Hand Physio (and upper limb physio)

Getting you holding, pushing, pulling, grabbing, throwing, catching and using your hands in every way you need — delivered right to your doorstep by the best.

Hand Physiotherapy in Canterbury

The shoulder, elbow, wrist, hand, and fingers can be injured in many ways—at home, at work, in the gym, or during sport. Managing these injuries often requires specialised care, as upper limb conditions can be complex and require precise assessment and rehabilitation.
Hand and Upper Limb Therapy is a specialised area of physiotherapy that requires ongoing education and training to fully understand the intricate anatomy and biomechanics of the upper limb. Accurate diagnosis and targeted treatment are essential to restore function and help you return to work, daily activities, or sport with confidence.

Using a combination of hands-on treatment, progressive rehabilitation, and evidence-based exercise programs, we work with you to restore strength, mobility, and function. Whether your injury required surgery or conservative management, the goal is always the same: helping you return to doing what you do best.

If you want the best possible outcome for your upper limb injury, seeing a physiotherapist with expertise in both hand therapy and upper limb sports injuries can make all the difference.

In addition to injury rehabilitation, we also develop strength and conditioning programs for athletes and everyday individuals looking to improve upper limb performance. These programs target specific areas such as strength, mobility, control, and endurance to optimise function and reduce the risk of future injuries.

NARROW GATE PHYSIO - THE MOST TRUSTED SPORTS INJURY CENTRE AND PAIN CLINICS

Common Hand and Upper Limb Physiotherapy Conditions

At Narrow Gate Physiotherapy, our physiotherapists regularly assess and treat a wide range of hand, wrist, elbow, and shoulder conditions. These injuries can occur through sport, work activities, gym training, accidents, or gradual wear and tear over time.

Common conditions we treat include:

Shoulder and Upper Arm Injuries
  • Shoulder injuries related to sport or training
  • Shoulder dislocations and instability
  • Shoulder osteoarthritis and rehabilitation after shoulder replacement surgery
  • Fractures of the collarbone (clavicle), shoulder blade (scapula), and upper arm (humerus)
  • Rotator cuff injuries, including post-surgical rehabilitation
  • Labral injuries and feelings of shoulder instability
  • Muscle ruptures including pectorals, biceps, triceps, and latissimus dorsi
  • Muscle strains affecting the shoulder, rotator cuff, chest, biceps, triceps, and forearm
 
Elbow Conditions
  • Tennis Elbow (Lateral Epicondylalgia)
  • Golfer’s Elbow (Medial Epicondylalgia)
  • Nerve injuries affecting the elbow and forearm
Nerve-Related Conditions
  • Nerve irritation causing pain, tingling, or numbness travelling down the arm from the neck or shoulder
  • Cubital Tunnel Syndrome
  • Carpal Tunnel Syndrome
  • Wartenberg Syndrome
  • Radial nerve injuries
Wrist and Hand Conditions
  • Osteoarthritis of the wrist and fingers
  • De Quervain’s Tenosynovitis
  • Intersection Syndrome
  • Ulnar-sided wrist pain including TFCC injuries, ulnar styloid injuries, and distal radioulnar joint injuries
  • Wrist instability and sensations of the wrist “giving way”
  • Fractures of the wrist, hand, and fingers
Finger and Thumb Injuries
  • Mallet finger
  • Jersey finger
  • Thumb injuries
  • Finger pulley injuries (common in climbing and gripping sports)

What Is Hand and Upper Limb Therapy?

Most physiotherapists are trained to assess and treat shoulder injuries. However, as you move further down the arm—from the elbow to the wrist, hand, and fingers—the level of specialised training and clinical exposure often becomes more limited. This is where Hand and Upper Limb Therapy plays an important role.

Hand and Upper Limb Therapy is a specialised area of physiotherapy focused on diagnosing and treating injuries affecting the bones, joints, ligaments, muscles, tendons, nerves, and in some cases the arteries and veins of the upper limb. This includes conditions involving the shoulder, elbow, wrist, hand, and fingers.

These structures are highly complex and work together to allow precise movement, strength, and coordination in everyday tasks such as gripping, lifting, typing, or sporting activities.

In cases of fractures anywhere from the collarbone to the fingertips, specialised care may be required to ensure proper healing. This can include the fabrication of fibreglass casts, fitting of appropriate slings, and other immobilisation techniques to protect the injured area while the bone heals.

