Hand Therapy Consulting

Hand Therapy Consulting Hand Therapy Consulting also offers Virtual Sessions.

Hand Therapy Consulting is an established private practice at the Centre of Advanced Medicine, Gauteng, providing specialist assessment and rehabilitation services to hand injured patients. Robyn Midgley is an a Highly Specialist Hand and Upper Extremity Therapist and Extended Scope Practitioner. Robyn gained her accreditation through the British Association of Hand Therapists and is currently in the process of becoming a European Certified Hand Therapist. Robyn worked in the public and private sector in London for 10 years and then returned to South Africa to establish Hand Therapy Consulting in Bryanston, Johannesburg. Robyn is passionate about providing hand therapy of international standards to her patients using evidence-based practice, effective treatment techniques and innovative technology. Robyn enjoys sharing her clinical knowledge and expertise by presenting at national and international conferences, publishing in reputable hand therapy and surgery journals and by participating in training programs and special interest groups.

21/09/2025

The TUNING FORK holds our memories.

I recently treated a man who survived two separate assassination attempts. The first bullet passed through his jaw. The second time, seven bullets penetrated his upper body and both arms. While working in his biofield, something unexpected happened — the tuning forks rotated in my hands, tracing the trajectory of those bullets. When I worked over his torso the forks moved again, this time with an up-and-down turbulence I’d never felt before.

When I assessed the field at the age the events occurred (55), the forks showed the disturbance clearly. It left no doubt for me: our fields record experience — at the precise moment it happens.
The better news is that these imprints are not permanent. As we worked to diminish the turbulence in his biofield, Pete reported feeling less stressed. Friends later commented that his demeanour had changed — calmer, more present.

If nothing else, this reminded me that trauma is lodged not just in stories or scars but in subtle layers of the self. And that careful, respectful work — whether with tuning forks, light, or skilled hands — can shift those layers and restore a little more ease to a life that has known too much violence.

If you’re a clinician curious about biofield work or how subtle tools can support recovery, I’d love to hear what your thoughts are on using the Tuning Fork in the biofield.

🎓 CALLING ALL THERAPISTS💪 Strength Training for the Upper Extremity Specialist — Live Tomorrow with Jim Wagner!Are you h...
03/09/2025

🎓 CALLING ALL THERAPISTS

💪 Strength Training for the Upper Extremity Specialist — Live Tomorrow with Jim Wagner!

Are you helping patients recover from injury, surgery, or the effects of aging? Then this is for you.

Here’s what you’ll take away:

✨ The rapid effects of immobilization — 12% muscle loss per week

✨ Why grip strength is one of the strongest predictors of function and independence

✨ How just 1 hour of strength training weekly reduces biological aging by ~8 years

✨ The role of 8 key hormones released during exercise in tissue repair and resilience

✨ Blood Flow Restriction (BFR) training — a powerful tool for managing sarcopenia in older adults

✨ The 3 R’s model for injury management: Reactive, Repairative, Resilient

✨ Practical guidelines for exercise prescription and progression in rehab settings

📅 Join Dr. Jim Wagner for this cutting-edge session and gain tools you can apply immediately in your practice.

👉 Register here: https://robynmidgley.kartra.com/calendar/JamesWagner

FREE LIVE WEBINARHand therapists: ready to make strengthening plans more precise, safer, and easier to implement?Introdu...
21/08/2025

FREE LIVE WEBINAR

Hand therapists: ready to make strengthening plans more precise, safer, and easier to implement?

Introducing Jim Wagner OTD, OTR/L, CHT, COMT, CSCS, in association with Robyn Midgley at the Centre of Advanced Medicine.

TOPIC: Upper Extremity Strengthening in Hand Rehabilitation

You’ll leave with:

* A clear picture of how aging/inactivity affect muscle, tendon, and bone—plus what to do in clinic to reverse it.

* Strength physiology for the upper limb (Type I vs II, neural drive, motor unit recruitment).

* Programming that works: progressive overload, SAID, and the LIVE principle (Load • Intensity • Volume • Explosive).

* How to translate ACSM guidelines to hand therapy (frequency, sets/reps, %1RM for novices).

* Reloading after immobilization: expected losses, timelines, and rebuilding with isometrics, tempo, and REP/RIR.

* Where BFR fits for older adults/sarcopenia—evidence and safety pointers.

* Return-to-load after pain/flare: the Rule of 2s, block planning, and adjusting volume, intensity, and speed.

Event details

📅 Thursday, 4 September

🕒 15:00 (GMT+2 / SAST)

📍 Live on Zoom

💰 Free

▶️ Replay for registrants
Save your seat:
https://robynmidgley.kartra.com/calendar/JimWagner

We host free monthly sessions across hand and upper-limb topics—learn, network, and grow with us.

We hope to see you there!

Robyn Midgley

18/08/2025

Still living with TRIGGER FINGER because you’re afraid of surgery or injections?

What if you could resolve it in just 3 appointments—without surgery, steroid injections, or months of hand therapy?

👋 I’m Robyn Midgley, and I help people with trigger finger get fast relief by treating the root cause, not just the symptoms.
In every post, I share one actionable tip you can use right away—without relying on outdated treatments.

Most people try to ignore their trigger finger.
They hope it’ll go away on its own.
But that doesn’t give the flexor tendon the rest it needs.
It doesn’t correct the joint misalignment.
And it definitely doesn’t release the tension in the forearm muscles that’s often driving the issue.

Here’s what I do instead with my patients:

👉 Step 1: We start with a detailed assessment to find the actual cause—whether it’s a tendon issue, alignment, or forearm tension.
👉 Step 2: I custom-make a small splint and apply kinesio tape to rest the area and support proper alignment.
👉 Step 3: I use hands-on techniques like ultrasound and soft tissue work to release tension—and most people walk out of the first session with no triggering at all.

