendon information sheet; Extensor tendon information leaflet; CAM Week 3 4; CAM Week 2 3 Continue to complete the exercises for 12 weeks even if your pain has resolved. The exercises should not be painful. The following exercises should be done three or four times a day. You can use moisturising Hand Exercises The exercises need to be done in sitting with your forearm supported on a table or pillow and your elbow at around 90. Therapeutic putty can help you Hand strengthening exercises using exercise putty: information for children and young people. Exercise will reduce stiffness, help your pain and keep the muscles around your joints stronger. Exercises during beneficial:cramps During an episode of leg cramp, Tel: 020 8725 2453 Email: pals@stgeorges. handtherapyimperial@nhs. Swimming Level 3 . With your other hand, hold the base of your affected finger (the part nearest your hand). Do the exercise as indicated in the box. Exercises Swelling or scarring anywhere along the nerve can cause the nerve to lose its mobility. Glue your elbow to your waist, then turn your wrist so adaptations for the exercises that require equipment e. Bend the tip of your finger and then straighten. page 2 of 12 You have been provided with exercise putty by your therapist to help with your upper limb strength, range and/or co-ordination. De Quervains. If these positions are difficult for your shoulder, rotate your arm forward. Repeat the exercise 3-5 times. Repeat with your opposite knee. Exercises Only do the specific exercises as instructed by your physiotherapist. Your therapist will guide you with which exercises are appropriate These exercises are designed to strengthen your hand and help the structures in your hand glide alongside one another. uk Acknowledgements: Pictures and photos taken from ‘Looking After Your Joints’; an information advice booklet produced by Versus Arthritis, 2019. If you want to motivate yourself to accomplish the high repetition of hand exercises necessary for recovery, then you need to meet the MusicGlove. Start position as swimming level 2 Pain during exercise. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. Remember general exercise is the most helpful way to ease your symptoms. Whilst the other hand is resisting the movement, move the thumb up. •Relative Rest –limiting activities and taking regular breaks may help reduce your pain, as well as changing the position of your hand when gripping, pinching or twisting •Wearing a splint –a thumb-spica splint may ease your pain by limiting the movement of your thumb during repetitive aggravating activities Hand therapy; links; Wrist passive exercises; Wrist active exercises; Thumb active exercises; PIPJ resisted extension exercises; PIPJ Injuries; Passive finger flexion exercises; Merritt 5 7 wks; Merritt 3 5wks; Merritt 0 3wks; Mallet Info Sheet; Flexor tendon information sheet; Extensor tendon information leaflet; CAM Week 3 4; CAM Week 2 3 hands. Number 1: Wrist in neutral, fingers and thumb in flexion. Begin with the palm up, supporting your involved hand with your other hand just 4) Thumb flexion Holding the ball of putty in your fist and gently press your thumb into the putty. For more pattern-disorders-patient-information. Please contact your therapist if you have any queries or Position 2 . Author: HAND & WRIST EXERCISES MCP FLEXION With your hand straight, bend your fingers from the knuckles while keeping your fingers straight (2). Exercise 3 0300 123 1732 or via email at: wah-tr. Extend the wrist and clench your fist - relax and let your hand drop. mild discomfort when exercising, however please stop if you begin to feel unwell, lightheaded or if you start experiencing pain. Put your hand on a flat surface. Carpal Tunnel Syndrome If your hand becomes weak or you struggle to maintain a firm grip of objects, please contact your GP or Physiotherapist for further advice. newcastlegatesheadtims@nhs. Position 2 . Professor Hasan Tahir – Rheumatologist & Sports Doctor. In extreme cases, where non-operative management fails to improve your symptoms you may be offered decompression surgery to increase the space for the tendons. net Opening times: The PALS telephone lines are open Monday to Thursday from 8. Return to the starting position and repeat. Same as position 1 except uncurl fingers and bend wrist towards the EXERCISES 1(A) and 1(B) STOP THESE EXERCISES AND PROGRESS ONTO EXERCISES 2(A) and 2(B) EXERCISE 1 (A) Technique :-In a standing position (body weight should be spread 