Hand therapists can also design and fabricate custom splints for elbow, wrist, hand, and finger injuries. These splints are tailored specifically to the injury and may include:

  • Static splints to immobilise and protect injured structures

  • Progressive or constant tension splints to gradually improve joint movement

  • Dynamic splints that assist controlled movement while protecting healing tissues

These specialised devices are designed and fitted on-site to ensure optimal support, comfort, and recovery.

Through a combination of expert assessment, custom splinting, and targeted rehabilitation, Hand and Upper Limb Therapy aims to restore function, reduce pain, and help you safely return to work, sport, and everyday activities.

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What Does Hand and Upper Limb Physiotherapy Treatment Look Like?

Not every hand or upper limb injury requires immobilisation. While splints or braces can be helpful in the early stages of an injury to allow tissues to settle and heal, many conditions respond best to a combination of hands-on therapy and progressive exercise rehabilitation.

Your treatment plan at Narrow Gate Physiotherapy will always be tailored to your specific injury, goals, and stage of recovery.

Treatment May Include:

Soft Tissue Therapy and Dry Needling
When appropriate, soft tissue techniques and dry needling can help reduce muscular tightness, tenderness, and overuse-related pain. This can make it easier for you to move and begin strengthening safely.

Manual Therapy
Hands-on treatment to the joints, muscles, and tendons can help restore movement, reduce stiffness, and gradually reintroduce load to the injured area.

Supportive Taping
Taping techniques may be used to improve comfort and stability during movement. This can help reduce strain on injured tissues and allow you to continue daily activities or sport while healing.

Wound and Post-Surgical Care
For open injuries or post-surgical cases, our physiotherapists can assist with wound management, including dressing changes and monitoring tissue healing as recovery progresses.

Progressive Rehabilitation

A key part of hand and upper limb physiotherapy is structured exercise rehabilitation. These exercises are progressed carefully to restore full function of the arm and hand.

Your rehabilitation program may focus on:

  • Restoring movement to stiff joints or fingers
  • Improving muscle flexibility and joint mobility
  • Rebuilding strength in both the larger arm muscles and the smaller hand muscles
  • Improving dexterity, grip strength, and fine motor control
  • Restoring coordination and handwriting ability after neurological injuries such as traumatic brain injury (TBI)
  • Gradually returning you to sport or work-specific activities, including throwing, catching, lifting, carrying, climbing, grappling, and gripping tasks

Our goal is not just to relieve pain, but to restore full strength, precision, and confidence in how you use your hands and arms.

Ready to Feel Strong, Move Free?

Start your recovery journey with Narrow Gate Physiotherapy today with our Belmore physiotherapists!

FREQUENTLY ASKED QUESTIONS

Do you treat men and women?
While we have a huge heart to look after men who struggle to be understood in the health industry generally, but also in the realm of men’s health physiotherapy (pelvic floor, incontinence, pelvic pain, prostate and sexual dysfunction).. Our musculoskeletal, sports and aged care services are available and effective to all populations including women and children. In fact, around 50% of our clients are split between men and women.

We offer:

  • men’s health physiotherapy,
  • musculoskeletal physiotherapy (pain and dysfunction associated with everyday life including work, home activities, hobbies and posture etc.),
  • sports physiotherapy,
  • work cover/ctp (injuries happening at work and covered by injury insurance),
  • aged care (balance, falls prevention, health retirement living, nursing home care) and
  • NDIS physiotherapy.

As of 6/1/26:

Initial and subsequent non-men’s health consultations (sports performance, musculoskeletal injury etc.):

Complex (90 minutes) $330
Standard (60 minutes) $220
Express (45 minutes) $165
Classic (30 minutes) $120
Access (20 minutes) Bulk-Billed with EPC referrals

Initial and subsequent men’s health consultations (pelvic pain, erectile dysfunction, incontinence etc.):

Complex (90 minutes) $599
Standard (60 minutes) $399
Classic (30 minutes) $199

Your most suitable appointment type varies based on the complexity of your case and your personal financial commitment of choice.

Please see our online booking portal to get the most recent prices.

A proper quote on a full treatment plan (including how many visits are required) to achieve your results can only be obtained after your physiotherapist has assessed the complexity of your case in the first session.

All Work Cover/CTP and NDIS claims are fully covered by your insurance body.

