Specialist hand & upper limb therapy
Expert, holistic, evidence-based care for injury and disease of the hand and upper extremity — led by Robyn Midgley, Johannesburg's certified hand therapist.
Your premier destination for hand & upper extremity care
We treat all injuries and diseases of the hand and upper extremities — including pain, joint stiffness, and loss of sensation or strength as a result of an injury or disease. Your personalised rehabilitation programme ensures that your hand or limb is restored to the best possible function as fast as possible, without breaking the bank.
We prioritise swift diagnosis and intervention — because delays can compromise functional outcomes — and stand ready to provide emergency consultations when you need specialist care most.
“In the right hands, the power of touch becomes the strength of healing, the promise of recovery, and the heart of transformation.”
— Robyn Midgley
Conditions treated
Specialist assessment and rehabilitation across the full range of hand and upper limb injury and disease.
Hand trauma & sport injuries
Bony wrist, hand and elbow injuries, tendon, nerve and vessel injuries, and complex hand defects.
Fractures & dislocations
Rehabilitation of fractures, dislocations and ligament tears of the hand, wrist and elbow.
Microsurgical reconstruction
Rehabilitation following reconstruction and replantation of amputated parts.
The stiff hand & contracture
Casting Motion to Mobilise Stiffness (CMMS) and evidence-based mobilisation to restore movement.
Arthritis & joint disease
Rheumatoid and osteoarthritis management, joint protection and functional restoration.
Nerve compression & pain
Carpal and cubital tunnel, complex regional pain syndrome and repetitive strain injury.
A real patient's journey
One hand — stiff and immobile after serious injury, through a personalised rehabilitation programme, back to normal movement. Real footage of what specialist hand therapy achieves.
Treatments offered
A tailored blend of hands-on therapy, advanced technique and modern technology.
CMMS casting
Casting Motion to Mobilise Stiffness — a cost- and time-efficient technique for the stiff hand.
Custom splinting
Bespoke splints to protect, position, correct deformity and restore function.
Biometrics E-Link
Computer-based evaluation and EMG biofeedback for muscle re-education and measurable progress.
Pain management
Evidence-based programmes for chronic pain, CRPS, hypersensitivity and RSI.
Scar & wound management
Suture removal, dressings and techniques to remodel scar and reduce hypersensitivity.
Workstation & ergonomics
On-site assessments and ergonomic advice to prevent upper-limb injury.
From activity adaptation and graded motor imagery to paraffin wax, ultrasound and pressure garments — the full range is on handconsultsa.com.

Robyn Midgley
A dynamic and innovative Hand & Upper Extremity Therapist, Robyn is also pioneering the field of hand therapy education. Her practice blends deep expertise with genuine warmth — expert, personalised, cost-effective and time-efficient care.
Her goal is a smooth and speedy recovery from any injury or disease affecting the hand and upper extremity, helping you return to everyday life with minimal disruption.
Book a consultation
The fastest way to reach us is WhatsApp. Message or call and we'll help you book — emergency consultations available.