Skelian Chiropractic, Physiotherapy & Massage Therapy Cheltenham
Skelian Chiropractic, Physiotherapy & Massage Therapy Cheltenham
290 Google reviews
Steve MaxTheMaths
Steve MaxTheMaths
Huge thanks to Jamie and the team for getting me back on my feet! Fabulous service. Highly recommended.
Nickie Apperly
Nickie Apperly
Great service, Tom is very reassuring and encouraging. His confident yet, caring approach made me feel at ease and my recovery has definately benefitted from this.
Fred Warren
Fred Warren
Several months ago I was stricken with severe sciatica, strong pain killers were prescribed by my GP but they had unacceptable side effects. I contacted Skelian and Jamie quickly sorted out my problem, without further medication. During the course of my treatment, I found that Jamie's manipulations of my neck gave a certain amount of relief to the vertigo and muzziness “brain fog”, which I had been suffering from, for the past five years. I am thankful to Skelian and Jamie in particular for his caring approach to my ailments, he has an excellent bedside manner and he has given me beneficial advice to help with my long standing dizziness problems.
Kam Mistry
Kam Mistry
Very happy. Jamie was great - friendly and professional. I certainly felt that I was in good hands and could already feel the benefits after my first visit. After three sessions the pain has gone.
Monica Wragg
Monica Wragg
I highly recommend the Skelian Clinic. The lovely Aaron has cured my lower back pain in a matter of a few weeks so that I can now resume and enjoy my walks. Everyone at the clinic is very professional, kind and friendly. Thank you.
Zara Winters
Zara Winters
I walked in to the Skelian clinic at my wit's end - my neck and shoulders hurt from decades of poor posture due to computer work, my left forearm was tight and painful and I had been suffering with agonizing tennis elbow in my right arm which was waking me up every night. It felt like my entire upper body had seized up. From the moment I entered the clinic I felt a good vibe - Angela, the receptionist, made me feel relaxed and welcome and was just lovely to be around, she takes a genuine interest in every client and radiates warmth - and has a lovely singing voice to boot! Victoria, who I cannot thank enough, has worked miracles. After four treatments, using a combination of dry needle therapy, targeted deep tissue massage and spinal manipulation I feel like a different person. The pain has almost completely gone and I have a workable action plan on how to look after my joints. Victoria is empathic, exceptionally knowledgeable, witty and a great listener. She explains what she is doing in straightforward language and puts you at ease immediately. I can honestly say that I am blown away by the results, it is life changing to have that debilitating pain taken away. I wish I'd gone sooner. If you are suffering with neck, back or joint problems please just book an appointment online, you owe it to yourself.
Brian Evans
Brian Evans
I was not expecting the relief that I experienced, From the moment treatment started I was made relaxed, after my first treatment I could not believe the difference, All the staff were very professional, the treatment was exceptional, Actually looking foreward to my next appointment
I've been coming to Dani for regular Sports Massage appointments for nearly a year now, recently transitioning on to the Hot Stones massage. As someone who likes to regularly weight train these sessions have been invaluable to my recovery and have ensured that any aches, pains and knots are kept to their absolute minimum. I've recently moved over to the Hot Stones massage and highly recommend it, it's a great mixture of traditional sports massage techniques combined with the hot stones - this will be my go to massage moving forward. Dani is extremely welcoming, friendly and a pleasure to be around - I can't rate her highly enough!
Nicky Harris
Nicky Harris
Friendly, professional service. Tom has been fantastic at sorting out my neck and back issues, providing explanation before, during and after treatment as well as providing after care exercises I can do at home. I have been delighted with my treatment so far. Thank you!
craig pockett
craig pockett
Would highly recommend Skelian chiropractic & physiotherapy 👍🏼 sorted my aches & pains out for me😊
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Wrist Pain

Wrist pain is a common condition that can be caused by a variety of factors. It can be a result of an acute injury, such as a sprain or fracture, or it can stem from chronic conditions like arthritis or carpal tunnel syndrome. Find our more.

Common Conditions That Cause Wrist Pain

There are a number of conditions that can lead to wrist pain. Due to frequency of use, trauma or other health conditions wrist pain can really get in the way of day to day life. On this page we will cover some of the most common wrist problems, some of their treatment options and some frequently asked questions by patients at our Skelian Clinic in Cheltenham. 

Some of the most common are listed below.