50:50 on your feet) place your hands on a chair. Exercise 1 Composite finger flexion and extension Hold the putty in the palm of your hand. South Tees Hospitals NHS Foundation Trust would like P. Do these exercises little and often, as directed by your therapist. Work more on gross functional movement patterns. Remember levels. Use your other hand to make sure that your shoulder stays down and To ensure that this exercise program is safe and effective for you, it should be performed under your doctor's supervision. Exercise should not make your existing elbow pain worse overall. • Breathe OUT as you take your arms out straight to the ceiling. Place your affected side hand on the top of the stick as the picture shows. uk, remember your settings and improve our services. Resources for hand pain. Stop doing the exercises if they make your symptoms worse and/or your symptoms do not settle. Exercises Many people find the following exercises helpful If you have problems following your exercises, contact the hand therapy team on . Relax you fingers and take your hand down. adaptations for the exercises that require equipment e. Tyneside Integrated Musculoskeletal Service TIMS is a partnership between Newcastle upon Tyne Hospitals NHS Foundation Trust and Gateshead Health NHS Foundation Trust Information provided by Emma Kitching, Senior Physiotherapist Hold the band in both the hands with palms facing towards the body Stabilize the band with left hand near the waist and right hand holding the band near the right hip. Try these 3 times a day, 5-10 repetition of each Forearm supported on a table, hand relaxed over the edge. Complete each exercise slowly and in a controlled manner, you should take your time and not rush. Relax your hand and posture during the exercises. Relax. Move into a gentle stretch only, do not push into pain. Repeat with each finger 10 times (see exercise 6). L1) Overhead raise: 1) Start by lying comfortably on your back. Hand Therapy. uk To complete the neck exercises below, make sure you are in a sitting position. Hold this stretch for 20-30 seconds before returning to standing. Please ensure that you only exercise as Hand Therapy. Using your other hand, gently push your hand downwards until you can feel a stretch in your wrist. Thumb Exercises. • Do not hold your breath as you exercise. With your other hand, hold your affected finger, leaving the tip joint of your finger out. Place it in your hand and 6 Pulmonary Rehabilitation Exercises March 2023 4. THUMB FLEXION. • Slowly use the good hand to push the hand and forearm of the operated side away from the body. Keeping your elbows still, turn your palms to face upwards. The following combination of finger and thumb exercises should be completed as indicated by your therapist. Download a PDF leaflet with more information and Introduction. Hold a playing card in each hand, level with your eyes and about 18 inches apart. Bend and straighten the end joint holding each position for 3-5 seconds. If you have pain, ease up on the movement. uk Dupuytren’s contracture: post-operative advice After your hand operation, it’s important to complete the following exercises to increase movement and strength in your hand, and to reduce scarring. middle joint – hold for a few seconds. sitting exercises; flexibility exercises; balance exercises; Sit-to-stand. The effort you put into your rehabilitation is significantly related to the success of this surgery. Turn your hand so the front of the 1. Learn exercises to help with problems with joints in the hands and fingers. Bend at the waist so your arm is dangling down. if possible try and hold for 5 seconds at the end of the movement. The exercises which are right for you are dependent on the nature of your injury/illness and what stage you are at in your treatment. pdf Original uploader of hand image was Kenny sh at English Wikipedia. If you wish to share your experience about your care and treatment or on behalf of a patient, please contact The Patient Experience Department who will advise you on how Exercises following Carpal Tunnel surgery Physiotherapy & Occupational Therapy times a day until your hand feels ‘back to normal’. Printed:3/24/2020 Page 1 of 2 ©2016 NHS Lanarkshire Hand Therapy Department. Repeat about five times. , static exercise bike for those who you don’t have access to this equipment at home. Relax your wrist. Level 2 Exercises 1 Level 2 Exercises for Strength & Balance A resource for care homes in NHS Forth Valley by Matthew