Clinic visits create the plan; home practice creates the result. Soft tissues adapt to the stimulus you give them most days of the week.
Frequency over marathon sessions
Many protocols use short exercise bouts several times daily. This matches tendon nutrition and stiffness physiology better than one exhausted session at night.
Quality checklist
- Correct starting position
- Prescribed repetitions — not more “for luck”
- Smooth motion without compensatory shoulder hiking
- Orthosis on or off exactly as written
- Log difficulties to show your therapist
Pain rules of thumb
Muscular effort and mild stretch are common. Sharp, shooting, or escalating pain is a stop signal. Swelling that remains higher the next morning means you overdid it.
Educational information only. It does not replace assessment by a qualified clinician. Seek urgent care for severe pain, infection signs, sudden loss of sensation, or circulation changes.
Need hand therapy in Sri Lanka? REKA offers sessions at Asiri Hospital Galle, Delta Hospital Ambalangoda, Hemas Hospital Thalawathugoda, and Ruhunu Hospital channeling. Book via doc.lk, eChannelling (D12278), WhatsApp, or the contact form on handtherapy.lk.