Reception number (bookings and other enquiries): +61 478 260 200

Jason’s clinical number: +61 434 301 936

Jonathan’s clinical number: +61 494 305 082

Rashmi’s clinical number: +61 493 356 772

Fax: +61 7 4352 1071

Reception Clinic Address: Ground Floor 2 Kent Street, Belmore, NSW 2192

Exercise Clinic Address (within 180 Shift gym): Ground Floor 436-438 Burwood Road, Belmore NSW 2192

We mainly operate at our Belmore practice on Ground Floor 2 Kent Street, Belmore NSW 2192. Follow signs for Narrow Gate Physiotherapy and Functional Doc.

Ground Floor 436/438 Burwood Road, Belmore NSW 2192 is also available for select clients requiring a gym-based clinic and is located within 180 Shift.

We are very familiar with clients from the surrounding suburbs of Campsie Roselands Kingsgrove Wiley Park Punchbowl Beverly Hills Earlwood Canterbury Bankstown and Clemton Park.

Exclusive clients have been offered home visits.

EARLY APPOINTMENTS (6AM – 8AM) AND EVENING APPOINTMENTS (6 – 7PM)
Please call the office to request these hours as they are unavailable online.

Excluding public holidays

Narrow Gate Physiotherapy operates in Belmore as follows:

Monday 6AM – 5:30PM

Tuesday to Friday: 6AM – 6PM

Saturday: 8am – 1030am

Sunday: closed

Narrow Gate Physiotherapy is SIRA & APA-insured. We offer primarily private consultations with CTP/Worker’s compensation, NDIS (National Disability Insurance Scheme), DVA (Department of Veteran Affairs) and EPC rebates (~$61 rebate per session) with medical referrals.

Narrow Gate Physiotherapy are experts in treating the associated muscles, tendons, joints and bones of the mentioned areas below:

Headache

Jaw (TMJ)

Neck (cervical spine)

Upper back (thoracic spine)

Lower back (lumbar spine)

Pelvis (sacroiliac spine)

Shoulder

Elbow

Wrist

Hand

Knee

Ankle

Men’s health (prostatitis, pelvic pain syndrome, pudendal nerve entrapment, incontinence, erectile dysfunction, incontinence)

Narrow Gate Physiotherapy has special interest and expertise in musculoskeletal health. In particular, we work with postural dysfunction, sports injury, aged care and men’s health.

Postural dysfunction is common in sedentary populations like desk workers and people engaged in repetitive work that requires prolonged postures. We look holistically at the neck, back and shoulder joint and muscular imbalances to quickly solve this issue for good.

Sports injuries vary from gym-related, soccer, basketball, track and other high impact activities. We work closely with your goals and coach to take an ‘active recovery’ where you are still maintaining strength, flexibility and cardiorespiratory condition whilst your primary injury is healing. We always aim for fast, strong and lasting returns to sport.

Aged care is our passionate project to give back to the elders who have created the Australia we know today. We know balance, strength, flexibility & endurance are needed for easy transfers from bed, sitting and standing and to enjoy the daily activities that make retirement worthwhile. This includes getting to the floor to play with the grandkids and enjoying a sandy beach walk.

Men’s health is Narrow Gate Physiotherapy’s signature area of special interest. Men’s health physiotherapy is an emerging specialty that solves problems with prostate cancer, pelvic pain, erectile dysfunction, stress urinary incontinence, urge urinary incontinence and bowel incontinence. We use the latest research to support our holistic approach to these growing issues within men’s health.

Absolutely! We are one of the few male Men’s Health Physiotherapists in Australia.

Men’s health is Narrow Gate Physiotherapy’s signature area of special interest. Men’s health physiotherapy is an emerging specialty that solves problems with prostate cancer, pelvic pain, erectile dysfunction, stress urinary incontinence, urge urinary incontinence and bowel incontinence. We use the latest research to support our holistic approach to these growing issues within men’s health.

No, although a referral is always a good way for your current medical practitioner to give us a head start on understanding your medical history.

Special referrals from your GP called EPCs (Enhanced Program of Care) can be sent to us for chronic conditions (> 3 months since incidence) that can attract a government rebate of up to 5 physiotherapy sessions per year.

We accept all private health insurances on our HiCAPS machine that will instantly process your rebate claim on the spot in our clinic.

Invoices are provided on demand to you, especially for overseas insurances for you to process yourself online.

Yes! We offer telehealth for all our services. Just let us know that you would like this over the phone or in the notes of your online booking and we will reach out to you with instructions on how to best set up for your appointment.

Generally, we use a native telehealth function in our practice management system called Cliniko where you will receive a link to a video conference via email. Please have a stable internet connection, clear space around you, bluetooth earphones and a good quality camera (contemporary phone and laptop cameras are great) for a great experience.