Gallagher . Repeat for each affected finger. Option 2: If your appointment is another date in the future. Some health professionals believe that certain exercises can help with elbow movement and the ulnar nerve to glide gently through the cubital tunnel and help to may improve symptoms. Sit or stand The advice has been compiled by NHS England, the Chartered Society of Physiotherapy, Versus Arthritis, Public Health England and the Arthritis and Musculoskeletal Alliance (ARMA). numbness. g. information about the NHS. • Touch the tip of your thumb to the tip of your. Lying on your back with one leg straight and the other leg bent. hand with your other hand just below the end joint. If you are thinking of increasing your exercise level you should check with your doctor first, as they can advise you on appropriate activities. uk If you feel the exercises are making your pain worse, reduce the number or frequency of the exercises or stop and seek advice. Turn your hand so the front of the www. End Position Stabilize the band with left hand and with right hand, pull the band down and back. 4) Rest your forearm on a table with your hand facing palm down. Flexibility exercises: Single knee to chest: Pull one knee up to your chest until a comfortable stretch is felt in the lower back and . Please follow advice from your clinician on the following hand exercises. Each exercise should be performed at least 10 times. • Bring thumb out to the side and then back in towards the index finger. To start with, try each exercise 2 or 3 times and slowly increase the repetitions as you build strength and confidence. 2 of 4 Upper limb exercises Exercises and video demonstrations for the ulnar nerve. • Standing – Holding a stick in both hands; slowly use the good hand to push the operated arm out CARPAL TUNNEL SYNDROME Page 2 How can I manage my symptoms? Support with a wrist splint, particularly when using your hand or at night Limit sustained pressure to the palm and wrist Take regular breaks from repetitive tasks and other activities that cause your symptoms Hanging your hand/arm over the edge of the bed can help settle symptoms at night • Use opposite hand to stabilize thumb. Clasp your hands together and support your forearms on a table. uk. Do this for up to five minutes. You may want to hold onto a table or chair for support. Try to build up your exercise level slowly and don’t make too dramatic a change in one go. The exercises might cause a little discomfort but should never increase your symptoms. 3) Rest your hand over the edge of a table, palm down. Then raise onto the balls of your feet slowly with some assistance from your hands if required. Feel a stretch in your wrist muscles. Visit NHS website nhs. Do _____ sessions per day. 30pm and With your other hand, gently push against the back of your hand so it bends towards you. Number of times to repeat: Number of times to perform each day: Pendulum exercise Stand leaning on a table with one hand. For example, in a couple of days you might repeat each exercise 5 times, working up to 10 repetitions in a couple of week’s time. patientinformation@nhs. Exercises 1) Put the palms of your hands together. You can contact them on freephone 0800 032 02 02 or e-mail northoftynepals@nhct. Find Space. Exercise 6. As symptoms reduce you can gradually return to activity. Hand therapy team Telephone: 023 8120 6459 (Monday to Friday, 8am to hand strength, grasp and dexterity including: - Rolling play doh into sausages or snakes. Created by Flint Rehab (who also created the blog you’re currently reading), this hand therapy tool is clinically proven to improve hand The following exercise program is worked out to involve every joint and muscle in your hands. Is there a risk that my plantar fascia will rupture while I’m doing my exercises? A. To make a specific exercise harder you can increase the number of reps or increase the . If the exercises are done regularly, the symptoms should resolve in most cases over a period of several days. 56206. Royal Devon University Healthcare NHS Foundation Trust Greater Trochanteric Pain Syndrome (GTPS) Page 2 of 7 • Exercise – Strengthening muscles around the hip and back can help. table, hand relaxed over the edge. hold your hand just above, but have a chair nearby just your normal daily activities and improves your sense of well-being. Email: esh-tr. 30pm and Active Finger Extension Exercises . T: 01642 835595 E: South Tees Hospitals NHS Foundation Trust would like your feedback. uk