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Hand therapy is the art and science of rehabilitating the upper quarter of the human body after injury or illness. Hand therapy merges occupational therapy (OT) and physical therapy (PT), using specialized skills to assess and treat disease and injury, to prevent dysfunction, and to restore function and/or reverse the progression of disease that affects this vital part of the body.

Our licensed occupational therapists have met rigorous national standards of education, experience, and clinical expertise in the specialty of hand therapy.

Who Benefits From Hand Therapy?

Hand therapy can be beneficial for a range of orthopaedic hand problems, including:

  • Bone fracture in the hand or arm
  • Crush injury
  • Arthritis (osteoarthritis, rheumatoid arthritis, etc.)
  • Tendon lacerations
  • Repetitive motion injury (RMI) such as carpal tunnel syndrome, trigger finger (when tendons in the finger joints swell due to overuse, “locking” the finger into a fixed position) or synovitis (inflammation of the joint lining, or membrane)
  • Nerve Injuries – including brachial plexus lesions (an area of abnormal tissue in the brachial plexus, the network of nerves that sends signals from the spine to the arm and hand); radial, median and ulnar nerve injuries (the nerves that supply the arm, forearm and hand).
  • Reflex Sympathetic Dystrophy (RSD)/Chronic Regional Pain Syndrome (CRPS) a chronic and painful condition that usually affects an arm or leg. Signs and symptoms include intense burning or aching pain along with swelling, abnormal sweating and hypersensitivity of the area.
  • Dupuytren’s Contracture, a condition in which there is a thickening and shortening of the thick band of tissue in the palm of the hand and fingers. Over time, the tissue contracts and the fingers become curled inward.

Comprehensive Diagnostic & Treatment Resources

Based on an evaluation, we develop a treatment plan tailored to your individual needs. We also will ask you about your personal goals for treatment and incorporate them into your treatment plan. We offer a comprehensive range of state-of-the-art hand therapy treatments and resources, including:

  • Treatment methods such as heat, cold, electrical stimulation, ultrasound, paraffin and iontophoresis may be used for pain management and/or muscle relaxation
  • Manual therapy to improve joint, scar and nerve mobility
  • Therapeutic exercise to stretch and strengthen muscles
    • A specialized piece of equipment known as the BTE Work Simulator is used in hand therapy. It is an extremely effective system that duplicates many real-world job and daily-living functions, enabling therapists to accurately test and treat functional problems and get you back to your regular activities.
  • Neuromuscular re-education
    • The aim of this treatment is to retrain nerves that may be injured or hypersensitive as a result of injury; this retraining desensitizes the nerve endings and increases patient comfort as well as increases strength and coordination
    • Or, if a patient has undergone surgical muscle transfer (using a muscle from one part of the body in another), the brain has to “relearn” how to control that muscle in its new location, and neuromuscular re-education is employed
  • Splinting
    • When indicated, our therapists fabricate custom splints to position and/or protect your hand/arm, control pain, stretch tight tissues/joints and improve function.
  • Pain management
  • Functional training to help patients get back to their everyday lives
  • Recommendations for adaptive equipment