Our clinicians at Orthotics Plus Malvern and Orthotics Plus Heidelberg use a wide range of orthotic devices to treat upper limb injuries and conditions.

A hinged elbow brace is used when a gradual increase in elbow range of motion is required. It consists of a forearm and upper shell with a joint in between. This joint can be set in various positions depending on the stage of rehabilitation.

A humeral fracture orthosis is made from a thin plastic material. It wraps around the humerus and cups the shoulder joint. It is tightly positioned around the humerus using Velcro straps and also has another strap that wraps under the opposite arm pit to hold the shoulder section close to the body. This may be worn with a collar and cuff.

An arm sling is commonly used in the acute phase after an upper limb injury. An arm sling has a material section with multiple adjustable veclro straps. The straps can be adjusted to ensure the elbow and wrist are in the correct position.

Wrist Hand Orthoses can either be made from a low temperature plastic or a high temperature plastic. A low temperature plastic WHO can be moulded directly onto the skin and finished on site using Velcro straps. A high temperature plastic is a stronger material which requires moulding over a plaster cast. If a high temperature WHO is required, a plaster cast must be taken and the orthosis fabricated overnight.

The WHO can be fabricated to just immobilise the wrist or both the wrist and thumb. These are commonly used to treat wrist fractures, scaphoid fractures or midshaft radius/ulna fractures.

At Orthotics Plus we also use pre-fabricated WHO if there is a simple ligamentous injury which doesn’t require complete contouring to the shape of the limb.

Osteoarthritis is a “wear and tear” type pathology affecting the articular cartilage of joints. We commonly see this in joints of the wrist and thumb.

Symptoms can include pain, stiffness and swelling. Movement of an arthritic joint increases pain levels. The aim of orthotic management is to reduce movement of the joint using a custom made or prefabricated Wrist Hand Orthosis (WHO) which immobilises all wrist and/or thumb movements.

To determine the most appropriate treatment for you, we recommend booking an initial consultation to discuss your concerns in more detail.

Carpal Tunnel syndrome is a painful disorder caused by pressure on the median nerve which runs through the carpal tunnel of the wrist area.

Symptoms can include numbness, pins and needles and pain (particularly at night). Repetitive hand movements (i.e. digging, sweeping, working at a checkout), pregnancy and arthritis of the wrist can be the cause of carpal tunnel.

Conservative management may include a custom made or pre-fabricated Wrist Hand Orthosis (WHO) which immobilises all wrist movement, whilst allowing free finger and thumb range of motion.

To determine the most appropriate treatment for you, we recommend booking an initial consultation to discuss your concerns in more detail.

De Quervain’s Tenosynovitis is a painful condition affecting the tendons along the thumb side of the wrist (Abductor Pollicis Longus and Extensor Pollicis Longus).

Symptoms can include pain and swelling near the base of the thumb and difficulty moving and gripping whilst using your thumb and wrist. Since this is an overuse injury, repeated movements of the wrist and thumb will worsen the symptoms.

The best conservative treatment option is a Custom Made Wrist Hand Orthosis (WHO) to immobilise all wrist and thumb movements. This will reduce movement and pain levels.

To determine the most appropriate treatment for you, we recommend booking an initial consultation to discuss your concerns in more detail.