Version 1. If this is email sfh-tr. Exercises for De Quervains These exercises are designed to slowly increase your movement and strength. uk NHS 111 You can call 111 when you need medical help fast but it’s not a 999 emergency. Repeat these exercises _____ times every hour during the day. feeling of swelling or clumsiness to the hand. Number 8: Make a full fist and using your other hand push your fingers into a fist and squeeze tight for 5 - 10 seconds. Repeats _____ levels. Stand upright and then slowly sit down, using your hands or arms just to guide you if possible . The exercises should be done slowly, with controlled movement, to get the best results. Finger tendon gliding and blocking exercises We’d like to set additional cookies to understand how you use www. Reach your arm forwards as you hover the elbow and hand off the floor . Extensor Tendon Repair. Try to make it as flat as possible. Created by Flint Rehab (who also created the blog you’re currently reading), this hand therapy tool is clinically proven to improve hand To be able to read this PDF please click here Wrist Strengthening Exercises Mar23 (434kb) Wrist Strengthening Exercises Mar23 (434kb) The leaflets on this website are produced by Royal Berkshire NHS Foundation Trust staff for patients assessed and treated in our Trust. Blocked extension exercises With your other hand and thumb stop the bottom joint (knuckles) of your finger at 90 degrees. • Bring thumb across palm, bending both thumb joints. Hold you hand up, and make the thumb touch the tip of each finger in turning, creating a circle of the finger and thumb. To be completed by the Communications office Leaflet code: PIL202407-06-HTFE which of these exercises to do at your appointment. In this exercise, a person needs to hold a spongy or rubber ball for a few seconds (3-4 seconds) in the palm of a hand and squeeze it. Contact the Physio department if you find the exercises are making your pain Exercises 1) Put the palms of your hands together. Supination. Author: Therapy Services. 23_V2 Number 2: patientsupporthubuhs. poole. Elbow Hemi-Arthroplasty. Keep your elbow firmly into your side so your hands are held out in front of you. Symptoms are often worse at night, feeling like you need to shake the hand or hang the hand, out the bed. Carpal Tunnel Syndrome exercises and advice, Chartered Society of Physiotherapy; Looking after your joints leaflet, Versus Arthritis; These exercises are designed to mobilise your wrist and hand. uadditionalsupport 4. uk which provides online guidance and support on levels. net or telephone 01623 622515, extension 6927. It’s a simple yet very effective exercise. For example, in a couple of days you might repeat each exercise 5 times, working up to 10 repetitions in a couple of week's time. We exercises in hand OA, concluded that exercises are beneficial for improving hand pain, finger joint stiff-ness and hand function and cause no adverse effects [14]. Rest your forearm on a table, with your hand relaxed over the edge. • Place your hands across your chest and Keep your hips and knees facing forwards. Exercise guide. Squeeze and release. Bend your wrist in the direction of your thumb. PALS@nhs. , talking on the phone, driving, reading), and avoid resting your elbow on hard surfaces. You could try a different exercise instead. People who are tense and in pain hands. • Ensure the elbow does not come away from the waist. It is important that you keep the swelling in the wrist and hand to a minimum, so keep your hand higher than your heart and try to move your fingers in and out of a fist at intervals until the swelling settles. T: 01642 835595 E: [email protected] Patient experience. Squeeze the putty and curl the fingers You have been provided with these exercises to help improve your Shoulder Strength. Biceps Repair. 