• Short Opponens
  • Ulnar Gutter
  • Ultra Sound
  • Silver Rings

Hand  & Upper Extremity Therapy

“Hand Therapy is the art and science of rehabilitation of the upper quarter of the human body. Hand therapy is a merging of occupational therapy and physical therapy theory and practice that combines comprehensive knowledge of the upper quarter, body function, and activity. Using specialized skills in assessment and treatment, hand therapists promote the goals of prevention of dysfunction, restoration of function, and/or reversal of the progression of pathology in order to enhance participation in life situations for individuals with upper quarter disease or injury.”

Source: Hand Therapy Certification Commission (www.htcc.org)

Hand therapy is the discipline that addresses injuries and conditions of the hand, wrist, elbow, and shoulder. Certified hand therapists are either occupational or physical therapists who have specialized training in treating upper extremity conditions through advanced study.  Our hand therapists work closely with physicians and clients to provide a continuum of care. Treatment often begins within days of the injury or surgery and continues until the client has returned to work and/or a productive lifestyle.

Following a thorough evaluation, an individualized treatment plan will be developed for each client and may include:

  • Wound care
  • Range of motion and strengthening exercises
  • Control of swelling
  • Moist heat and cold therapy
  • Neuromuscular re-education
  • Ultrasound, iontophoresis, and electrical stimulation
  • Scar and soft tissue massage
  • Desensitization and sensory re-education
  • Customized splint fabrication
  • Joint protection principles
  • Therapeutic activities
  • Home exercise programs


Our occupational therapy program focuses on helping patients with injuries to the hand, wrist, elbow and shoulder. The following are some of the conditions that our hand and upper extremity therapists treat.

  • Shoulder
    • Shoulder fractures
    • Rotator cuff pathology
    • Brachial plexus injury
    • Thoracic outlet syndrome
    • Bursitis
    • Muscle weakness and scapular dysfunction
  •  Elbow
    • Elbow fracture
    • Cubital tunnel syndrome
    • Radial nerve palsy
    • Tennis and golfer’s elbow
    • Olecranon bursitis
  • Wrist
    • Carpal tunnel syndrome
    • Kienbock’s disease
    • deQuervain’s syndrome
    • Intersection syndrome
    • Mid-carpal instability
    • Scaphoid fractures
    • Triangular fibrocartilage complex (TFCC)
    • Wrist fractures
    • Wrist tendonitis
  • Hand
    • Amputations
    • Arthriti
    • Burns and frostbite
    • Fractures
    • Flexor tendon injuries
    • Extensor tendon injuries
    • Mallet finger
    • Thumb arthritis
    • Trigger finger/thumb
    • Dupytren’s disease
    • Fingertip injuries
    • Hand tremors
    • Gout
    • Nail bed injuries
    • Psoriatic arthritis
    • Thumb sprains
    • Osteoarthritis
    • Ganglion cysts
    • Rheumatoid arthritis

Brandy Campbell, OTR/L,CHT

  • March 1, 2009 Opened Bonney Lake Physical Therapy & Hand Rehab.
  • 2005 – Achieved her Certified Hand Therapist credentials
  • 2001 – began specializing in the treatment of the hand and upper extremity.
  • 1994 – Graduated from the University of Puget sound with a Bachelors of Science degree in Occupational Therapy
  • 1985 – Began working in orthopedic physical therapy as a physical therapy technician.

A Certified Hand Therapist (CHT)

  • Minimum of 5 years of experience
  • 4,000 hours of time practicing and being mentored in the intricacies of the upper extremity
  • Has passed a rigorous examination of advanced clinical skills and theory in upper extremity rehabilitation
  • Maintains certification through high quality continuing education courses

What Client’s Say

Thank you so much.. very professional experience. You guys ROCK!
Michael I couldn’t have recovered as well as I did without you. you will be missed, but the dog sled will not. Thanks for your help and making it fun!
Thank you everyone for being so awesome! I Love You guys! you are all great people and I’m thankful I cam here, without you all I would be one messed up girl!
Michael, Jen and Gang thanks so much for your hard work and for making it so much fun. P.S Jen there is no such thing as “Fluffy Friday”
Thank you so much. I think the staff is so caring and helped me so much in my recovery. Will not forget my visits here.
I have no ambition in this world that is to be a fireman.” -EC 1912 Thanks for getting me back to the job I love! you all are amazing! thank you EPFR E16.
You are all the greatest thanks for your help and encouragement.
The “Brandy Bunch” thank you for loving what you do and being so good at it. Breaking up is hard to do! It was a ‘ball.’
Thank you guys so much for your help & making it fun. Thanks again.
You are all wonderful, thank you for helping me get back to normal. THANK YOU!
Thank you for all the pain and fun. You guys are the best.
You took my injury from “terrible” to TERRIFIC! Thank You! I will never forget you!
Thank you everyone for the help to get t he shoulder back to working order I will miss you guys.