1HP

1HP Clinical Case Study Library — Free Access

You Have Seen the Doctors. Normal Imaging. Rested for Months. And You Are Still in Pain.

You don't need injections, medication or surgery. You need a plan that actually addresses the underlying causes. Learn how we have helped thousands of individuals finally get relief for their persistent wrist & hand issues — even after everything else failed. Find your pain pattern and see how we helped our patients recover.

Every recovery in this library was achieved remotely through our Power Leveling program — a coaching protocol supported by our app.

Sound Familiar?

You Have Done Everything Right. And You Are Still in Pain.

You went through the standard process. Your GP referred you out. You saw a specialist, maybe an orthopedic surgeon, maybe a general physical therapist, maybe both.

You followed the protocol. You did the exercises.

You rested and used a brace when they told you to.

And six months later... or twelve, or eighteen... you are still in pain the moment you sit down to code, or type, or do the work that pays your bills.

This is not a failure of effort. It is a failure of methodology.

The 1HP Approach

The standard medical pathway for wrist and hand pain is not designed to actually address the underlying causes for someone who uses their hands at a professional level for 6–10 hours a day.

And on top of that wanting to destress with hobbies that require repetitive use of the hands (gaming, music, production, etc).

It is currently designed to treat and manage symptoms (pain). And it has trained us to believe that pain is the best measure for progress.

Recovery from chronic repetitive strain injuries does NOT just mean eliminating the pain.

It means actually addressing underlying tissue capacity, cognitive emotional, lifestyle and other factors to help you get your life back.

It takes more than just rest and some stretches.

Find Your Pattern

Where Is Your Pain?

Select the region that matches your pain. We'll show you exactly what's inside the library for your specific pattern.

1HP provider consultation

The Evidence Base

This Is Not Generic Advice.

The 1HP Case Study Library is a collection of our most complex clinical recoveries — all delivered through our fully remote treatment program.

Every case study includes the specific diagnosis, the exact recovery timeline, the progressive load protocol we used, the relevant pain science education and the final outcome, documented in clinical detail that anyone can understand.

Inside, you will find recoveries for:

  • Cubital Tunnel Syndrome and ulnar nerve compression
  • Flexor and Extensor Tendinopathy
  • De Quervain's Tenosynovitis
  • Intersection Syndrome
  • Chronic grip weakness and forearm fatigue
  • Repetitive strain injuries in developers, engineers, researchers, and technical professionals

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Fully Remote

No Commute. No Waiting Rooms. Unlimited Access to Your Provider.

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Holistic Approach

Considering biological, psychological and social factors leading to your pain and dysfunction.

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Evidence-Based

Progressive Load, Graded Exposure and Education System. Not just rest-and-stretch.

Dr. Matthew Hwu, PT, DPT, OCS, CSCS

Dr. Matthew Hwu

PT, DPT, OCS, CSCS

Dr. Elliot Smithson, PT, DPT, MS, ATC

Dr. Elliot Smithson

PT, DPT, MS, ATC

Why You Can Trust Us

We're two Physical Therapists with the core mission to help those suffering from wrist, hand & forearm pain.

Elliot and Matt saw a huge gap in the healthcare system of people suffering from wrist, hand & forearm pain.

People weren't getting the care they needed. And many times they were invalidated (gaming, music, programming, etc.)

So we spent the past decade specializing in treating wrist & hand injuries. We've read 1000s of research studies, published a few of our own, spoken at national Physical Therapy Conferences (APTA CSM)…

…and have focused all of our efforts on helping you realize you have MORE CONTROL in managing your wrist pain than you realize.

Free Access

Find Your Pain Pattern. See the Roadmap. Get Back to 100%.

The clinical documentation for your specific pain pattern may already be inside this library. Access it for free and evaluate the evidence yourself — before committing to anything.

1HP

1 Health Point — Specialized wrist, hand & forearm pain physical therapy.

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The information provided here is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.