Laura Pitcher

Laura Pitcher, Accredited Hand Therapist, Occupational Therapist.

Laura qualified as an occupational therapist in in 1998, choosing to specialise in hand therapy early on in her career. She has completed relevant post graduate study to become an accredited Hand Therapist (BAHT) enabling her to provide expert hand therapy and rehabilitation to clients with hand injuries and conditions. Laura is based in Wirral, visiting clients in North West England, and North Wales.

Hand Therapy Available for

  • Soft tissue injury (i.e ligament strain or tear eg volar plate or collateral ligament injury)
  • Stable fractures of the hand, finger, thumb or wrist
  • Finger/thumb dislocations
  • Tendon injuries eg mallet finger, flexor/extensor tendon injury
  • Mallet finger Repetitive strain injuries eg DeQuervain’s tenosynovitis
  • Repetitive strain injuries eg DeQuervain’s tenosynovitis
  • Acute onset of hypersensitivity, numbness or pain

There are many arthritic conditions including rheumatoid arthritis and osteoarthritis.

Symptoms treated include pain, swollen joints, fingers drifting towards little finger, thumb deformity, early morning stiffness, pain at night, cold hands, finger deformities including swan neck and boutonniere reduced movement and grip.

Carpal tunnel syndrome (CTS) is pressure on a nerve in your wrist. It causes tingling, numbness and pain in your hand and fingers. It can sometimes stop the muscles around the thumb from working properly. Often surgery is also required, but not always.

A congenital hand condition is one noted at birth. Anomalies can be relatively minor, such as an angulation of the little finger (clinodactyly/camptodactyly) or can be more significant, such as hypoplasia which is when a finger or thumb hasn’t developed properly.

CRPS is a condition in which a person experiences persistent severe and debilitating pain. Although most cases of CRPS are triggered by an injury, the resulting pain is much more severe and long-lasting than would be expected. The pain is usually confined to one limb, but it can sometimes spread to other parts of the body.

The skin of the affected body part can become so sensitive therfore just a slight touch, bump or even a change in temperature can provoke intense pain. Affected areas can also become swollen, stiff or undergo fluctuating changes in colour or temperature.

A neurological disorder can result in a range of symptoms including tone changes and the inability to use the hand and arm effectively for function. Sometimes the joints can become tight in one position and need assistance to be stretched out. Sensation can also be affected.

This is numbness, tingling or pain of the hand and upper limb due to a nerve injury in the neck, arm or hand. Muscles can also be wasted or immobile as the nerve is not giving them the signal to work.

Often the injury is temporary and will resolve over time with splinting, exercises and advice,  but if more severe, the nerve often needs surgery to heal correctly and enable sensation to return

This is when the nerve is trapped at the elbow where the “funny bone” gets knocked. It often causes tingling and numbness in the little and ring fingers and can affect the movement in the muscles and finger position and reduces grip.

  • Fasciectomy/ fasciotomy
  • Xiapex injection and release
  • Flexor/extensor tendon release/repair/reconstruction
  • Trapeziectomy
  • Stable Fractures (after surgery or immobilisation)
  • Carpal tunnel release
  • Cubital tunnel release
  • Artificial joint replacement ie fingers/wrist
  • Fusions
  • Removal of cysts, nodules or ganglions
  • Carpectomy
  • Joint manipulation/reconstruction/surgical release
  • Scar issues