Wrist & Hand Pain

Expert Physiotherapy in Bromley & Shortlands

Wrist and hand pain can significantly affect your ability to work, exercise, and carry out everyday activities like typing, lifting, or gripping. Symptoms can develop gradually through overuse or come on suddenly after injury.

At PhysioSquared, we provide expert assessment and treatment for wrist and hand pain, using a hands-on, personalised approach to restore function and reduce pain.

What Causes Wrist & Hand Pain?

Pain in the wrist and hand can arise from muscles, tendons, joints, or nerves. It is often linked to repeated movements or sustained positions.

Common contributing factors include:

  • Repetitive activities (typing, manual work, gym training)

  • Poor wrist positioning or ergonomics

  • Sudden increase in load or activity

  • Previous injury

  • Weakness or reduced mobility

Common Wrist & Hand Conditions

1. Tendinopathy (Overuse Injuries)

Irritation or overload of the tendons around the wrist and hand.

How it arises:

  • Repetitive gripping, lifting, or typing

  • Sudden increase in activity

Management:

  • Load management and gradual strengthening

  • Manual therapy

  • Advice on activity modification

2. Carpal Tunnel Syndrome

Compression of the median nerve as it passes through the wrist.

Symptoms may include:

  • Tingling or numbness in the thumb, index, and middle fingers

  • Weakness when gripping

How it arises:

  • Repetitive hand use

  • Sustained wrist positions

Management:

  • Activity modification

  • Exercises to reduce nerve irritation

  • Advice on positioning and ergonomics

3. Wrist Sprains

Injury to the ligaments of the wrist, often due to a fall or sudden movement.

How it arises:

  • Falling onto an outstretched hand

  • Sports or sudden loading

Management:

  • Gradual return to movement

  • Strengthening exercises

  • Hands-on treatment to restore mobility

4. De Quervain’s Tenosynovitis

Irritation of tendons on the thumb side of the wrist.

How it arises:

  • Repetitive gripping or lifting

  • Common in activities involving thumb strain

Symptoms may include:

  • Pain on the thumb side of the wrist

  • Pain when gripping or lifting

Management:

  • Load modification

  • Strengthening exercises

  • Manual therapy

5. Hand Joint Pain (e.g. Arthritis or Stiffness)

Pain arising from joints in the hand and fingers.

How it arises:

  • Age-related changes

  • Repetitive strain

  • Previous injury

Management:

  • Gentle mobility work

  • Strengthening exercises

  • Advice on managing symptoms in daily activities

How Physiotherapy Can Help

At PhysioSquared, treatment focuses on:

  • Identifying the underlying cause of your pain

  • Reducing pain through hands-on treatment

  • Restoring strength, mobility, and grip function

  • Helping you return to work, sport, and daily tasks

Treatment may include:

  • Manual therapy

  • Exercise-based rehabilitation

  • Advice on activity, load management, and ergonomics

When to Seek Help

You should consider physiotherapy if:

  • Pain is persistent or worsening

  • You experience numbness or tingling

  • Symptoms are limiting your work or daily activities

  • You’re unsure how to safely return to activity

Disclaimer

This information is for general education only and does not constitute medical advice. A personalised assessment is recommended for accurate diagnosis.

Last updated April 2026

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