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Hand therapy passive thumb exercises

Patient information A-Z

This patient leaflet is for patients who have injured their thumb. The aim of the leaflet is to provide information on exercises.

Following an injury to your thumb, you may experience some swelling and stiffness of the thumb. This is very normal and over time these should improve. When a thumb is injured sometimes soft tissue (tendons, ligaments and muscle) can also be involved, this can make recovery slower. Also swelling (oedema) can restrict movement of a joint, making the thumb stiff.

The following exercises will help to reduce stiffness and increase thumb movement. When completing the following exercises you may experience tightness or a pulling sensation, this is normal. If you experience a sharp pain, reduce the intensity of the exercises or stop for a couple of days to allow the pain to stop.

Begin with your hand in a comfortable position. Complete the exercises slowly, within a comfortable range.

Hands stretching the tip of the thumb down towards the base of the hand.
Use your other hand to stretch the tip of your thumb down towards the base of your hand.Do this for 5-10 repetitions, 4-5 times per day and hold for 5 seconds
Hands stretching bottom thumb joint down towards the base of hand
Use your other hand to stretch your bottom joint down towards the base of your hand. Do this for 5-10 repetitions, 4-5 times per day and hold for 5 seconds
Hands stretching the thumb into a curl
Use your other hand to stretch your thumb into a curl. Do this for 5-10 repetitions, 4-5 times per day and hold for 5 seconds
Hands stretching the thumb up towards the ceiling, pulling from the tip of the thumb
Place your hand on a flat surface. Use your other hand to stretch your thumb up towards the ceiling, pulling from the tip of the thumb. Do this for 5-10 repetitions, 4-5 times per day and hold for 5 seconds
Hands stretching the thumb out to the side, as far from the index finger as possible
Place your hand on a flat surface. Use your other hand to stretch your thumb out to the side as far from the index finger as you can. Do this for 5-10 repetitions, 4-5 times per day and hold for 5 seconds
Hands stretching the thumb out in front in an ‘L’ position
Use your other hand to stretch your thumb out in front (as if reaching for a cup), in an ‘L’ position, as far from the index finger as you can. Do this for 5-10 repetitions, 4-5 times per day and hold for 5 seconds

Contacts/further information

The occupational therapy department is located in clinic 30 in the Addenbrooke’s Treatment Centre (ATC). The occupational therapy reception telephone number is 01223 216769

References/sources of evidence

Skirven, T. M., Osterman, A. L et al (2021). Rehabilitation of the Hand and upper extremity, 2-volume set (7th ed.). Elsevier.

We are smoke-free

Smoking is not allowed anywhere on the hospital campus. For advice and support in quitting, contact your GP or the free NHS stop smoking helpline on 0800 169 0 169.

Other formats

Help accessing this information in other formats is available. To find out more about the services we provide, please visit our patient information help page (see link below) or telephone 01223 256998. www.cuh.nhs.uk/contact-us/accessible-information/

Contact us

Cambridge University Hospitals
NHS Foundation Trust
Hills Road, Cambridge
CB2 0QQ

Telephone +44 (0)1223 245151
https://www.cuh.nhs.uk/contact-us/contact-enquiries/