Carpal Tunnel Syndrome

This condition is caused by pressure on the median nerve in the wrist, leading to pain, numbness, and tingling. 

Carpal Tunnel Syndrome (CTS) is a condition that occurs when there is excessive pressure on the median nerve, which runs through the wrist via a narrow passage known as the carpal tunnel. This nerve is responsible for providing sensation to the thumb, index, middle, and part of the ring finger.

The carpal tunnel is a narrow, rigid passageway of ligament and bones at the base of the hand. It houses the median nerve and tendons that bend the finger. Because the carpal tunnel is narrow and rigid, any swelling or inflammation in the area can compress the median nerve and cause pain.

CTS can be caused by several factors, including repetitive motions (like typing or any wrist movements that you do over and over), certain health problems (like arthritis, diabetes, and thyroid gland imbalance), and pregnancy (due to fluid retention).

The compression can also be caused by swelling of tissue around or in the tunnel or by bands of fibrous tissue that form on the palm side of the wrist. When the tunnel becomes narrowed or when the tissue surrounding the flexor tendons (known as synovium) swells, it puts pressure on the median nerve and reduces its blood supply. This abnormal pressure on the nerve can result in numbness, tingling, pain, and weakness in the hand.

Symptoms of CTS often start slowly and may come and go. They’re usually worse at night and may include an ache or pain in your fingers, hand, or arm, numb hands, tingling or pins and needles, and a weak thumb or difficulty gripping.

Treatment for CTS varies depending on the severity of the symptoms and may include rest, immobilisation of the wrist, physical therapy, medication, and in severe cases, surgery. It’s important to consult with a healthcare provider for a proper diagnosis and treatment plan if you’re experiencing symptoms of CTS.


Inflammation of the tendons in the wrist can cause pain and discomfort.

Tendonitis is a condition that results from inflammation of the tendon, a thick tissue that connects muscles to bones. When it occurs in the wrist, it’s often due to repetitive stress or overuse of the tendons in the wrist, such as frequent typing or performing the same wrist movements over and over.

In the wrist, there are about six tendons that help you control your wrist, hand, and fingers. These tendons are surrounded by a layer of lubricated tissue, called a tendon sheath When the tendons are overused, it can irritate the sheath, leading to inflammation and enlargement2. This makes it harder for the tendons to glide smoothly through the sheath, causing compression on the tendon and making wrist and finger movements painful.

Symptoms of wrist tendonitis may include pain at or around the wrist joint, stiffness or loss of motion in the affected joint, tenderness, mild swelling or thickening. The pain can be gradual or sudden and severe, particularly at the affected part.

Risk factors for wrist tendonitis include:

  • repetitive trauma or stress on the wrist,
  • poor sporting technique and inappropriate sporting equipment,
  • extreme and regular physical effort,
  • occupations such as gardening, house cleaning, etc.,
  • age (as tendons become weak and less flexible in older people),
  • sports such as tennis, basketball, swimming, etc.,
  • abnormally placed joints,
  • stress from arthritis such as rheumatoid and osteoarthritis,
  • rarely exercising,
  • infections,
  • obesity.

Treatment for tendonitis typically involves rest, physiotherapy, medication, and in some cases, surgery. Rest and immobilisation of the wrist can help reduce pain and inflammation. Physiotherapy, including range-of-motion exercises and splinting, can improve movement Over-the-counter pain relievers and anti-inflammatory medications can help manage pain and reduce inflammation. In severe cases or when conservative treatments aren’t effective, surgery may be considered.


Both osteoarthritis and rheumatoid arthritis can affect the wrist, leading to pain and stiffness.

Arthritis typically occurs when the cartilage has been damaged or has worn out for various reasons, which can cause the bones to rub against one another. This rubbing can lead to pain, swelling, and stiffness in the wrist. Over time, the continuous wear and tear can cause the cartilage to wear away, leading to arthritis. Several types of arthritis can affect the wrist, including osteoarthritis (degenerative arthritis), rheumatoid arthritis (an autoimmune disease), and post-traumatic arthritis (which occurs after an injury to the wrist).

Sprains and Fractures

Acute injuries to the wrist, such as sprains and fractures, can cause severe pain. 

Sprains and fractures in the wrist can cause pain through different mechanisms.


A sprain occurs when the ligaments, which are the tissues connecting bones at a joint, are stretched or torn. This can happen when the wrist is twisted or bent beyond its normal range of motion, often during a fall or sudden impact. Symptoms of a sprained wrist include pain, tenderness, swelling, and difficulty moving the wrist or gripping objects.


