Occupational Therapy, specialising in hand and upper limb rehab with clinics in Nedlands, Edgewater, Mandurah and Byford
11/05/2025
You may have felt elbow pain after a busy day at work, blitzing the house clean or playing sport – but when does this become a problem?
If your pain hasn’t settled down with a week of rest you may have Lateral Epicondyle Tendinopathy (LET) also called “tennis elbow”. This injury is estimated to affect 5% of the population at any one time, and the good news is that it can be treated effectively with early action!
LET is caused by changes in in the wrist and finger extensors where the tendons merge into one, attaching to the lateral epicondyle of the elbow.
Tendinopathy describes any damage to your tendons. “Tendinosis” is when the tissues making up your tendon change, collagen becomes disorganised, blood vessels invade and dense scar tissue forms. Or your tendon may be affected by sudden damage like a tear or inflammation known as “tendinitis”.
Treatment differs, depending on your diagnosis, the cause, how long you have had symptoms and the likely cause.
We will assess your needs and provide a tailored treatment plan to get you back to your regular activities as soon as possible.
05/07/2024
Specialists On Hand Byford is now Hands UP Rehab. Same location, same great therapist with a brand-new name:
👌🤟👏💪🫵📣 Hands UP Rehab 📣👋🤞✌️✊🖖
Click "Hands UP Rehab" in the title or scan the QR code in the picture to find our new page, where Jade will keep you updated on the new and exciting things she gets up to at Hands UP Rehab. Feel free to also ask any questions you may have, or book an appointment to see her.
💙💚Lastly a huge thank you for joining me on this incredible journey! I am deeply grateful for the trust and support from those I’ve had the privilege to help in the past at Specialists On Hand, and I look forward to assisting many more in the future at Hands UP Rehab.
💚💙Specialists On Hand continues to operate and support their Nedlands, Edgewater and Mandurah clients.
Specialists On Hand
Occupational Therapy, specialising in hand and upper limb rehab with clinics in Nedlands, Edgewater, Mandurah and Byford
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Specialists On Hand is a private Occupational Therapy (OT) practice dedicated to the provision of a comprehensive and personalised hand and upper limb rehabilitation service.
Our team has over 50 years combined experience in evaluating and treating the hand and upper limb. We have worked in both the public sector and private practice in Australia, UK and the USA.
At Specialists On Hand all our therapists are passionate about keeping up to date with new technology and treatment techniques in the field of hand therapy. We pride ourselves on providing the highest quality of individualised care to each and every one of our patients. All of our therapists are members of the Australian Hand Therapy Association.
We are all registered Occupational Therapy providers with Work cover, Department of Veteran's Affairs, the Medicare Enhanced Primary Care (EPC) program and all the major health funds.
Services Offered
At Specialists on Hand, we provide a comprehensive hand and upper limb therapy service, including all aspects of conservative and post-surgical management. We offer the following services:
Comprehensive Evaluation of the injury/condition
Diagnosis of the injury or condition using a number of evaluation tools such as range of motion, strength, presence of inflammation or swelling.
Education regarding the diagnosis and treatment
Our therapists have a sound knowledge of many types of injuries/conditions and how best to treat them. You will be informed on the type, length and duration of treatment to best suit you and your condition or injury.
Splinting including thermoplastic, neoprene, lycra (dynamic and static)
We provide a wide variety of custom and pre-fabricated splints (orthoses) depending on your specific needs. Thermoplastic splints are light weight and can be worn in the shower or swimming pool, providing you don’t have any open wounds.
Casting( including water proof)
After a fracture you will usually be placed in a plaster cast. We can provide a waterproof cast that you can wear in the shower or when swimming.
Chronic pain management
Pain that persists for longer than 3 months is considered to be chronic and difficult to manage. We can perform an assessment to find the root cause then implement home programs and active treatment to reduce your pain.
Oedema management
Oedema or swelling can often hinder the healing process. There are a variety of treatment techniques to reduce both acute and chronic oedema and associated symptoms, including manual oedema mobilization and comrpression garments.
Wound care and scar management
Our therapists can provide suture removal, attend to your dressings and assist your healing wound. We also use a number of techniques and products to minimise the appearance of your scar.
Range of motion and strengthening exercises
Prescription of individualised exercises performed in the clinic and provision of home exercise programs to achieve greater movement, strength and endurance for daily living tasks.
Soft tissue massage and trigger point therapy
Tight muscles can often reduce range of motion and even cause pain when knots (trigger points) form. We perform massage techniques and manual trigger point releases to reduce pain and improve muscle performance.
Sensory Re-education
Frequently with nerve compression or injury sensation in the area is altered and may become either numb (hyposensitive) or overly sensitive (hypersensitive. Some may experience the added sensation of pins and needles. We will conduct an evaluation and provide a specific program of stimulation to address these problems.
Inter-X neuro-stimulation treatment
Specialists on Hand was the first Occupational Therapy Practice in WA to begin using this device over 5 years ago. The Inter-X is a neuro-stimulation device used to reduce pain and oedema. It is also used in the clinic to enhance range of motion of affected joints and soft tissues.
Comprehensive home programs
Individualised home programs are provided to achieve therapy goals. This may involve range of motion, strengthening, stretching, coordination etc. Programs are regularly modified to achieve goals and safely return to function as soon as possible.
Hand writing Evaluation and Treatment
Specialists on Hand provide a comprehensive hand-writing evaluation and treatment program for ages 5 and over. It assists performance in primary, secondary school and university students. Even adults in the workforce, who may be experiencing difficulty with hand-writing and fine motor tasks can benefit from our service.
Recommendations/provision of adaptive equipment
Sometimes an injury or disease process may prevent people from being able to perform certain activities. If we are unable to modify the way in which the activity can be performed, adaptive equipment may be recommend so the task can be completed independently.
Activity Modification
In order to progress through the rehabilitation process and preserve joints or soft tissues, it may be necessary to modify the activity and the way in which it is performed. During certain stages of healing a person will need to modify the amount and types of activities they perform each day.
Education to community groups
We can provide education sessions on different diagnoses, prevention strategies and treatments available, as well as training and consultation if needed.
Consultation and training in Splinting
Our therapists are able to provide training to students and therapists in splinting fabrication and prescription. This may be to therapists in regional areas or nursing homes who have limited experience in this area.
Common Diagnoses Seen
Fractures
Tendon & nerve repairs
Tendonitis e.g. tennis elbow, de Quervain's tenosynovitis
