Joint injuries are among the most common problems experienced by physiotherapy patients. These injuries may result from trauma to the body part or from wear and tear to the joint as in the case of carpal tunnel or arthritis. Patients may also seek physiotherapy following surgical procedures. Hip, knee, elbow, shoulder, wrist, and hand surgery are among the most common. Before beginning treatment, a subjective assessment of the patient through the interview, review of the patient's records and doctor's referral is accomplished. Wrist and hand patients need about six weeks for recovery, but their treatment may center mainly on fine motor activities. Since the hand is such a complicated structure, physiotherapists are specially trained in this area. The range of motion, strength and fine motor tasks form the basis of therapy as well as splinting in some cases.