Level 1
Alignment
Alignment & nerve entrapment
- Anterior or posterior lunate syndrome
- Fixed flexed or extended wrist
- Carpal tunnel syndrome
- Ulnar tunnel syndrome
- Radial tunnel syndrome
All treatments
Wrist and hand specialised treatment
Wrist & Hand
Assessment and treatment for wrist and hand alignment, tendon, ligament, nerve, cartilage and fracture conditions.
Understanding the area
A complete view of the problem.
The hand is one of the body’s most adaptable and complex areas. Fine motor control depends on neurological connections originating in the neck, supported by small muscles, tendons, bones and joints. Hand health therefore also depends on the function of the neck, shoulder and elbow.
Five defence mechanisms
From alignment to bone.
Assessment follows five layers: the alignment of the wrist and hand joints, flexor and extensor muscles, multilayer ligaments, cartilage and the supporting bones.
- 01
Alignment
- 02
Muscles
- 03
Ligaments
- 04
Cartilage
- 05
Bones
Conditions assessed
Five levels of wrist & hand injury.
Each presentation is assessed individually. The lists below show conditions considered within Fernando’s clinical framework.
Level 2
Muscles
Tendon conditions
- De Quervain’s tenosynovitis
- Flexor or extensor tendinitis
- Trigger thumb
- Trigger finger
Level 3
Ligaments
Ligament and connective tissue conditions
- Ganglion cysts
- Dupuytren’s contracture
- Triangular fibrocartilage tear
- Scapholunate ligament sprain
- Lunotriquetral instability
Level 4
Cartilage
Arthritic conditions
- Wrist arthritis
- Carpometacarpal joint arthritis
- Osteoarthritis of the wrist and fingers
Level 5
Bones
Bone conditions
- Kienböck’s disease
- Avascular necrosis of the scaphoid
- Colles fracture
- Barton’s fracture
Referred pain from the neck and thoracic spine and complex regional pain syndrome are also considered during assessment.
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