Hand to Shoulder Therapy

Rebecca Racine & Brandy Campbell

“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 to Shoulder Rehabilitation

Hand therapy is the discipline that addresses injuries and conditions of the hand, wrist, elbow, and shoulder. Certified Hand Therapists (CHT) 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.

Evaluation & Treatment

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

Conditions Treated

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
    • Arthritis
    • 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