Condition guide
Hand and Wrist Pain Physiotherapy
Assessment and treatment for hand and wrist-region pain affecting grip, dexterity, work tasks, and daily activity.
Hand and wrist pain may involve joints, tendons or nerves, so similar symptoms do not always need the same treatment. We consider gripping, typing and other tasks that matter to you. Rehabilitation depends on the findings; a new injury, loss of feeling or an unusually hot, swollen hand may need medical care first.
This guide is general information and does not replace a clinical assessment.
Common Symptoms
Pain in hand, wrist, or thumb region
Reduced grip strength or dexterity
Pain with typing, lifting, or repetitive activity
Stiffness or discomfort in everyday hand tasks
Seek Prompt Medical Advice If You Have
Hand trauma with deformity or severe swelling
New inability to move the wrist or hold objects
New loss of feeling in the hand or wrist
Progressive numbness or weakness
Uncontrolled pain after injury
If you are unsure, call NHS 111 or seek urgent medical care.
Assessment
Locate the pain and discuss any injury, swelling, tingling or night symptoms
Check finger, thumb and wrist movement, with grip tasks where safe
Review repetitive work, tools, computer use and the activities you find difficult
Consider whether nerve symptoms, trauma or joint swelling require medical review
Treatment
Choose movement exercises for the affected fingers, thumb or wrist
Rebuild grip and task tolerance gradually, respecting any post-injury restrictions
Adapt repetitive tasks and hand positions to reduce unnecessary symptom aggravation
Review progress through practical goals such as dressing, lifting or keyboard use
Aftercare & self-management
At your appointment, agree which exercises to do, how often to practise them and when to review your progress.
Break up repetitive hand use rather than working through increasing symptoms
Keep gentle movement within your agreed plan; avoid forceful gripping during flares
Consider easier-grip tools or task changes that reduce strain on your hand
Seek medical advice for persistent tingling, worsening weakness or loss of feeling
Plan your visitClinic, prices, insurance and home visits
- Your clinic & directions
- Newham clinic, Plaistow
Newham Leisure Centre, 281 Prince Regent Lane, Plaistow, London E13 8SD
- Self-pay
£60 for a 30-minute physiotherapy appointment.
Prices & self-pay- Health insurance
Cover depends on your plan and chosen physiotherapist.
Insurance & cash-plan guidance
Would a home visit suit you better?
If getting to the clinic is difficult, explore physiotherapy at your visit address. Suitability depends on your condition, care needs, travel and the available clinician; the clinic price and insurance arrangements above do not automatically apply to home treatment.
Frequently Asked Questions
Can hand pain come from nerve irritation?+
Yes. Assessment screens for local and proximal nerve involvement where relevant.
Is rehabilitation useful after immobilisation?+
It may help restore movement and task tolerance once your treating team has cleared the relevant movement and loading. A recent fracture, operation or tendon repair can have specific restrictions that must be followed.
Do you provide exercise plans for desk workers?+
Yes. Plans are tailored to workload, symptoms, and functional demands.
Related care and guides
Further reading
For public health information, self-care guidance and advice on when to seek medical help:
About your care at Nexus: meet our physiotherapists and read our clinical governance information.