Mielikki Long

Accredited Hand Therapist & Physiotherapist

Mielikki is an Accredited Hand Therapist, as awarded by the — a credential held by a relatively small number of clinicians in Victoria, and fewer still who are physiotherapists. She holds postgraduate training in both hand therapy and chronic and persistent pain — two areas of practice that often complement each other. Mielikki has extensive experience supporting people through long-standing pain conditions, including complex regional pain syndrome (CRPS), as well as the full breadth of hand and upper-limb conditions.

About Mielikki

Mielikki completed her Bachelor of Physiotherapy with Honours at Monash University and has invested heavily in postgraduate studies in hand therapy — an area that requires deep anatomical knowledge, fine clinical judgement, custom splinting expertise, and close collaboration with hand surgeons.

In 2026, Mielikki achieved accreditation as an through the Australian Hand Therapy Association. This is a rigorous, multi-year credentialing process — it involves more than 300 hours of advanced upper-limb education and formal assessment across all aspects of hand therapy (including areas such as radiology, trauma, and surgical rehabilitation), a 12-month supervised mentorship, and thousands of hours of dedicated hand therapy clinical practice, all assessed by the AHTA Credentialing Council. Most Accredited Hand Therapists in Australia are occupational therapists, making Mielikki one of the few physiotherapists in Victoria to hold the credential.

She manages the full breadth of upper-limb conditions: hand and wrist fractures, of the shoulder, elbow and wrist overuse injuries, and sporting injuries of the hand and fingers.

Alongside her work, Mielikki has undertaken postgraduate training in . She has extensive clinical experience working with people whose pain has not responded to standard rehabilitation, including complex regional pain syndrome (CRPS) — a chronic pain condition that requires a particular approach combining education, graded exposure, and careful, paced rehabilitation.
Mielikki’s approach is thoughtful and patient-led, and she brings the time, patience, and graded approach that long-standing pain conditions need. Patients describe her as someone who genuinely listens and helps them feel understood through what can be a long recovery.

Special Interests

Conditions Mielikki Commonly Treats

Hand & Wrist

  • Hand and wrist fractures (including post-cast and post-surgical)
  • Scaphoid and other carpal injuries
  • Trigger finger and Dupuytren’s contracture
  • Thumb arthritis (CMC joint)
  • Carpal tunnel syndrome
  • Custom splinting and splint adjustment

Elbow & Shoulder

  • Tennis elbow (lateral epicondylalgia)
  • Golfer’s elbow (medial epicondylalgia)
  • Elbow overuse and tendinopathy

Chronic & Persistent Pain

  • Complex regional pain syndrome (CRPS)
  • Persistent upper-limb pain after injury or surgery
  • Chronic regional musculoskeletal pain
  • Pain that has not responded to other treatment

Sporting Injuries

  • Hand and finger injuries from sport (boxer’s fracture, mallet finger, etc.)
  • Wrist and elbow overuse in sport

Qualifications

Qualifications

  • Bachelor of Physiotherapy (Hons), Monash University
  • Accredited Hand Therapist — (2026)

Postgraduate Training

  • Postgraduate studies in hand therapy
  • Postgraduate training in chronic and persistent pain
  • APA Level 1 Pain Course (2021)
  • APA Advanced Clinical Pain (2024)
  • Australian Hand Therapy Association (AHTA)
  • Closed Trauma (2023)
  • AHTA Open Trauma (2025)
  • AHTA Arthritis of the Upper Limb (2025)
  • Graded Motor Imagery (2026)
  • Neurodiversity Affirming Care (2026)

Professional Experience

  • Hand therapy private practice — full breadth of upper-limb conditions
  • Custom thermoplastic splinting
  • Close collaboration with hand surgeons for post-operative rehabilitation
  • Extensive experience working with people who live with chronic and persistent pain
  • Post-surgical and aged care rehabilitation

Languages spoken

English.

Consulting Locations & Hours

Sunbury Physiotherapy — Tuesday to Friday — please check the for current availability
— Monday mornings

Frequently Asked Questions About Mielikki

Accredited Hand Therapist (AHT) is a formal credential awarded by the Credentialing Council. It recognises physiotherapists and occupational therapists who have completed extensive advanced education, formal competency assessment, a year-long mentorship, and thousands of hours of dedicated hand therapy practice. It is the recognised benchmark of advanced hand therapy practice in Australia.

 

Hand therapy is an advanced area of practice within physiotherapy (or occupational therapy) focused on the hand, wrist, elbow, and shoulder. Hand therapists complete substantial additional postgraduate training, including in custom splinting, fine-detail anatomy beyond general physiotherapy, and the specific surgical and rehabilitation protocols of the upper limb.

Yes — this is one of Mielikki’s areas of greatest expertise. Persistent pain often needs a different approach from acute pain: more time, more education, careful pacing of activity, and rehabilitation that addresses the pain experience as well as the tissues.

Complex Regional Pain Syndrome (CRPS) is a chronic pain condition that usually affects one limb after an injury or surgery, with pain disproportionate to the original injury, often accompanied by skin changes, swelling, and sensitivity to touch. CRPS is challenging to manage but improves with the right rehabilitation. Mielikki has experience working with people with CRPS and uses evidence-based approaches including graded exposure, graded motor imagery, and desensitisation.

Yes. Custom thermoplastic splinting is part of hand therapy, and Mielikki regularly makes and adjusts splints for fractures, post-surgical immobilisation, tendinopathies, and conditions like trigger finger or arthritis.

In most cases, as soon as your surgeon allows — often within the first week. Early hand therapy is critical for outcomes after most upper-limb surgery, and Mielikki works closely with hand surgeons to follow established post-operative protocols.