Hand and Wrist Pain Sydney City CBD

The hand and wrist are both areas with an extremely intricate network of bones, ligaments, capsules, fascia, tendons and muscles, allowing for multiple axis of movement. It is through this that we can achieve great dexterity and complete such complex and skilled tasks (like throwing/catching/climbing) with pinpoint accuracy. We at Monteith Physio know that an injury to the hand or wrist can restrict us performing the most basic of tasks, things that we take for granted every single day, and present a major inconvenience in day to day life, work and sport.

Signs and Symptoms

Acute injuries to the hand or wrist occur predominantly due to a fall on an outstretched hand, or a direct blow to the fingers/thumb and often present with:

  • An obvious deformity of the hand or wrist, possibly coupled with lacerations
  • Redness, bruising and swelling
  • Pain & reduced mobility on wrist, finger & thumb movements
  • Localised tenderness to touch over the area of the pathology
  • Unusual clicks, clunks or snaps
  • Weakness with grip.

Patients presenting with common overuse injuries, due to repetitive stress report:

  • Pain after repeated movements, or excessive activity, when lifting, keying, mousing or writing
  • Restricted wrist movements with stiffness dominating after a period of rest
  • Pain with stretching wrist flexors and extensors
  • Localised swelling & crepitus
  • Pain aggravated by weight bearing activities, push ups and getting out of a chair
  • Difficulty holding or gripping items
  • Pins and needles or numbness into the thumb, fingers or palm.

treating a patient for hand and wrist pain

Common conditions of the hand and wrist

  • De Quervain’s Tenosynovitis
  • Carpal Tunnel Syndrome
  • Triangular Fibrocartilage Complex (TFCC) tears
  • Scapho-lunate ligament sprains
  • 1st MCP OA
  • Rheumatoid arthritis
  • Trigger finger
  • Palmar aponeurosis
  • Fractures
  • Skiers thumb

treating a patient for hand pain

Treatment of Hand pain at Monteith Physiotherapy

Given the reliance on our hands and wrists to perform and function all day long, if your hand or wrist pain is left untreated, it can – and will, become a long term problem. Your hand and wrist is an extremely delicate area with many bones, ligaments, muscles, tendons and nerves all working harmoniously to provide pain free strength and function. Should strain or damage occur to any of these tissues, pain and an inability to use and move your hand will normally follow. A lack of movement will then compound the existing problem, and you will be left with a stiff and sore hand.

It is obviously important to have your wrist/hand pain assessed by a skilled and experienced physiotherapist. We at Monteith Physio will be sure to provide you with a careful diagnosis, supported by the most up to date treatment and rehabilitation plan (to be commenced as early as possible), such that we can help you to get your hand back to optimal function sooner.

treating a patient for hand pain

Other Conditions

Whilst we excel in improving patient outcomes in the above mentioned ‘common conditions’, Physiotherapists at Monteith Physio also have a special interest in assessing and treating those ‘hard to find’ injuries. We have a saying around here: ‘make sure you see the injury before it sees you!’

Some of these ‘more obscure’ conditions include:

  • TMJ (Temporomandibular Joint), or ‘Jaw’ Dysfunction
  • Costovertebral, Sternocostal & Sternoclavicular Joint injuries
  • Rib, & Rib Cartilage sprains
  • Sacroiliac Joint (SIJ) Dysfunction
  • Peripheral Neuropathies
  • Labral Tears of the hip & shoulder
  • Hernias
  • Overuse Injuries;
    • ITB Friction/Compression Syndrome
    • Anterior Knee Pain, or, Patellofemoral Pain Syndrome
    • Shin Splints
    • Plantar Fasciitis
    • Tendinopathies of;
      • Achilles tendon
      • Patella tendon
      • Gluteus Medius tendon
      • Hamstrings origin tendon
      • Biceps Femoris tendon
      • Adductor tendons
      • Long Head of Biceps tendon
      • Wrist Extensor & Flexor tendons
    • Bursitis, most commonly at the hip, knee & shoulder
    • Stress Fractures, more commonly in the lower limb
  • Compartment Syndrome
  • Joint Capsule Adhesions & Synovitis
  • Morton’s Neuroma of the Foot
  • Gout
  • Complex Regional Pain Syndrome (CRPS), & other Chronic pains.


If you are currently suffering with hand and wrist pain and are looking for the best health practitioner to help you get back on track, don’t hesitate to call Kate on 9252 2433 to book an appointment today.

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