Casualty First is now open on an appointment only basis, Monday to Friday 8am – 6pm and Saturday 12th/19th of December 8am – 6pm.
To book an appointment, click here.

We are offering Outpatient appointments. In many cases these can be conducted virtually. To make an appointment, please call: 0207 806 4060.

Do NOT visit the Hospital if you have any COVID-19 symptoms. Please visit the Track and Trace website.


Hand Therapy Clinic

Hand Therapy Clinic

The Hospital of St John and St Elizabeth’s Hand & Wrist Service is a team of highly dedicated physiotherapists and occupational therapists. Our specialist team takes great pride in their work and uses the most advanced techniques to improve the use of your hand, wrist and arm in a comfortable and caring environment.

What is hand therapy?

Hand therapy is the non-surgical management of hand disorders and injuries using physical methods such as exercise, splinting and wound care. Hand therapists also treat other upper limb disorders that affect hand function. Hand therapy has a crucial role in the recovery from injury of the hand or wrist, and in the recovery from hand surgical operations. Hand therapy is integrated into the hand surgery team

Hand therapists are either occupational therapists or physiotherapists with many years of extra training to specialize in this complex and vital part of the body. Hand therapy brings together techniques of occupational therapy (scar management, retraining, splinting, and advice on activities of daily living) and physiotherapy (joint mobilizations, stretching, active and resisted exercises and ultrasound). The hand therapist can assist with emotional and psychological support, as well as with restoration of hand function.

Here are some examples of when you might benefit from seeing one of our highly specialised hand therapists at the Hospital of St John and St Elizabeth’s Hand & Wrist Service:

Conditions we treat:

  • Fractures and joint injuries
  • Tendinopathies including tendonitis and tenosynovitis
  • Carpal tunnel syndrome and other peripheral nerve injuries
  • Wrist conditions
  • Rheumatoid arthritis and osteoarthritis
  • Dupuytren’s disease
  • Sports injuries to the upper limb
  • Work-related upper limb disorders ( RSI)
  • Focal hand dystonia (Musician’s focal dystonia)
  • Following surgery to your hand, wrist or arm

Therapy services available:

  • Oedema and wound management
  • Exercise therapy and mobilisation techniques
  • Scar management
  • Ultrasound
  • Bespoke neoprene and thermoplastic splinting
  • Sensory re-education
  • Stretching and strengthening exercises
  • Functional retraining
  • Ergonomic and postural advice
  • Acupuncture

If you are unsure whether hand therapy may help your condition please contact us at  One of our specialist hand therapists will be pleased to answer your questions and provide guidance about the potential for treatment.

Our team of hand therapists is registered with the HCPC, the governing body responsible for the licensing of allied health professionals.  We have a strong commitment to providing the best care for you, linking your treatment to the functional needs of your hand whether this is general household tasks, specific work activities, hobbies or high level sport/music.

To book an appointment pleases call 02078064010. You are welcome to refer yourself for hand therapy however, if you are claiming from a medical insurance policy, you may need to have a medical referral to us (from your GP or a consultant).

Clinic Times:       Monday 10am-6pm

Tuesday 4pm-7pm

Wednesday 10am-6pm.

Thursday 8am-5pm

Friday 8am-5pm

Make an Appointment