What Are Your Treatment Options if You Have Dupuytren’s Disease 
Hands on Therapy
by Richard Girling
5d ago
Dupuytren’s disease is a condition that causes one or more fingers to bend towards the palm of the hand.  It is caused by the thickening and scarring of the connective tissue (fascia) under the skin in the palm of the hand, which can form nodules or cords that can restrict finger movement to open the hand.  The disease is named after Guillaume Dupuytren, a French anatomist who first described it in 1834.  There is no cure for Dupuytren’s disease, but there are several treatments that can help to improve finger function and reduce pain and discomfort.  The most common finger ..read more
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The 411: Common Hand Problems 
Hands on Therapy
by Richard Girling
1w ago
Our hands are our tools and most people really appreciate them until something happens to their hands. It is something that I hear all the time!  During the month of January – I’m going to be sharing with you some common hand and finger injuries that we see often in the clinic. And some misconceptions around what to do about them.  Here are three of the most common hand injuries or hand pain.  1. Mallet finger  Injuring the finger’s terminal tendon, which aids in helping it straighten, results in a mallet finger. It is known as an extension.  The first course of treatm ..read more
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Neck and Shoulder Pain: Do’s & Don’ts 
Hands on Therapy
by Richard Girling
3w ago
When struggling with neck and shoulder pain, it’s hard to enjoy your life. You feel as though each movement has become more cautious because you’re worried that one wrong move could make the pain worse — which you don’t want.  Suddenly, you feel yourself holding back because of the pain in your neck and shoulder. You start saying “no” when you really want to say “yes.”  You can’t keep up with your friends and family like you used to be able to.  Simply lifting your arm has become harder. Picking something up is uncomfortable, so you ask for help when you can. You change your exe ..read more
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What’s the best pillow and sleeping position for someone with neck pain 
Hands on Therapy
by Richard Girling
1M ago
Neck pain is the worst when it comes to trying to sleep. During the day, at least you can ignore it, move your body to look, or compensate in one way or another. Our bodies are very smart and will do that regardless if you want to or not!  But going to sleep, staying asleep, and waking up are completely different. By the time people come to me, they have already tried stretching, not moving, pills, and waiting for weeks if not months.   One common question  they have is – “what’s the best pillow to use?”.  Basically, they want to know if their pillow caused the pain to ..read more
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Best 3 shoulder movements to protect your shoulders without spending hours at the gym 
Hands on Therapy
by Richard Girling
1M ago
It’s not uncommon nowadays to search “how-to” videos on google or Youtube when you have questions about shoulder pain or how to strengthen your shoulder. There are THOUSANDS of videos on how to strengthen your shoulder.  Most of them are demonstrated by people who are ripped, have tons of muscles, and are doing crazy complex moves. Shoot…even I put out hundreds of videos on both of my channels. They may LOOK nice….but let’s be honest….are they the right strengthening moves for YOU? Mobility is the first thing you must have in order to strengthen well. Strengthening is the second focus to ..read more
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When is shoulder surgery the right option from a therapist’s perspective?
Hands on Therapy
by Richard Girling
1M ago
If you are considering shoulder surgery and want to feel certain that you are making the right decision, here are my top 3 things to consider. Elective surgery Elective surgery is the type of surgery you CHOOSE. These types of injuries are from wear and tear, chronic types of issues, and are not emergency types of cases. This gives you time to try conservative methods first which is the gold standard because surgery is always a risk.  This allows you to do your due diligence in researching what is best for you and where you are in your stage of life.  Elective surgeries also allow yo ..read more
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How To Get The Most Out Of Therapy 
Hands on Therapy
by Richard Girling
2M ago
After going through the process of searching for the right therapist — you’ve chosen  Hands-on Therapy Services and booked your first session. While you may be feeling excited to get started on your journey to recovery – you may not know what to expect.  It’s common to be nervous before your first session. The unexpected can make us feel uneasy. Especially when you’re dealing with nagging pains or surgery recovery. Whatever the reason — keep reading to find out how you can get the most out of your experience here at Hands-on Therapy Services. How To Get The Most Out Of Your Sessions ..read more
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Neck pain not going away?  Here’s why…
Hands on Therapy
by Richard Girling
3M ago
We are glued to technology all day every day. Whether you are texting, scrolling, or sitting at your desk at work, chances are that you are hunched over…looking down. We are talking about becoming hunchbacked (which I jokingly call hunchback of Notre Dame’s).  A hunchback, also known as Kyphosis, is an excessive curvature of the spine resulting in rounded shoulders and a forward neck. It is not always as dramatic as the movie depicts; it may even go unnoticed when it is in the early stages.  No one wants to look deformed and correcting our posture is the best way to start.  Ther ..read more
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How to make the best out of your hand therapy journey after a flexor tendon repair 
Hands on Therapy
by Richard Girling
3M ago
Flexor tendon injuries are one of the most common hand injuries that require surgery. It’s also one of the most complex and frustrating therapy processes to go through.   Those injuries are usually from knife injuries, glass breaking, and even saw injuries.  All are complete accidents. You might have heard of “avocado hands”?  That is a flexor tendon injury. A famous tennis star Petra Kvitova, who was attacked by a knife lacerated her flexor tendons.  Enrique Iglesias, the famous singer most likely suffered a flexor tendon laceration when he was cut by a flying drone ..read more
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How to know if your hand pain is a muscle or nerve problem
Hands on Therapy
by Richard Girling
4M ago
Ever had pain that comes on for NO reason at all?  You can’t remember a time when you hit it, banged it, crushed it, or even slept on it wrong! It’s so frustrating because the hand pain seems to come on for no apparent injury or accident. These types of injuries are considered chronic type of injury that becomes “acute” meaning increasingly more painful or troublesome.  Now, how do you know if it’s a MUSCLE problem or a NERVE problem? Well…the easiest way is to look for those nerve problems. Hand nerve problems Nerve problems in the hand can generally create sensory changes and only ..read more
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