Assess
Physical screening and performance testing to find what is limiting you. Carly takes a full history, examines how you move and load, and measures where it matters, so the plan starts from numbers rather than guesswork.
Condition
Elbow, Wrist and Hand Pain Treatment in Central London
Physiotherapy for tennis elbow, wrist pain and hand problems, from desk work and the gym to steering and braking, with forearm and grip strength rebuilt so the pain stays away.
Overview
Understanding elbow, wrist and hand pain
The elbow, wrist and hand work together every time you grip, type, lift or steer. Pain here often comes from overloading the forearm tendons, as in tennis elbow on the outside of the elbow or golfer’s elbow on the inside. Wrist pain can follow a fall onto an outstretched hand, or build up from repeated gripping and weight-bearing through the wrists.
Carpal tunnel syndrome causes tingling, numbness or pain in the thumb and fingers, often worse at night, when a nerve at the wrist is squeezed. Pain or tingling in the hand can also come from the neck, so Carly checks there too.
Most of these problems respond well to adjusting load and building forearm and grip strength step by step. Treatment runs through physiotherapy and sports injury rehab. For drivers, motorsport athlete performance builds the grip and forearm endurance that steering and braking demand.
Physiotherapy for elbow, wrist and hand pain can help you to:
Pick things up without my elbow hurting
Progressive loading of the forearm tendons, with practical changes to how you grip and lift, so carrying a bag or a kettle stops being a problem.
Type and work at a desk comfortably
Changes to your set-up and work pattern, plus simple exercises for the wrist, forearm and neck, so long days at the keyboard are easier.
Hold my grip through a long session
Grip and forearm endurance work for drivers, climbers and lifters, built up in stages and measured, so your hands last as long as the session does.
Get my wrist strong again after a fall
Once any fracture has been ruled out or has healed, movement and strength are rebuilt so you can push up, take weight and grip with confidence.
Why it happens
What causes tennis elbow and wrist pain?
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Repeated gripping, lifting or twisting that overloads the forearm tendons, as in tennis elbow
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Long hours of typing, mouse use or phone use without breaks
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A fall onto an outstretched hand, common in skating, cycling and contact sport
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Steering and braking effort over long sessions, which demands grip and forearm endurance
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Pressure on the median nerve at the wrist, which causes carpal tunnel symptoms
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A sudden increase in gym work such as pull-ups, push-ups or heavy carries
What happens at your first assessment?
Your first session is a full hour with Carly. She takes your history, asks what you need to get back to, then screens how you move, how strong you are and what the problem area is doing under load.
You leave with a working diagnosis in plain English, the first steps of your plan, and a clear idea of how progress will be measured.
Fees and booking
Sessions are £150 per hour, by appointment at UNTIL Marylebone, Canary Wharf or Soho. You can refer yourself; no GP letter is needed.
- Assessment and treatment: £150 for 60 minutes
- Self-referral: no GP referral needed if you are paying yourself
- Sessions at UNTIL Marylebone, UNTIL Canary Wharf and UNTIL Soho
- Book by phone on 07719 662005 or by email
How it works,
from first assessment to full output
A clear path from first assessment to being back at full output, measured, not guessed. Every session is one hour with Carly, at UNTIL Marylebone, Canary Wharf or Soho.
Plan
A programme built around your goals, your sport and your calendar. You leave knowing what is driving the problem, what you are going to do about it, and how progress will be measured from one session to the next.
Build
Coached sessions and progressive loading, adjusted as you improve. Strength, control and conditioning are built in stages, with the load moved on only when the last stage has been earned.
Return
Back to sport and racing, with objective measures to prove it. The decision to return rests on retesting against your own baseline, so you go back with evidence rather than a feeling.
Treatment approach
How do we treat elbow, wrist and hand pain?
Physiotherapy
£150Assessment separates tendon, joint and nerve causes, including symptoms coming from the neck, then hands-on treatment and exercise ease pain and restore movement.
See treatment detail →Sports Injury Rehab
£150Progressive forearm and grip loading, then sport-specific work, so you return to lifting, racquet sport, climbing or skating with the strength to match.
See treatment detail →Motorsport Athlete Performance
£150For drivers, grip and forearm endurance training built around steering and braking demands, which are trainable and often overlooked.
See treatment detail →FAQ
Elbow, wrist and hand pain
questions
How long does tennis elbow last?
Tennis elbow can take several months to settle, and sometimes longer. The NHS advises it usually gets better on its own, and that physiotherapy exercises can help. At Box Box, Carly adjusts how you load the arm and builds forearm strength in stages to help it settle.
When does a wrist or hand injury need urgent care?
Go to an urgent treatment centre or A&E after a fall or injury if the pain is severe, you heard a snap or crack, the wrist or hand has changed shape, it is very swollen, or the hand or fingers feel numb, tingly or cold. A fracture needs checking first.
Can neck problems cause tingling in my hand?
Yes. An irritated nerve root in the neck can cause pain, pins and needles or numbness in the arm and hand. Carpal tunnel syndrome at the wrist can feel similar. Carly examines the neck, elbow and wrist so treatment targets the right place.
Why does my forearm ache after driving or sim racing?
Long sessions of steering and braking ask a lot of the hands and forearms, and endurance there is trainable and often overlooked. Carly assesses your grip, wrist position and set-up, then builds forearm and grip endurance so the ache arrives later or not at all.
Get Started
Ready when
you are.
Box Box Physiotherapy and Performance • UNTIL Soho, 111 Charing Cross Road, London WC2H 0DT
Book an assessmentBased in central London, by appointment. Sessions at UNTIL Marylebone, Canary Wharf and Soho.