Hand and wrist physiotherapy in Terrassa

Reviewed by Oriol Martínez Picas, registered physiotherapist (Col. 10224) · Updated

Wrist instability, arthropathies, finger extensor tendinopathy, hand overuse and pulley ruptures: physiotherapy in Terrassa.

Hand and wrist: physiotherapy in Terrassa

Conditions I treat

  • Wrist instability

    Ligaments and muscles do not control the wrist bones well, after falls or with hypermobility. Motor control, proprioception and strength work.

    What you may notice: Pain, clicking or a feeling of the wrist giving way when bearing weight or pushing; insecurity in weight-bearing positions such as push-ups.

  • Arthropathies

    Pain and stiffness in the joints of the hand and wrist. We adapt loading and work on mobility, strength and day-to-day guidelines.

    What you may notice: Joint pain, morning stiffness, sometimes swelling and loss of strength when gripping or pinching.

  • Finger extensor tendinopathy

    Overload of the tendons that extend the fingers. Ultrasound assessment, EPI when appropriate and progressive loading.

    What you may notice: Pain on the back of the hand and wrist when extending the fingers or typing; sometimes swelling or a creaking feeling when moving them.

  • Hand intrinsic muscle overload

    Fatigue of the small muscles of the hand from intensive use (instrument, climbing, manual work). Manual therapy, dry needling and exercise.

    What you may notice: Ache and tiredness in the palm and between the fingers, cramps and loss of dexterity after a lot of activity.

  • Pulley rupture

    Injury to the pulleys that hold the finger flexor tendons against the bone, typical in climbers. Ultrasound assessment and progressive rehabilitation, or referral when needed.

    What you may notice: Sharp pain at the base of the finger, often with a «pop» while climbing; pain when flexing the finger under load and sometimes swelling.

What it involves

Specialised physiotherapy in Terrassa: each plan is tailored to your injury and your situation. First we assess, then we choose the technique.

  • Ultrasound assessment of tendons, pulleys and nerves
  • Manual therapy and progressive hand and wrist exercise
  • EPI and dry needling when appropriate
  • Adapting the sporting or work movement

If the pain doesn't improve within a few weeks, limits you or returns every time you resume activity, an assessment is worthwhile. After a hard blow, significant swelling or if you can't bear weight, see a doctor or the emergency department first.