4. Keep looking forward and do not look down. There are many benefits of exercise and keeping active both in hospital and longer term. Hand Therapy: Finger exercises These are specific exercises to help improve your finger movement. Level 2 Exercises 2 Exercise guide To start with, try each exercise 2 or 3 times and slowly increase the repetitions as you build strength and confidence. They may also occur through the day, particularly with activities such as writing, typing, DIY and housework. It explains what BPPV is, what the Brandt-Daroff exercise Quickly lie down on your right-hand side. Exercise aims to maintain or improve joint mobility, strength and the overall use of your hand. Breathing exercise The Active Cycle of Breathing Techniques (ACBT) can be very helpful for clearing sputum and making breathing easier. Web: www. • Try and make some time in your day to try these Hand Therapy – Frequently Asked Questions. uadditionalsupport 5. The following booklet provides you with information on the exercises you have been advised to do by your therapist. Sit upright and away from the back of upper limb muscles. Please get in t ouch with your physiotherapist if you are not able to tolerate any of the exercises given on this leaflet. • Breathe out whilst twisting your shoulders around as far as Repeat this exercise times, every Repeat this exercise times, every Repeat this exercise times, every Page 2 4. Bend your wrist forwards and backwards. Your therapist is: Weighted wrist – hand turned down / hand turned up Useful contact details To reschedule an appointment: Phone: 020 3311 0333 Option 1: If your appointment is on the same day. There is no evidence that the plantar fascia is at risk of rupture while doing the exercises in this booklet. Push your hips back and lower the dumbbells, while keeping your legs straight or only slightly bent. Thumb CMCJ • Hold a walking stick in your hands. Build up slowly and aim to gradually increase the repetitions of each exercise over time. Bend the bottom joints of your hand (whilst keeping the top two joints straight). Hip abduction / sideways leg lift . Squeeze together. Do _____ of each exercise, every _____ hours during the day. oxfordhealth. uhs. They may feel hard work, stretchy or aching. Complete each exercise slowly and in a controlled manner; you should take your time and not rush. Submerge the affected hand/arm in warm water for up to 5mins and practice the exercises taught by your therapist. uk To contact a therapist: imperial. If you are struggling with these exercises please seek guidance from a qualified physiotherapist. It You have been provided with these exercises to help improve your neck stiffness and Hold onto a chair with both hands to fix your shoulders down. Your hands contain lots of muscles and joints, held together with tendons and ligaments. to you. Hold the block in one hand. www. MCPJ Arthroplasty. When should I see a healthcare professional? Hand and wrist pain often gets better with things you can do at home. - Brushing your hair/ teeth. • good movement of your hand and fingers. press them together (see exercise 5). uk 2 Exercise 4 Exercise 5 Exercise 6 Make a perfect O shape with your thumb Touch your thumb to the base of each finger Move your thumb in a circle clockwise then counterclockwise Passive thumb range of movement Hold each one for seconds and repeat times. However, if you find your symptoms returning then it is best to return to your exercise programme. Hand to Shoulder Description not available (920) 730-8833 Notes: Avoid activities that keep your elbow flexed for long periods of time (e. Let your other arm hang relaxed Ref: C-408/JT/OT/Hand exercises v3. Exercises may involve: Active movement Using your own muscle power to do the movements. Place the foam block between two of your fingers. 2 of 4 Review Date 19/11/2023 Date Produced 05. Learn about osteoarthritis of the hand and wrist, its causes and effects, and how to manage it with exercises, splints, and joint protection. Remember to keep your palms together so you feel a stretch. Repeat _____ times each side. Finger tendon gliding exercises. ue for reiew April 202. Pacing - how to manage your pain and stay active (PDF, 44KB); Pelvic floor: A guide to the pelvic floor muscles - women (PDF, 84KB); Physiotherapy Advice After Abdominal Surgery (PDF, 194KB); Physiotherapy after Major Gynaecological Surgery (PDF, 139KB); Physiotherapy Exercises and Advice After Radial Forearm Free Flap Surgery (PDF, 462KB); Physiotherapy up the daily exercises. Pain during exercise. tims. With your wrist and fingers straight, cross your thumb over your palm to touch the joint of your little finger. These Exercises are intended to assist with Strengthening for your Shoulder through the rehabilitation process. Carpal Tunnel Syndrome. Exercise 3. An exercise program is usually advised involving both stretching and strengthening. • An active exercise is when you use your joints to move your muscles, without using your other hand. Mallet Finger. 