Hand Consult SA

Hand Consult SA Hand Consult SA aims to be leaders in the diagnosis, treatment and care of patients with hand, wrist and upper extremity injuries in Johannesburg.

Hand Consult SA was founded by Dr Chetan Patel, Plastic & Reconstructive Surgeon and Robyn Midgley, Specialist Hand & Upper Extremity Therapist in September 2017. Hand Consult SA is committed to delivering the highest standards of patient care by providing an integrated approach to the assessment, treatment, surgery and rehabilitation of hand and upper extremity injuries. A strong value system where the needs of the patient comes first and where patients are treated holistically using state of the art equipment and evidence-based practice to ensure full return to function. As a team, we aim to inspire hope and confidence in our patients.

Derek came to see me after struggling to recover from an UCL injury to his PIPJ.As I listened to him describe the tradit...
11/02/2026

Derek came to see me after struggling to recover from an UCL injury to his PIPJ.
As I listened to him describe the traditional treatment he’s had… which I used to feel was as much as we could do as hand therapists… I smiled inside. Because I had another option for him. A better option…
And in just one session he got full AROM. I used physics-based medicine. It’s ok to apply tape at the end of a treatment session to enhance the treatment, buts it’s not necessary. Sometimes I still tape because I want the patient to feel like he had some traditional therapy. The secret is to work in the biofield. Let the body do what it does best - heal itself, once it’s been tuned like an instrument.

04/02/2026

Dupuytren's Disease - There is an alternative therapeutic option.

Carry-over across sessions occurs.

Patient satisfaction is high.

Visible tissue change is present.

Physics-Based Medicine tools leading the way.

Kimberly Schipke

30/01/2026

Spastic Hemiplegia
No movement for 2 years.
But today, in just 30 minutes, using coherency tools, we got his arm to move.
The first thing Mpho said was - my brain and hand are connected.
I am so grateful for the work that I do 🙏
Kimberly Schipke

New hope for Dupuytren's PatientsFor almost 3 decades I have told patients that there is not much a Hand Therapist can d...
28/01/2026

New hope for Dupuytren's Patients

For almost 3 decades I have told patients that there is not much a Hand Therapist can do about Dupuytren's Disease. They should wait until the fail the 'Table Top Test' and then they will go and have surgery.
This past month, my patient and I decided to try something different.
We decided to use Physics-Based Medicine to make the hand feel less tight, less painful and more mobile.
We were successful.
It is time that we started to change our ideas about what is possible and what is not.
With the right tools - anything is possible.

This detailed video shows you exactly what I did. Listen carefully for the patients comments and feedback.

Link to view: https://www.youtube.com/watch?v=gJeWO4NBTIA

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This sculpture by Lorenzo Quinn is called ‘Give and Take’. The Roses are my favourite
27/01/2026

This sculpture by Lorenzo Quinn is called ‘Give and Take’. The Roses are my favourite

27/01/2026

CVA UPDATE

Use of Physics-Based Medicine Tools in the Management of CVA

Functional Carry-Over Confirmed

This young mother had a stroke 3 days after giving birth 1 year ago.

She travelled from the Congo to come and see me & only speaks French.

She has had severe spasticity in her right hand with mild increased tone of the elbow and wrist flexors. She has not been able to extend her fingers actively.

After 45 minutes of tuning her Biofield and working with the tuning fork and rose quartz crystal I was able to normalise the tone in her hand and achieve active finger extension. I also normalised the tone in her foot. She walked in with a foot brace and walked out without one.

1 week later - She has maintained and improved the gains that she made.

Listen to the interview..

27/01/2026

Head over to YouTube for a CMMS lesson

MENTORING MONDAY Intrinsic Minus Cast Demonstration with a HoodKerry fell in November 2025 and fractured her hand.For 3 ...
26/01/2026

MENTORING MONDAY
Intrinsic Minus Cast Demonstration with a Hood
Kerry fell in November 2025 and fractured her hand.
For 3 months she waited for her hand to begin to move.
Without any improvement, she started to really worry if she would ever have her hand back.
At her first consultation with Robyn Midgley, she wasted no more time and agreed to the application of an intrinsic minus cast with a hood.
In this video Kerry introduces herself and Robyn demonstrates the cast application and provides you with clinical gems along the way.
In only 4 days her fingers began to move.
This is the first of a series as we share Kerry's journey.
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Kerry fell in November 2025 and fractured her hand.For 3 months she waited for her hand to begin to move.Without any improvement, she started to really worry...

