Hand Therapy

Hand Therapy

Hand therapy aims to prevent dysfunction, regain function and or reverse progression of pathology in order to enhance performance of daily life skills of individuals with hand disorders/injuries.

Common Conditions Referred for Hand Therapy are as follows but not limited to:

Hand Trauma

  • Fractures
  • Peripheral nerve injuries
  • Tendon injury
  • Ligament and soft tissue injury (dislocation, collateral ligament injury, volar plate injury etc)
  • Pain Syndromes
  • Carpal Instabilities

Post Operative Conditions

  • Joint replacements
  • Fasciectomy
  • Trapeziectomy
  • Peripheral Nerve decompression/ nerve repair
  • Wrist Fusion
  • Entrapment Syndromes (Trigger finger/thumb, Carpal tunnel syndrome, de Quervain’s etc)
  • Rheumatological Conditions (Rheumatoid Arthritis, Osteoarthritis, Psoriatic Arthritis etc)

The hand therapy service will offer a comprehensive hand assessment using standardised assessment tools and provides a variety of hand therapy interventions which includes (but not limited to): fabrication of orthoses/splints; design and implementation of individualised home exercise programme, oedema management, scar management; sensory re-education; desensitisation program; mobilisations; client’s education re: joint protection/ergonomic modification; use of thermal modalities; conditioning prior to returning to work.

Michelle Cabay BSc SROT has been a qualified occupational therapist for twelve years and is presently undertaking a Masters Degree in Hand Therapy. She has successfully completed validated British Association of Hand Therapy (BAHT) courses as well as other advanced and specialised hand therapy trainings in both UK and USA. She currently works as a Clinical Specialist Occupational Therapist in hand rehabilitation at Northwest London Hospitals Trust and is a highly competent clinician. She exhibits extensive knowledge in anatomy, physiology and biomechanics of the hand, well versed with the mechanism of a broad range of hand conditions and injuries and extensive knowledge and skills in hand assessment and hand therapy intervention in treating patients with hand and wrist conditions.

Michelle is based at St John’s Wood.