5. Extend the wrist and relax your fingers then lower your hand. Exercise should not make your existing knee pain worse overall. Use your other hand to stretch the band, and then place it on the tip of your thumb (picture 2). Exercises You should complete exercises 1 and 2 daily and complete exercises 3 and 4 every other day. uk Breathing exercises for chest clearance Introduction This leaflet describes breathing exercises which may help you to clear excess sputum and improve your lung function more effectively. Place This leaflet offers information about exercises for patients with hand or finger injuries under the care of the St George’s Hospital hand therapy team. Your therapist will guide you The following exercises are designed to help keep the joints in your fingers, thumb and wrist from getting stiff and may also improve the strength in your muscles. palse@nhs. net or telephone 01225 825656 / 826319. Slide your hand Level 1 Exercises 2 Exercise guide To start with, try each exercise 2 or 3 times and slowly increase the repetitions as you build strength and confidence. • the palm • Use opposite hand to 2) Rest the side of your hand on a table. Warm water exercises Ensure all wounds or pin sites have healed. Roll the block underneath your hand. Tel: 020 8725 2453 Email: pals@stgeorges. Please contact your therapist if you have any queries or concerns. Your therapist will advise you with specific exercises to do which are safe for your condition/injury. Boutonniere. Return to the start position and Hand exercises with an elastic band . Carpal tunnel syndrome is a condition that causes pain, numbness, and tingling in the hand and arm. F1) Royal United Hospitals Bath NHS Foundation Trust Combe Park, Bath BA1 3NG 01225 821241 www. The physiotherapists will be able to advise a different technique or a different exercise, which can achieve the same goal. Gripping exercises. Exercise should not make your existing shoulder pain worse overall. It is expected that the exercises may cause some irritation of the symptoms initially General hand exercises Active and passive exercises are important for improving your hand movements. Action: Place your thumb in a relaxed position. • You see minimal doming with the exercise • You are not holding your breath during the exercise • You are not overusing/gripping with your neck muscles • During the more difficult exercise, you can control your pelvis without arching your back Please note that these exercises are a guide and an individualised assessment NHS Trust Exercises following total hip replacement Information and advice for patients following a total hip replacement Physiotherapy Department Place one hand on the seat and one on the door frame. org or call 856-380-6856. Some of these exercises can be done with the hand immersed under water of a comfortable temperature to aid relaxation. If Exercises. These exercises should be performed three times per day. Bend your elbow and assist the movement with your other hand. Your physiotherapist will assess this and guide you with a personally Exercises These are some examples of exercises which may help with your shoulder impingement problem. Take 30 seconds rest in between each set. Department: Burns & Plastics Therapy . When doing the exercise keep your chest open, your shoulders back and maintain your back and arms completely straight at all times. Start with your hand in a fist, wrist neutral / straight 2. Palms up and down 1. NHS 111 is Meet the MusicGlove: An Evidence-Based and Fun-to-Use Hand Recovery Tool. Move your wrist backwards 4. We hope it will help to answer some of the questions you may have. ruh. Put your operated leg in front of you and lower yourself down. Swimming, walking, yoga and Pilates are helpful exercises for your back. Try to sleep with your elbow straight to decrease tension on your ulnar nerve. Exercises Stretch Prior to commencing your exercises try to warm your affected hand using a heat pack/hot water bottle, or by soaking your hand in a bowl of warm water. Try to do these exercises at least twice a week and combine them with the other routines in this series: flexibility exercises; balance exercises; strength exercises; Chest stretch. uhcw. Elbow Level 1 – Exercises 1 to 8 1. net - Telephone: 01424 758090 Eastbourne District General Hospital Email: esh-tr. Hold at the end of the range for a few seconds. Like You have been provided with exercise putty by your therapist to help with your upper limb strength, range and/or co-ordination. net, ring on 0191 2138800 or visit our website at: www. It’s a good idea to carry on exercising once your back pain has got better, as this can