Assessment
A detailed history, then a thorough examination of movement, strength and the affected area. You leave with a working diagnosis you understand and a plan agreed with you, not handed to you.
Upper-Limb Rehabilitation
Hand Therapy in London
Get your grip, movement and confidence back after a hand, wrist or elbow injury or surgery: our specialist hand therapist combines custom splinting, graded exercise and scar and swelling management to settle the symptoms, then rebuild the strength and capacity your hand needs at a pace the healing tissue can take.
Book Consultation
- Self-referral; no GP letter needed.
Hand Therapy can help to:
Recover well after hand or wrist surgery
We follow your surgeon's instructions to progress splinting, movement and loading as the repair heals, so you regain function without overloading it.
Treat common hand and wrist conditions
Carpal tunnel, De Quervain's, trigger finger, tennis and golfer's elbow and arthritis all respond to targeted, hands-on rehabilitation rather than rest alone.
Restore grip, movement and dexterity
A graded exercise programme rebuilds range and strength at a pace the healing tissue can tolerate, so your hand does everything you need it to.
Get a custom splint that actually fits
Where it helps, we mould a custom thermoplastic splint in clinic to rest, protect or position the hand, adjusting it as you heal.
Control swelling and soften scar tissue
Swelling and scar management keep tissue supple, so stiffness settles and function returns after an injury or an operation.
At your first appointment we work out what is really holding you back, then agree the plan with you before you leave.
Your initial visit runs 45–60 minutes: a detailed history, then a thorough examination of movement, strength and the affected area. We explain what we find in plain English and agree a working diagnosis together.
Treatment starts the same day, and you leave with the first exercises of a plan built around your goal.
Our hand therapy team
David helped me when I started to have a strong tibia pain only 5 weeks before the marathon. I genuinely thought at some point that I wasn’t going to be able to do it and I did my PB!
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After suffering with terrible back pain, Gus has helped me make huge improvements. Very professional and happy to explain the processes and treatments. Many thanks
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Couldn’t recommend this physio team enough! They helped me recover from a knee injury 3 weeks before the London Marathon which I thought was going to prevent me from running it! Everyone was really friendly, supportive and genuinely cared about helping me reach my goal. Special thanks to Charlie, Gus, Brad and Stef!
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I came to Dave with an ongoing injury that I’ve been struggling with for months! He helped sort it out straight away, also giving me some exercises to help target the area to get back to full strength. I’m now back to running pain-free already and training properly — I’ll definitely be recommending Kaizen Physiotherapy to my clients!
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Gus worked miracles to get me running a marathon after being injured 6 weeks out. He worked out the issue really quickly and provided a clear and actionable plan to deal with it. The sports massages were the best I’ve ever had too — thanks Peggy! Can’t recommend Gus and Peggy enough.
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I had such a positive experience working with Brad at Kaizen. He supported me through a meniscus tear and got me all the way back to running a half marathon and HYROX training. Everything was structured, progressive, and easy to follow, and I always felt like I was in safe hands.
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Hand Therapy fees and insurance
Book online through Jane and self-refer, with no GP letter needed. If you are using private health insurance, check your policy first: some insurers ask for a GP referral before your first session.
- Initial assessment and treatment: £155 for a full 45–60 minutes
- Follow-up treatment: £93, with your plan progressed at each visit
- Sports massage: £115 for 60 minutes, £155 for 90 minutes
- Performance MOT & Screening: £300 for a 90-minute screen with force-plate testing and a written report
- Recognised by Bupa, AXA Health, Aviva, Cigna, WPA and Allianz
Your journey
with Kaizen
Everything starts with a proper assessment. We find what is driving the problem, treat it, and build the strength that keeps it fixed, so you finish performing, not just pain-free.
Treatment
Hands-on care to settle symptoms and restore movement: manual therapy, with acupuncture, shockwave or soft-tissue work where they genuinely help. The first home exercises go with you the same day.
Rebuild
Progressive exercise that returns strength, control and load tolerance, from Reformer Pilates to strength and conditioning. Each follow-up reassesses against your baseline, so progress is measured rather than guessed.
Perform
Criteria-based milestones return you to work, sport and training. Discharge happens by mutual agreement once you can manage independently, with a Performance MOT available to catch the next weak link early.
Better than yesterday. Kaizen means continuous improvement: small, repeatable gains, built session by session, until you are back to what you love and no longer need us.
- One team across five London clinics: Soho, Liverpool Street, Marylebone, Canary Wharf and Wimbledon Village, plus online appointments.
- Rated 5.0 on Google across 218 reviews.
- Founded in 2022 by David Thomas and Gus Hadonou. You see the same physiotherapist at every visit, so each session builds on the last.
We specialise in:
- Musculoskeletal and sports physiotherapy
- Western medical acupuncture (AACP)
- Physiotherapy-led Reformer Pilates
- Specialist hand therapy and splinting
- Shockwave therapy for stubborn tendons
- Strength and conditioning for rehabilitation
- Running and gait analysis
- Performance MOT and movement screening
5 Locations
Hand Therapy across our 5 London clinics
- Canary Wharf 30 South Colonnade, London E14 5HX View location →
- Liverpool Street 280 Bishopsgate, London EC2M 4RB View location →
- Marylebone 1 Orchard Street, London W1H 6HJ View location →
- Soho 111 Charing Cross Road, London WC2H 0DT View location →
- Wimbledon Village 39b High Street Wimbledon, London SW19 5BY View location →
Written and medically reviewed byDavid Thomas, Founder & Chartered Physiotherapist · HCPC-registered · MSc · Chartered Society of Physiotherapy · British Association of Hand Therapists (BAHT), with HCPC registration and Chartered Society of Physiotherapy (CSP) membership.
FAQ
FAQs
Do I need a referral for hand therapy?
No. You can self-refer and book directly through our Jane online booking page, with no GP referral needed. If you are using private health insurance, your insurer may require a GP referral first, so check your policy. Post-surgical patients should bring their operation notes and any rehabilitation instructions from their surgeon.
What hand, wrist and elbow conditions do you treat?
We treat carpal tunnel syndrome, De Quervain's tenosynovitis, trigger finger, tennis and golfer's elbow, ganglion cysts, arthritis, sprains and fractures, and stiffness after injury. We also provide post-surgical rehab after tendon, nerve and fracture repairs. The British Society for Surgery of the Hand offers reliable information on these conditions.
Will I be given a splint, and is it custom-made?
Often, yes. When resting, protecting or positioning the hand will help, we fabricate a custom thermoplastic splint moulded to your hand in clinic. We adjust it for comfort and review it as you heal. Not everyone needs a splint; it depends on your diagnosis, surgery and stage of recovery.
How long does hand therapy take to work?
It varies with the condition and whether surgery is involved. Many soft-tissue problems improve over several weeks, while tendon, nerve and fracture rehab can take several months as tissue heals and strength returns. We set realistic milestones at your first visit and reassess each session. We never guarantee a fixed timeline.
Can you treat my hand after surgery?
Yes. Post-surgical hand rehab is a core part of our work. We follow your surgeon's instructions and the standards set by the British Society for Surgery of the Hand, progressing splinting, movement and loading as the repair heals. Please bring your operation notes and any rehabilitation instructions to your first appointment.
Related Treatments
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Kaizen Physiotherapy & Performance • 111 Charing Cross Road, Soho, London WC2H 0DT
BookAppointments typically available within 1–2 weeks