Rest the hand on a table, palm up, thumb relaxed.
Ready when you are
We'll guide you through 5 short steps — about 28 seconds of guided motion. Pause or stop anytime — nothing is uploaded.
Have ready: No special equipment
Contraindications & stop if…
When not to do this
- Recent FPL tendon repair without surgeon clearance and protocol
- Acute thumb fracture before bone-healing milestones
Stop if
- Sharp pain at the wrist or thumb base
- Inability to bend the tip after a few gentle reps
- Audible snapping with pain
Prefer a quick pacing gate before the timer? Use full guided session — it asks for pain, stiffness, and fatigue in a few taps first (education only, not clearance).
Full-screen steps and timer below — same exercise. For vertical reel mode, use the clapper icon next to Save at the top of the page.
Why it helps
Isolating motion at the IP joint encourages the deep thumb flexor (FPL) to glide independently — important for pinch precision and for preventing tendon adhesions after surgery.
What it should feel like
A focused pull at the tip of the thumb. No popping, no sharp pain.
Target area
Thumb (IP joint), FPL tendon
Stop if you notice
- Sharp pain at the wrist or thumb base
- Inability to bend the tip after a few gentle reps
- Audible snapping with pain
Get clearance first if
- Recent FPL tendon repair without surgeon clearance and protocol
- Acute thumb fracture before bone-healing milestones
Watch a curated demo
Your practice loop
Pause where you want, then tap A for where the loop starts and B for where it ends. Turn Autoloop off anytime — your A/B times stay saved for this video.
Now 0:00 · Loop 0:00 → end of video
More demos & readings (editorial catalog)
Extra YouTube, PDF, and hospital links gathered for this exercise cluster. The top embed above remains the oEmbed-verified pick when present; treat these as adjacent education — confirm fit with your clinician.
Typical catalog dose: 10 repetitions, gently and without forcing.
Precautions (catalog)
- Avoid aggressive squeezing if joints are inflamed.
- Use controlled movement.
5 Minute Hand Strengthening Exercise Routine
Virtual Hand Care · 2023-08-03
Uses isometric gripping and finger strengthening work that can complement fist-making practice.
Better for progression into strengthening once motion improves.
Catalog ids: fist_making, putty_strengtheningHow to Strengthen your Hand using Exercise Putty
Unknown / YouTube · 2016-09-13
Demonstrates resistance-based hand strengthening with putty.
Good for resistance training progression.
Catalog ids: full_grip_putty25 Hand Exercises For Stroke Recovery
Saebo · 2018-07-12
Includes a full grip exercise using putty.
Useful for grip development and hand opening/closing control.
Catalog ids: full_grip_putty5 Top Hand Occupational Therapy Exercises
Excel Rehab & Sport · 2025-06-09
Includes thumb abduction as a strengthening drill.
Strength-oriented hand recovery.
Catalog ids: thumb_abductionHand Exercises
Royal United Hospitals NHS Foundation Trust · 2023-10-01
Includes bend-and-straighten finger drills that support fist motion.
Baseline home exercise for mobility.
Catalog ids: fist_makingHand exercises for people with arthritis
Mayo Clinic · 2026-02-04
Shows hand and thumb mobility drills for arthritis management.
Useful for joint flexibility and pain-friendly motion.
Catalog ids: thumb_active_romHand therapy exercise videos
South Tees Hospitals NHS Foundation Trust · 2022-01-13
Covers hand therapy drills including blocking-style motion work.
Good for therapist-guided motion retraining.
Catalog ids: finger_blockingother therapy exercises
UHCW Hand Centre · 2025-08-18
Includes finger tendon gliding and blocking exercises.
Helpful for joint isolation and glide.
Catalog ids: finger_blocking, thumb_active_rom
Catalog fact-check source list
- https://www.flintrehab.com/hand-therapy-exercises/
- https://www.assh.org/handcare/condition/hand-finger-exercises
- https://www.ruh.nhs.uk/patients/patient_information/HTH021_Hand_Exercises.pdf
- https://www.medbridge.com/blog/occupational-therapy-hand-exercises
- https://www.thermh.org.au/services/occupational-therapy/hand-therapy-videos
- https://www.southtees.nhs.uk/services/physiotherapy/hand-therapy/hand-therapy-exercise-videos/
- https://www.youtube.com/watch?v=xQrP97h4MMg
- https://www.youtube.com/watch?v=2G6pHQJEbWQ
- https://www.youtube.com/watch?v=xH0e9yHANjk
- https://www.youtube.com/watch?v=T9H_yu0Me8c
- https://www.youtube.com/watch?v=vXgalb_3WCQ
- https://www.youtube.com/watch?v=wT27YktqXko
- https://www.arthritis.org/health-wellness/healthy-living/physical-activity/other-activities/9-exercises-to-help-hand-arthritis
- https://www.uhcwhand.org/multimedia/other-therapy-exercises
- https://www.verywellhealth.com/nerve-flossing-in-physical-therapy-4797516
- https://www.laclinicasc.com/physical-therapy-hand-injuries/
- https://www.youtube.com/watch?v=CApZ5rPx8Xc
- https://www.youtube.com/watch?v=N_qOAqkldrg
- https://handtherapy.com.au/tendon-gliding-exercises/
- https://www.youtube.com/watch?v=caKuntInigY
- https://www.youtube.com/watch?v=4QsU3mnsVmM
- https://www.youtube.com/watch?v=3Nuf9btZ6Fw
- https://www.youtube.com/watch?v=B_kArnWVEK4
- https://www.youtube.com/watch?v=yiONJEpfrn0
- https://www.arthritis-uk.org/information-and-support/living-with-arthritis/health-and-wellbeing/exercising-with-arthritis/exercises-for-healthy-joints/exercises-for-the-fingers-hands-and-wrists/
- https://library.nshealth.ca/OT-Practice/Hand-Exercises
- https://library.nshealth.ca/OT-Practice
Education sources
HandTherapy.app summarizes common home-program elements used in hand therapy and surgery recovery education. These links are for learning — they do not replace your clinician's instructions.
How to do it well
Goal, setup, dose, and the things therapists most often have to repeat. This is education — not a replacement for your clinician's plan.
Before you start
- If you had thumb tendon surgery, follow your surgeon’s timeline first.
- Move slowly — quality of the isolated motion matters more than range.
Today's dose
- Reps
- 8
- Sets
- 2
- Hold
- 3s
- Sessions / day
- 3
- Rest
- 30s
- Pain ceiling
- 3/10
Common mistakes
- Letting the base of the thumb bend along with the tip
- Pulling on the tip with the other hand
- Bending the wrist to ‘help’
Easier version
- Do half the reps
- Stop short of full IP bend
Harder version
Only if your phase allows progression.
- Once cleared, add a very gentle pinch against a soft pad at end-range
How did this feel?
One tap. Saved as a question for your next visit when relevant — never auto-shared.
What to do next — not a dead end
Suggestions use shared goals, tags, and difficulty — not your medical record. Always defer to your clinician’s plan after surgery or a flare.
~2 min this exercise
Add a second exercise below for a fuller block.
None required — bodyweight / table surface only
Explainer ceiling: 3/10 — back off before you reach it.
When to stop
Sharp pain at the wrist or thumb base
Inability to bend the tip after a few gentle reps
Full stop rules ↑Get clearance first if
- • Recent FPL tendon repair without surgeon clearance and protocol
- • Acute thumb fracture before bone-healing milestones
Commonly paired with
Different goal, shared tags — typical clinical pairings.
Related in the same lane
Same goal or strong tag overlap.
Movement library — same skills, smaller steps
Movements are the building blocks therapists combine into exercises.