reduce the chances of it coming back. Do the movement slowly and breathe out as you www. If you wish to share your experience about your care and treatment or on behalf of a patient, please contact The Patient Experience Department who will advise you on how Hand Therapy – Frequently Asked Questions. Passive Wrist, finger and thumb exercises. Hold for five seconds. Low Back Pain Exercises. Repeat this in - Warm up before exercising and stretch down after exercising - particularly your calves, hamstrings and the muscles on the front of your legs. Now repeat this exercise, but this time use your other hand to push your hand upwards. uk/conditions Mindful Walking: 1. Surgery and Exercises for Carpal Tunnel Syndrome Information for patients, relatives and carers Trauma & Orthopaedics For more information, please contact: The York Hospital Orthopaedic Out Patient Clinic York Tel: 01904 726537 Advance Practitioner Hand Surgery Tel: 01904 725978 Hand Physiotherapist Tel: 01904 725390 Meet the MusicGlove: An Evidence-Based and Fun-to-Use Hand Recovery Tool. • Make a hook with your fingers • Squeeze your fingers into the putty like you are making a fist. It is important to note that exercises should not aggravate your arm symptoms. Flexor Sheath Washout. Turn your head slowly to look over your left shoulder, • Use opposite hand to stabilize thumb. We also use cookies set by other sites to help Stabilise the hand with the thumb of your other hand. • Just let your hands rest there for a few moments while you take a few slow deep breaths. Exercises Thumb strengthening exercises. Try to straighten the middle joint of your finger. This booklet contains exercises aimed at improving your hand and wrist strength and mobility. Osteoarthritis Base of Thumb Home Exercise Programme Things to remember while performing the exercises: • Occasional discomfort or a stretching feeling may be felt while performing the exercises. South Tees Hospitals NHS Foundation Trust would like Specific exercises at the right time have the potential to delay or reduce the need for surgery. The symptoms of dizziness need to be reproduced by the exercises for any benefit to occur. C. 2) Rest the side of your hand on a table. 30pm and Blocked extension exercises With your other hand and thumb stop the bottom joint (knuckles) of your finger at 90 degrees. If you are wearing a splint; please ensure you keep it in situ day and night, only removing as advised by your practitioner for exercises. (You can vary the exercise by having your foot pointing either upwards, inwards or outwards) Exercise your straight leg by pulling the toes up, straightening the knee and lifting the leg 20cm off the bed. Email ruh-tr. If you have problems following your exercises, contact the hand therapy team on . If this is difficult, rest your hand on its side. pdf [pdf] 238KB. Repeat 10 times. GP or hand therapist for specific advice on exercise. 2 sets of 10 reps, which means that you perform the exercise 10 times, have a short rest and then repeat another 10 times. Please ensure HAND & WRIST EXERCISES. Finger and thumb exercises. Lower back down and repeat with the other arm . a yoga mat and have a walking stick, pole or broom handle. Remember Use your non injured hand to push the affected finger(s) in and back so that only the top two joints bend. Your therapist will tick the exercises that are suitable for your injury and aid the return of movement. The exercises should be done slowly, Use your other hand to stretch the band, and then place it on the tip of your thumb (picture 2). See how skinny and long they can make them - Make a big ball by rolling the play doh on the table with the palm of hand (do both hands) - Make a pancake by flattening the ball of play doh with one or both hands. Within the first 24 to 48 hours after your wrist, hand or finger problem has started you should try to: reduce your activities but move as much as your symptoms allow; put your hand in a supported position if it’s comfortable, when resting; move the area gently for 10 to 20 seconds every hour when you’re awake; After 48 hours: the putty. Dupuytren's Contracture. • Bring your hands back to your chest. dumbbell in each hand. • Place a one -inch thick piece of putty between each pair of fingers and squeeze together. Repeat 5 times. Thumb CMCJ Some of these exercises might not work for everyone, so don't worry if one technique isn't right for you. 17 MI_3024514_23. Summary Plantar Fasciitis can take some months to settle down.