Why does this work?
Because it’s not just about relieving pain—it’s about correcting what caused it in the first place.
We identify the repetitive movements or tissue restrictions that are causing the problem, adjust them, and teach you how to support recovery with taping and splinting on your own.

One of my patients, Clive, came in with trigger thumb and pins and needles in his hand. He wasn’t sleeping and had no idea why.
In under 5 sessions, we stopped the triggering, got him sleeping again, and showed him how to self-manage with simple tools.
Now he’s pain-free—and in control.

Want to fix your trigger finger this week—without surgery or injections?

Drop a line below and I’ll send you a quick message with what to do next.

We’ll talk through your symptoms and I’ll guide you on exactly how to start relieving the pain—fast.

Can we biohack fat burning? 🔥’m honoured to welcomeI Dr Mike DeBord as the very first guest speaker in Hand Consult SA’s...
10/08/2025

Can we biohack fat burning? 🔥

’m honoured to welcomeI Dr Mike DeBord as the very first guest speaker in Hand Consult SA’s new FREE monthly webinar series.

Topic: Blood Flow Restriction (BFR) Training for Women — paired with light, simple exercises that anyone can do.

✅ Turn on fat burning
✅ Build muscle & bone density
✅ Balance hormones
✅ Boost energy
✅ Improve sleep

💡 All in just 10 minutes a day — with no pain and no soreness.

We’re kicking this off in celebration of Women’s Month 💕

📅 FREE to join: Register using the link below https://robynmidgley.kartra.com/calendar/DrMike

29/07/2025

Today I had a patient come see me for the first time and I did a proximal assessment. There was blocked energy at her elbow and mid forearm.
I worked on that and her triggering stopped after treatment. It was severe at the thumb MCPJ & IPJ.

Sue describes her experience in this video.
I also demonstrate my traditional therapy at the end.
Patients do not receive less with energy medicine, they receive a whole layer of healing before, which I believe enhances the patients experience.

If you are experiencing trigger finger, then come and see Robyn for a detailed assessment and effective treatment.

ENERGY MEDICINE TESTIMONIAL I am so grateful to Robyn for her gentle yet unbelievably effective virtual treatment of my ...
28/07/2025

ENERGY MEDICINE TESTIMONIAL
I am so grateful to Robyn for her gentle yet unbelievably effective virtual treatment of my severe hand pain using Spectrochrome lasers, tuning forks and crystal holograms.

I myself am a qualified Physiotherapist and a Functional Medicine Health Coach but was open to trying this new physics based medicine. I injured my right index finger which resulted in a flare up of severe pain in both hands as I have a history of inflammatory arthritis. I was in severe pain, taking daily anti inflammatories and painkillers. I had lost function in both hands. The pain was so severe I couldn't do simple tasks like writing, driving, dressing, preparing food or even using my cell phone without pain and discomfort. I had tried 12 sessions of regular physiotherapy which helped but didn't fully take away the pain, swelling and inflammation.

Robyn who is one of the world's top hand OT's suggested we try this physics based treatment virtually. Her treatments were so soothing, and instantly effective. She first assessed me using a pendulum and a body/hand hologram. Her assessment was quite amazingly accurate, which seems hard to believe as it was virtual (I was in another city)

After the first session the swelling in my hands reduced significantly and I could start to wean off the pain medication. After the 3rd session all pain in both hands had resolved. I was able to use my hands normally and functionally for the first time in 8 weeks and all medication had been stopped.

Thank you Robyn, I can't tell you how this magic treatment has transformed my life and eased my pain and anxiety in such a short space of time. This remarkable work is going to change so many patients' lives for the better.

Tessa Friederichs Brandt

12/07/2025
11/07/2025

Will you embrace a new way of treating trigger finger?
Probably not.
Am I going to encourage you to do so? Hell YES.
This 1 minute video demonstrates Part 1 of our upcoming virtual hand clinic and gives you a taste of what you will learn.
Part 2 will be Kimberley doing distance healing on the same patient.
Part 3 is a surprise!
For those who embrace change - you will be able to treat any patient anywhere in the world on zoom and effect a physical change. That's priceless.
To sign up click this link: https://robynmidgley.kartra.com/page/AdvancedVirtual

STUCK TENDON?If you have had a hand fracture or a tendon repair, you may end up with the tendon tethered to the underlyi...
03/07/2025

STUCK TENDON?
If you have had a hand fracture or a tendon repair, you may end up with the tendon tethered to the underlying plates and screws.
You may be told that you need another operation to get the tendon to move.
There is another option to a tenolysis and that is to have physics-based medicine. Your therapist will use tuning forks and a green light (spectrochrome laser) to lift the tendon off the plate and screws or adherent underlying tissue.
Contact Robyn should you have a similar problem and need assistance with your tendon / hand injury.

Mentorship in CMMS isn’t optional—it’s the safeguard between learning and doing harm.The CMMS Technique may look simple ...
01/07/2025

Mentorship in CMMS isn’t optional—it’s the safeguard between learning and doing harm.

The CMMS Technique may look simple once mastered, but behind every successful outcome is a therapist who has trained with intention, precision, and guidance.

Casting Motion to Mobilise Stiffness is not a textbook protocol.

It requires:

• deep anatomical insight

• refined casting skill

• sharp clinical reasoning

• and the ability to adapt to a patient’s unique response to tissue adaptation.

That’s why mentorship is built into my training.

Because it’s not just about technique—it’s about outcomes.

Your patient’s mobility, pain relief, and long-term function depend on getting it right.

If you're ready to move beyond theory and start creating real results, the CMMS online course is your opportunity.

Address

Centre Of Advanced Medicine
Johannesburg
2090

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