• What’s New This Month:
  • Word from Jen
  • Understanding De Quervain’s Tenosynovitis
  • Spotlight on Hand Therapy for the Elderly: Our Interview in Compass
  • Wrist course – Max Minuzzo
  • Farewell Alison
Jennifer Mathias

WORD FROM JEN

Jennifer Mathias
MHT Director
Senior Clinician

  • What’s New This Month:
  • Word from Jen
  • Understanding De Quervain’s Tenosynovitis
  • Spotlight on Hand Therapy for the Elderly: Our Interview in Compass
  • Wrist course – Max Minuzzo
  • Farewell Alison

Hi Everyone,

As we settle into the colder Melbourne winter, we’re seeing a seasonal rise in injuries—particularly from skiing and the ongoing football season. Our team is staying busy, both in clinic and through continued professional development.

Max recently attended a one-day course focused on wrist rehabilitation, and Emmeline is leading an in-house training session to share and build on this knowledge. I’ve also had the opportunity to visit the team at Victoria Rehabilitation Centre to provide education to their occupational therapists on all things related to hand therapy.

For the past few years, we’ve proudly supported VRC with a dedicated splinting service for their inpatients requiring hand therapy, and we’re pleased to continue offering this important collaboration.

Stay warm and take care,

Jen

Understanding De Quervain’s Tenosynovitis

De Quervain’s tenosynovitis is an inflammatory condition affecting the tendons on the thumb side of the wrist. It occurs when the tendons that control thumb and wrist movement become inflamed and constricted by their surrounding sheaths.

This inflammation can lead to

  • Pain and swelling near the base of the thumb
  • Discomfort when turning the wrist, grasping objects, or making a fist
  • A snapping or catching sensation in the thumb
Wrist Movements

This condition is often caused by repetitive thumb and wrist movements and is more prevalent in individuals aged 30-50, especially those with occupations or hobbies involving such motions. Parents with young children are another group commonly affected by deQuervains.

When assessing for deQuervains your hand therapist will discuss your medical and occupational history, and carry out a physical assessment of your wrist and hand. The physical examination will include palpating over the wrist to assess for pain when pressure is applied to the tendons. Another test called the Finkelstein test can also help with diagnosing deQuervains.

Finkestein Test

Treatment Options:

  •  Splinting: A custom splint that stops the wrist and thumb from moving allows the inflamed tendons to rest. Your therapist will make the splint during your session and ensure that it feels comfortable.
A custom splint made from low temperature thermoplastic
  • Ice application to the affected area
  • Your doctor may recommend the use of anti-inflammatory medication to reduce swelling and pain
  • Avoid repetitive movements and activities, eg lifting heavy bags, as these will aggravate your symptoms
  • Administration of corticosteroid injection into the tendon sheath can ease pain and decrease swelling if recommended by your doctor
  • Surgical Intervention: In some cases, surgery may be recommended by your doctor to release the tendon sheath.

If you experience symptoms of De Quervain’s, contact our rooms for a thorough examination and to receive an appropriate treatment plan.

Spotlight on Hand Therapy for the Elderly

Our Interview in Compass

We’re excited to share that our practice was recently featured in an article published by Compass, a trusted informational and online resource for senior living and wellness.

The article explored the importance of hand therapy for the aging population. As people age, changes in strength, mobility, sensation, and coordination can significantly affect their independence and quality of life. That’s where hand therapy can make a real difference.

In the interview, senior hand therapist Emmeline had the opportunity to discuss how tailored hand therapy programs help older adults maintain or regain essential hand function. Whether it’s arthritis, post-surgical recovery, or age-related changes, our approach focuses on improving strength, flexibility, and daily function through evidence-based care.

Some key points shared in the article included:

  • How customized therapy can reduce pain and improve joint mobility.
  • The importance of early intervention to prevent decline.
  • The emotional impact of regaining function and confidence in using one’s hands.

You can find a copy of this article on the Compass website. 

Emmeline has been asked to be the guest speaker for the July Q&A session hosted by Compass. You can register for this session at their website.

Wrist Course

Max Minuzzo

Bundoora based therapist Max, recently attended a course on the assessment and management of wrist injuries. This specialized training helped deepen his understanding of wrist anatomy, biomechanics, and the latest evidence-based practices in wrist rehabilitation.

The course, covered topics including

  • Applied Anatomy and Biomechanics
  • Clinical Assessment Techniques
  • X-ray Analysis
  • Treatment Strategies

Of note, this course highlighted the importance of a thorough assessment of the wrist including obtaining a clear history of symptoms and hands on clinical testing. The use of x-rays and MRI scans to help with diagnosing was also covered.

Treatment strategies included the use of wrist straps or tape to help stabilise the wrist.

A widget used to help stabilise the wrist
Tape to help stabilise the wrist

Strengthening and stability exercises play a big role in wrist rehabilitation. Targeting specific muscles with light weight helps to create strength and protect the wrist joints.

Wrist Joints
Strengthening with a flexbar

Exercises that are designed to create stability for the wrist target the mechanoreceptors within the wrist ligaments. By stimulating these mechanoreceptors, muscle reaction time is sped up and the wrist becomes more supported and stable.

Stability exercises with a balance pipe

Each wrist rehabilitates differently and therefore needs a customized plan. If you have a wrist injury, contact our rooms to arrange an assessment.

Alison

We bid farewell to our much loved hand therapist Alison, who is returning to her homeland of Ireland. Alison has been a valued member of staff for the past two years, and she will be sorely missed by both patients and staff alike. Good luck Alison.

All the best