Hand and wrist pain can have a significant impact on daily life from typing and cooking to sport and work. At London Sports Physiotherapy in Sutton, our experienced clinicians offer thorough assessment, evidence-based physiotherapy, and injection therapy to treat the full range of hand and wrist conditions.
Understanding Hand & Wrist Pain
The hand and wrist are remarkably complex structures, comprising 27 bones, numerous tendons, ligaments, nerves, and muscles, all working together to enable precise, powerful movement. This complexity means that pain in this region can arise from many different sources, and an accurate diagnosis is the essential first step to effective treatment.
Whether your pain has developed gradually through repetitive activity, started suddenly following an injury, or is related to an underlying joint condition, our physiotherapists at our Sutton clinic will take the time to assess and explain your diagnosis fully before beginning treatment.
Our team has specialist experience in diagnosing and treating a wide range of hand and wrist conditions, including:
If your condition is not listed above, please do get in touch. Our clinicians assess and treat a broad range of hand and wrist presentations and will be happy to advise whether physiotherapy is the right pathway for you.
Carpal Tunnel Syndrome
Carpal tunnel syndrome occurs when the median nerve becomes compressed as it passes through the narrow carpal tunnel at the wrist. Symptoms typically include tingling, numbness, and weakness in the thumb, index, and middle fingers, often worse at night. Physiotherapy and targeted injection therapy can provide significant relief, and many people are able to avoid surgery with early intervention.
Repetitive Strain Injury (RSI)
RSI is an umbrella term for pain caused by repetitive movements or sustained postures. It is commonly associated with keyboard and mouse use, manual work, or sport. The forearm, wrist, and hand are the most frequently affected areas. Treatment focuses on load management, tissue rehabilitation, and addressing the underlying movement patterns that have contributed to the injury.
Thumb & Finger Osteoarthritis
Osteoarthritis of the thumb’s carpometacarpal (CMC) joint, sometimes called basal joint arthritis, is one of the most common forms of hand arthritis, particularly in women over 50. It causes pain at the base of the thumb during gripping and pinching activities. Finger joints can also be affected. Physiotherapy, splinting, activity modification, and injection therapy can all play a role in managing symptoms effectively.
Trigger Finger
Trigger finger (stenosing tenosynovitis) occurs when inflammation narrows the tendon sheath, causing the finger to catch, lock, or click when bent. It can range from mildly irritating to severely disabling. Injection therapy is often highly effective in the early stages, and physiotherapy helps restore smooth movement and prevent recurrence.
Post-Surgical Rehabilitation
Whether you have had surgery for carpal tunnel release, Dupuytren’s contracture, a fracture fixation, or tendon repair, structured post-operative rehabilitation is essential for a full recovery. Our physiotherapists work closely with your surgical team to deliver a progressive rehabilitation programme that restores movement, strength, and function as safely and efficiently as possible.
At London Sports Physiotherapy in Sutton, we offer a comprehensive range of treatments tailored to your specific condition and goals:
Manual Therapy
Hands-on joint mobilisation, soft tissue release, and nerve mobilisation techniques to reduce pain and restore movement.
Exercise Rehabilitation
Progressive strengthening, mobility, and neuromuscular programmes designed around your diagnosis and daily demands.
Splinting & Bracing
Custom or off-the-shelf splints to offload painful joints, support healing structures, and protect during activity.
Dry Needling
Targeted needling of trigger points in the forearm and hand musculature to reduce pain and improve tissue flexibility.
Post-Op Rehab
Structured, staged rehabilitation following hand and wrist surgery, coordinated with your surgical team’s protocols.
Injection Therapy
Corticosteroid injections for carpal tunnel, trigger finger, thumb arthritis, De Quervain’s, and other inflammatory conditions.
Injection Therapy at London Sports Physiotherapy
Our clinicians are trained to administer corticosteroid injections and hyaluronic injections for a range of hand and wrist conditions, including carpal tunnel syndrome, trigger finger, thumb osteoarthritis, and De Quervain’s tenosynovitis. Injections can provide fast, targeted relief from pain and inflammation allowing physiotherapy rehabilitation to be carried out more comfortably and effectively. We will always discuss whether an injection is appropriate for your condition at your initial assessment.
Highly Experienced Team: Our physiotherapists have worked with elite athletes, in acute hospital settings, and with complex musculoskeletal presentations. We bring specialist expertise to every client interaction.
Evidence-Based Practice: All treatment is grounded in current research and best-practice guidelines, ensuring you receive the most effective care available.
Advanced Facilities: Our state-of-the-art clinic in the Oru Building, Sutton, provides dedicated rehabilitation space, objective testing equipment, and diagnostic ultrasound capabilities.
Holistic Approach: We address the root cause of your problem, not just symptoms, ensuring sustainable long-term results.
One-to-One Appointments: Personalized attention throughout your entire appointment—no shared sessions or group classes.
Flexible Options: We work with self-funded clients and all major private health insurance providers, offering convenient appointment times to suit your schedule.
Comprehensive Services: From initial injury assessment to post-operative rehabilitation and performance optimization, we provide complete musculoskeletal care under one roof.
Located in central Sutton with easy accessibility, we’re trusted by people across SM1, SM2, Cheam, Carshalton, and the wider Surrey area.
Yes, many cases of carpal tunnel syndrome respond well to conservative management, including nerve mobilisation exercises, splinting, activity modification, and injection therapy. Surgery is not always necessary, particularly when treatment is started early. Your physiotherapist will advise on the most appropriate pathway for your level of symptoms.
Many people notice a significant improvement in trigger finger symptoms within one to two weeks of a corticosteroid injection. Some experience relief sooner. The injection is often combined with physiotherapy to address the underlying tendon irritability and reduce the likelihood of recurrence.
Thumb CMC joint arthritis can be managed very effectively without surgery in many cases. Treatment options include physiotherapy, splinting to support the joint, activity modification, and corticosteroid injections to reduce pain and inflammation. Our team will carry out a thorough assessment and present you with a clear, personalised management plan.
This depends on the type of surgery performed and your surgeon's protocols. In many cases, physiotherapy begins within the first one to two weeks post-operatively. We work closely with surgical teams to ensure your rehabilitation is timed correctly and progressed safely at every stage.
No, you can self-refer directly to London Sports Physiotherapy without seeing your GP first. Simply contact us via our website or by phone to arrange your initial assessment.
If you are experiencing hand and wrist pain, physiotherapy can help identify and treat the underlying cause.
You do not have to keep living in pain. Specialist help is available, and the sooner you seek it, the sooner you can start feeling better. The team at London Sports Physiotherapy in Sutton provides expert physiotherapy for musculoskeletal conditions in a friendly, professional, discreet and supportive environment.
We are conveniently located for people across South London and North Surrey, including Cheam, Carshalton, Morden, Epsom, and Wallington. Our team combines specialist musculoskeletal physiotherapy expertise with in-house injection therapy, meaning you can access a comprehensive, joined-up approach to hand and wrist pain in a single clinic, without the delays of multiple referrals.
We welcome self-referrals, no GP referral is required. Early morning, evening, and weekend appointments are available, and most people are seen within a week of first contact.
Contact us today to book your initial assessment or to speak with one of our specialist physiotherapists about your symptoms. We are based in Sutton and proudly serve people from across South London and Surrey.
