What's happening at MHT this Month

CPD & Clinic Leadership Workshop

Continuing Professional Development

Last week I attended the Healthia Business Leadership Program Workshop and presentation in Brisbane, where clinic leaders from across the Healthia network came together to learn from industry experts and share ideas.

The program included sessions on leadership, financial management and running strong healthcare practices, with a focus on ensuring clinics continue to deliver high-quality care and a positive experience for patients.

It was also a great opportunity to connect with colleagues from across Australia and exchange ideas that help strengthen our clinics and support our teams.

I look forward to bringing some of these insights back to Melbourne Hand Therapy as we continue to grow and support our patients.

Kind regards,

Tricia Gaunt
Practice Manager
Melbourne Hand Therapy

Clinical Article

by Christian Rushton

Elbow trauma and rehabilitation – why do elbows get so stiff?

The elbow is a complex and essential component of upper limb function, comprising three distinct joints that enable both flexion and extension, as well as rotation of the forearm. These coordinated movements allow us to perform everyday tasks such as eating and drinking, dressing, reaching overhead, and participating in a wide range of sporting activities. However, when the elbow is injured, this functional capacity can be significantly compromised, and the joint can become stiff very quickly.

Elbow Trauma

Types of elbow injuries

There is a wide range of elbow injuries, which may involve single or multiple structures within the joint and can be managed either conservatively or surgically. These include:

  • Fractures (such as the radial head, radial neck, or olecranon)
  • Ligament injuries (involving the medial or lateral collateral ligament complexes)
  • Tendon injuries (most commonly affecting the biceps tendon)
  • Tendon overuse injuries (including those affecting the biceps, as well as the common extensor and flexor tendons—more commonly known as tennis elbow and golfer’s elbow, respectively)
  • Nerve compression syndromes (such as cubital tunnel or pronator syndrome, which can result in referred pain into the hand)

Why do elbows get so stiff following an injury or surgery?

  • The elbow consists of three separate joints, which are enclosed in one space.
  • The capsule (which surrounds these joints) has a high risk of contracting.
  • Naturally a very rigid joint.
  • The elbow flexion muscles (biceps and brachioradialis) commonly get tight as a protective response, making elbow extension difficult.
  • Elbow has a higher risk of heterotopic ossification (bone growth in soft tissues) post trauma, which can limit movement.
Elbows

What increases the risk of an elbow getting stiff?

  • Poor pain control.
  • High energy trauma.
  • Open injuries.
  • Concurrent nerve injury.
  • Significant swelling.
  • Fracture-dislocation injuries.
  • Intra-articular injuries (injury directly within the joint).

Important rehabilitation considerations

  • Optimise pain relief.
  • Regain range of motion early (first 12 weeks are key!).
  • Education regarding range of motion expectations.
  • Compression management for swelling and propriocpetive feedback.
  • Priortise elbow extension exercises (particularly with anconeus muscle bias).
  • Early weight-bearing exercises within injury/surgical limits.
  • Soft tissue mobilisation to overactive elbow flexors.

Don’t forget to move the shoulder and hand!

Celebrating Our Team

March Star Member

Monica

Monica Soliman is a passionate Physiotherapist at Melbourne Hand Therapy who holds a Bachelor of Physiotherapy (Honours) from the University of South Australia. She is committed to ongoing professional development and is currently completing the Healthia Recent Graduate Program to further enhance her clinical skills. Monica is a member of the Australian Physiotherapy Association and is dedicated to delivering high-quality, patient-focused care, with a strong emphasis on patient education to support long-term recovery and self-management. She has an interest in treating a wide range of upper limb conditions, with a particular focus on post-operative rehabilitation. Monica enjoys working closely with her patients to help them regain function and return to the activities that are important to them.

“The whole experience with MHT has been exceptional but the care and knowledge from Monica has been incredible as the anxiety I had from surgery has eased with Monica’s care.” – Mark

Recognition Award

Nominate a Team Member

Have you experienced exceptional care or teamwork from someone at MHT? We’d love to hear about it.

Help us celebrate those who go above and beyond.

Nomination Form

Thank you for your continued trust in Melbourne Hand Therapy. We’re committed to delivering collaborative, evidence-based care for every patient, every season.
 
Let’s continue working together to restore function and confidence, one hand at a time!