A fracture is a break in the bone. Wrist fractures can cause severe pain that doesn’t subside even after rest, significant swelling, and limited mobility. The pain is due to the damage to the bone and surrounding tissues, and it can be exacerbated by movement or pressure on the affected area.

Both conditions can lead to inflammation and discomfort, making it challenging to perform daily activities. It’s important to seek medical attention if you suspect a sprain or fracture to get a proper diagnosis and treatment plan.

Ganglion Cysts

These noncancerous lumps filled with fluid can develop near the tendons or joints of the wrist, causing pain.

Ganglion cysts are noncancerous lumps that typically develop along the tendons or joints of the wrists or hands. They can cause wrist pain through several mechanisms:

  • Pressure on Nerves: The cysts may press against a nerve, leading to pain, tingling, or numbness in the hand.
  • Joint Movement Interference: If the cysts become large, they can interfere with joint movement, causing discomfort or pain during motion1.
  • Muscle Weakness: The presence of a cyst can lead to muscle weakness, which may contribute to pain or discomfort.
  • These cysts contain a jelly-like fluid called synovial fluid, which is normally found around joints and tendons to lubricate and cushion them. When this fluid leaks out and collects in a sac, it forms a ganglion cyst. While they are generally harmless, if a ganglion cyst causes significant pain or disrupts daily activities, treatment options such as aspiration or surgery may be considered.


Treatment for Wrist Pain

The treatment for wrist pain largely depends on the underlying cause. For acute injuries, immediate care often involves rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers may also be recommended.

For chronic conditions, treatment options may include physical therapy, medication, and in some cases, surgery. It’s important to consult with a healthcare provider to determine the most appropriate treatment plan.

Treatment Options for wrist pain

There are several treatment options available for wrist pain, including:

  • Rest and Immobilisation: Resting the wrist and using a splint or brace can help reduce pain and inflammation.
  • Physiotherapy: Exercises and stretches guided by a physical therapist can help improve flexibility and strength.
  • Medication: Over-the-counter pain relievers and anti-inflammatory medications can help manage pain and reduce inflammation.
  • Surgery: In severe cases or when conservative treatments aren’t effective, surgery may be considered.

Frequently Asked Questions

Remember, it’s important to consult with a physiotherapist at Skelian in Cheltenham or a relevant healthcare provider if you’re experiencing wrist pain. They can provide a proper diagnosis and guide you through the appropriate treatment options.

Our team

Tom-Cairns Chiropractor Cheltenham Skelian Clinic

Tom Cairns


MChiro DC 

”My goal is to deliver the best care possible to every one of my patients, to give them control back in their lives other the pain that has been getting in the way”

Sports Therapist Cheltenham

Dani Cowley

Sports Therapist

“My goal is to help all  my patients return to their preferred activity whilst maintaining a pain-free and healthy lifestyle. I always aim to go one step further by minimising the risk of future injury through rehabilitation plans and hands-on therapy.”

William Norton Chiropractor Cheltenham Skelian Clinic

Will Norton


MChiro DC 

“ To me Chiropractic approach to pain makes sense. There are many factors at play and I like to address all of these areas by fully understanding each case. I take a multifaceted approach to improve both the short-term and long-term pain”

Jonathan Wride

Specialist Physiotherapist

HCPC MCSP AACP PgC Injection Therapy, MSK Sonographer and Independent Prescriber:

“I’m passionate about giving patients instant access to high-level diagnostics and specialist treatments, helping to reduce the waiting times of patients and hopefully speeding up their recovery.”


Chiropractic Initial Consultation – £75)

Chiropractic Follow-up treatment – £48

Physiotherapy consultation – £75

Follow up Physiotherapy appointment – £75

Sports Therapy Consultation – £60

Follow up Sports therapy appointment – £35


Opening Times

Monday8.30 – 7.00
Tuesday8.30 – 7.00
Wednesday8.30 – 7.00
Thursday8.30 – 7.00
Friday8.30 – 7.00
Saturday9:00 – 1:00

Book an Appointment

Why Choose Skelian?

  • Exceptionally high standards of care
  • Professionalism and Expertise
  • Quality treatment
  • Quality practitioners
  • Great communication of your treatment
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Introductory offer 20% off Initial Chiropractic Consultations