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As physiotherapists, we collaborate daily with people who experience pain, stiffness, and loss of strength in their hands. Sometimes the signals are small — a tingling hand, a nagging pain while typing, or difficulty opening a jar of applesauce. Only when these complaints persist do you realize how much your hands do for you, and how frustrating it is when they no longer cooperate.
One of the most common issues we see is carpal tunnel syndrome. In your wrist there is a narrow passage, the carpal tunnel, through which the flexor tendons of your fingers and an important nerve, the median nerve, run. When that nerve becomes compressed—due to swelling or overuse, for example—tingling, numbness, or pain in the hand can develop. When the nerve compressed in the carpal tunnel, surgery is not always necessary.
During treatment, we look together at how we can relieve the pressure in the tunnel. With mobilizing exercises, nerve-gliding techniques, and small postural adjustments, we can “create more space” and help calm the nerve down again. Sometimes it is precisely those slight changes that make the difference.
Another complaint we often encounter is osteoarthritis of the thumb joint, also called basal thumb osteoarthritis. The thumb is a remarkable piece of anatomy. It can make many fine movements in all directions. It can pinch, grip, push, and hook. When the cartilage in those joint wears down—osteoarthritis—every movement becomes more painful. As we age, wear and tear are inevitable, and the thumb joint endures a throughout a lifetime. The osteoarthritis in the thumb cannot reversed, but we can often reduce the pain.
We need to make the joint more flexible and stronger and teach you how to use your hand more efficiently without overloading it. Sometimes this involves advice on splinting, other times exercises or mobilization techniques of the carpal bones. It is not just about relieving pain, but also about preserving the function of the thumb so you can continue doing your everyday activities.
What we see repeatedly is that, with the right guidance, more is possible than people often think. Your hands deserve care and attention, often with just a few small adjustments.
Do you notice your hands or wrists starting to protest? With the right advice, you can use them freely, strongly, and pain-free again—without surgery. Because mashed potatoes just taste better with applesauce.
Have a question?
Check our FAQ – you’ll quickly find answers to the most frequently asked questions.
In principle, you can go to the physiotherapist for all types of pain in the movable parts of the body. Depending on whether the pain is in the muscles, ligaments, and tendons, or in the harder parts of the body such as your spine or joints, it determines which therapist you should visit.
Read moreIf you have a complaint related to the musculoskeletal system that you believe a physiotherapist can help with, in most cases, you do not need a referral for physiotherapy. This applies regardless of whether the complaint concerns your muscles, joints, tendons, or ligaments.
Exceptions for a Physiotherapy Referral
Of course, there are exceptions where a referral for physiotherapy will required. This concerns chronic conditions that listed by the government. This list has created because chronic conditions often (partially) covered by the basic insurance.
When You’re Uncertain Whether You Need a Referral for Physiotherapy
If you are not sure whether you need a referral, the physiotherapist or our central office can always provide you with more information. Additionally, your health insurance policy will indicate whether a referral from your general practitioner or medical specialist is necessary for physiotherapy.
The cost of physiotherapy depends on how you are insured. If you are not insured for physiotherapy, you can view the rates in our pricing overview at the bottom of this page.
If you have additional insurance, it will always used first. If it fully used up or the coverage is insufficient, you will receive an invoice for your treatments.
Read moreYou can make an appointment by phone from Monday till Thursday between 7 a.m. and 8 p.m. and on Friday between 8 a.m. and 5 p.m.
