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“Man, through the use of his hands, as they are energised by mind and will, can influence the state of his own health.”Mary Reilly

Hand Therapy Consulting provides specialist opinion and treatment for a variety of hand conditions, including fractures, dislocations, sprains and soft tissue injuries as well as conditions associated with the hand, wrist and upper limb such as arthritis, tendonitis and carpal tunnel syndrome.

We recognise that each injury and each case is unique – at Hand Therapy Consulting, a British Accredited & European Certified Hand Therapist will work closely with you to develop a personalised treatment plan based on specialist advice and skills to ensure maximum healing in a time efficient and cost effective manner.


Click on the heading below to learn more about our specialised treatments


  • Biometrics E Link Open or Close

    hand therpay biometricsHand Therapy Consulting uses the Biometrics E Link for the assessment and treatment of hand / upper extremity injuries. The Biometrics E Link is a computer-based standardised evaluation and therapy treatment tool that offers patients another dimension to treatment.

    Innovative technology is used to exercise individual fingers, the hand, wrist, elbow and shoulder. Surface EMG is used for biofeedback, muscle re-education and motor control. The advantage of Biometrics E Link is that treatment progress can be reported over time using statistical analysis.


  • Casting Motion to Mobilise Stiffness Technique (CMMS) Open or Close

    hand therapy consulting casting motion cmmsRobyn has been trained by Judy Colditz, OT/L, CHT, FAOTA, a highly-respected, well-published hand therapist, to perform the Casting Motion to Mobilise Stiffness (CMMS) technique. The development of chronic stiffness in the injured and uninjured digits is a common complication following a hand injury that is often not resolved with traditional therapy, resulting in severe functional compromise. The CMMS technique is a cost and time efficient method of treating the stiff hand. It promotes the release of joint tightness so that joint motion can be restored without the need for multiple treatment sessions.


  • Medico-legal Assessment & Reporting Open or Close

    Medico-legal assessments involve the detailed assessment of a person’s physiological, psychosocial and functional capacity following an injury. A medico-legal report serves to advise a court of law on how to compensate a person in order to re-instate them to their pre-injury level of functioning.

    Robyn has been trained by the highly reputable Bond Solon medico-legal firm in London to perform medico-legal assessments and reports, and offer expert opinion in court. The Biometrics E Link is used to perform the formal evaluation and generate a report with a definitive clinical outcome and impairment calculation.


  • Muscle Strengthening Open or Close

    hand therapy consulting muscle strengtheningHand Therapy Consulting uses innovative equipment and clinical expertise to implement effective hand therapy programs. Results are monitored and analysed over time to evaluate the efficacy of the treatment program and ensure that muscle strength is regained and functional capacity is restored.




  • Pain Management Open or Close

    hand therapy consulting pain managementWe specialise in the evaluation and treatment of acute and chronic arm and hand pain, including Repetitive Strain Injuries, Complex Regional Pain Syndrome, Hypersensitivity, Fibromyalgia and Work Related Upper Limb Disorders. Treatment includes the use of a variety of therapeutic modalities and techniques as well as evidence-based pain management programs to relieve pain and restore functional use of the hand.



  • Graded Motor Imagery Open or Close

    hand therapy consulting mirror therapyGraded Motor Imagery is used to treat pain and movement problems related to altered nervous systems by exercising the brain in measured and monitored steps, which increase in difficulty as the patient progresses. Three different treatment techniques are used, namely left/right discrimination training, motor imagery exercises and mirror therapy. Mirror therapy was first described for the relief of phantom pain but it has since been proven to be an effective drug-free treatment for pain. The technique involves the use of a virtual image of the affected limb to trick the brain into believing that the limb is normal, thus providing the brain with a platform from which to re-wire itself to map its new profile and compensate for the damaged limb, thereby improving the patient’s quality of life (David Butler, Neuro Orthopaedic Institute).

  • Splinting Open or Close

    hand therapy consulting splintingWe can provide custom-made splints to meet the requirements of the patient, whether it be to facilitate healing, increase range of motion, prevent or correct deformities or improve hand function.




  • Therapeutic Exercise Open or Close

    hand therapy consulting therapeutic exerciseHand Therapy Consulting offers a wide range of therapeutic equipment and techniques, including the use of the Biometrics E Link, that focus on restoring and maintaining strength and endurance in the hand and upper limb.




  • Wound & Scar Management Open or Close

    hand therapy consulting wound n scar managementDuring the healing process, Hand Therapy Consulting can assist you in the management of your wound care, including the removal of sutures, dressing changes as well as the treatment of scarring. Various techniques and modalities are applied that will assist with reducing scar hypersensitivity and improving the appearance of the scar.




  • Workstation Assessments / Ergonomic Advice Open or Close

    hand therapy consulting workstation assessmentRobyn Midgley has a special interest in Work Related Upper Limb Disorders and has published journal articles on the evaluation and treatment of people with work related pain. Individual ergonomic workstation assessments are conducted at the workplace and ergonomic principles are applied to prevent the onset of pain and secondary injuries to the upper limb.




  • Joint Protection Open or Close

    For diseases such as rheumatoid arthritis or osteoarthritis and related syndromes, Hand Therapy Consulting is able to advise and perform hand therapy exercises to prevent instability, decrease in functional levels and the progression or development of deformities as a result of hand joint pain.

  • Activity Adaptation Open or Close

    hand therapy consulting activity adaptationActivity adaptation is the process of evaluating and recommending interventions to modify daily activities and routines in home, workplace, craft, game, sport or other occupation to enable performance, prevent cumulative trauma injury or accomplish therapeutic goals.




  • Ultrasound Open or Close

    hand therapy consulting ultrasoundTherapeutic ultrasound is well-known as an effective treatment in the management of soft tissue and sports hand injuries, and to minimise hand muscle pain and movement dysfunction.




  • Paraffin Wax Treatment Open or Close

    hand therapy consulting paraffin wax treatmentParaffin is used as an effective treatment for arthritis and stiff joints to help decrease pain and loosen up the hand and finger joints.





  • Heat / Cold Therapy Open or Close

    hand therapy consulting heat and cold therapyHeat and cold treatments offer an efficient and cost effective method to relieve hand and wrist pain, and relieve stiff joints.





  • Kinesio Taping Open or Close

    hand therapy consulting kinesio tapingKinesio taping is a renowned method of facilitating natural healing while providing support and stability to hand muscles and joints without restricting the range of motion in the treatment of soft tissue injuries, carpal tunnel syndrome, and repetitive strain injury.




Contact Us

  • Medical Suite B7a, Hobart Grove, Corner Hobart and Grosvenor Road, Bryanston
  • +27 (0) 83 650 3022
  • Contact Us
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