Introducing CMMSProAI— Your Clinical Strategist to help you treat the Stiff HandCMMSProAI is the first AI-Powered Mentor...
25/01/2026

Introducing CMMSProAI— Your Clinical Strategist to help you treat the Stiff Hand

CMMSProAI is the first AI-Powered Mentor for stiff hand rehabilitation.

The CMMSProAIis not a chatbot. It’s a thinking partner. A strategist.

A clinician’s guide.

Built exclusively from the mind and mentorship of Robyn Midgley — educator in the Casting Motion to Mobilise Stiffness (CMMS) technique — this tool is the first AI system trained solely on trusted content, not the web.

What Makes It Unique?

Over 6 years of clinical case data from:

72 CMMS Club mentoring sessions

100+ therapist mentorship journeys & data

All of Robyn's lectures, clinical experience & clinical reasoning

Data of hundreds of patient outcomes

Every interaction is shaped by Robyn’s clinical frameworks, cast designs, decision trees, and movement pattern logic. It doesn’t guess. It doesn’t scrape. It reflects what works — and how Robyn thinks.

What the Strategist Helps You Do:

Diagnose movement patterns (Intrinsic Plus or Minus) and apply them to real casting decisions

Select and adjust POP cast designs based on patient movement, MCP positioning, and safety principles

Navigate case progression with precise timing cues, wear-ratio tips, and change triggers

Receive mentorship prompts that build confidence, not dependency

Integrate supportive tools, techniques & modalities such as:

Tuning forks & Spectrochrome laser

Hand therapy modalities & techniques

Understand patient education, contra-indication signs, cast hygiene, and POP safety protocols.

Match your case to the correct Playbook from the CMMS library — instantly

Link to the Mentoring YouTube video so that you can learn from a previously mentored therapist & patient.

All in Robyn’s signature tone: calm, clear, clinical, encouraging. You’ll feel like she’s guiding you every step of the way.

CMMSProAI does not replace formal CMMS training.

It provides the essential mentorship that is needed after formal training.

CMMSProAI is here to provide immediate access to expert opinion and guide you with your difficult cases. Should you still need more help, please schedule a 1:1 mentoring session with Robyn Midgley or join the CMMS Club.

CMMSProAI guides your clinical reasoning

— not by giving answers, but by asking the right questions.

The Legacy member waiting list will open soon.

.ai

Healing Happens Beyond the ScanFor years, intuition has guided us toward truths that science is only now beginning to va...
25/01/2026

Healing Happens Beyond the Scan

For years, intuition has guided us toward truths that science is only now beginning to validate.
“Science is beginning to catch up to what many have intuited:
true healing often occurs in systems no MRI can scan and no surgeon can cut.”
– Robyn Midgley
Biofield medicine, frequency therapy, and energy healing were once dismissed as fringe.
Now, they’re being studied, validated, and—more importantly—experienced.
Because health isn’t only physical.
It’s electrical. Emotional. Energetic.
When we treat the whole system, the results often speak louder than the skeptics ever could.





🧠 Pain Is Not Just MechanicalSo many treatment plans fail—not because we lack tools,but because we limit the lens.“When ...
18/01/2026

🧠 Pain Is Not Just Mechanical

So many treatment plans fail—not because we lack tools,
but because we limit the lens.
“When we treat pain as merely mechanical, we risk overlooking the silent emotional wounds stored in the body’s energetic architecture.”
– Robyn Midgley

We are not just anatomy.
We are history.
We are emotion.
We are energy.
Pain doesn’t always come from posture or pressure.
It often emerges from stories the body hasn’t been able to release.
To truly help our patients, we must treat the whole person—not just the parts we were taught to name.





Do you ever wonder what can be done with Keloids on the ear?Joanne Smith, CHT is the developer of the Earpress, an innov...
18/01/2026

Do you ever wonder what can be done with Keloids on the ear?

Joanne Smith, CHT is the developer of the Earpress, an innovative and effective device developed by an OT, CHT, to compress ear keloids and mitigate their recurrence.

Joanne Smith will be doing a FREE presentation. It will include the following:

What causes ear keloids and how they can be treated.

The evolution of the Earpress.

Key attributes

How to develop of a small business on Ets

Etsy advantages and pitfalls

Date: Thursday 29th January 2026

Cost: Free

Link to Book: https://robynmidgley.kartra.com/calendar/JoanneSmith

Address

Centre Of Advanced Medicine
Johannesburg
2090

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