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Hand Therapy

Let the certified hand therapists (CHT’s) at Hand & Orthopedic Rehabilitation Specialists provide the hand therapy you need after a condition or injury has impaired your function.  We will get you back to your life, work and play.

Our Program

Our experienced and highly skilled therapists specialize in the treatment of both conservative (non-operative) and post-surgical hand conditions and injuries.  They will help you get back to your activities of daily living. learn: What is a CHT?

Common hand, arm, and wrist conditions we treat

  • Adhesions or tightness (e.g., scar, musculotendinis, capsular)
  • Amputations
  • Basal Joint of the Thumb – DJD
  • Boutonierre deformities
  • Burns
  • Carpal Tunnel Syndrome
  • Congenital anomalies/differences
  • CMC Joint Arthritis
  • Crush Injuries
  • Cubital Tunnel
  • Cumulative Trauma Disorders
  • Cysts and tumors
  • DeQuervain’s Tendonitis (tenosynovitis)
  • Degenerative Joint Disease
  • Degloving Injuries
  • Dislocations and subluxations
  • Dupuytren's disease
  • Edema/Swelling
  • Extensor Tendon Injuries
  • Factitious disorders
  • Flexor Tendon Injuries
  • Fractures (open and closed)
  • Golfer’s elbow (Medial Epicondylitis)
  • Infections
  • Injection injuries
  • Joint sprains and strains
  • Lymphedema
  • Muscular strains, tears, and avulsions
  • Nerve compression / entrapment injuries
  • Nerve injuries and conditions (e.g., neuropathies, palsies, nerve repairs)
  • Neuromuscular diseases – ALS, MS, MD
  • Overuse injuries
  • Osteoarthritis
  • Pain (e.g. Complex Regional Pain Syndrome/CRPS, fibromyalgia)
  • Raynauds Disease
  • Repetitive Trauma injuries
  • Rheumatoid Arthritis
  • Replantation and revascularization
  • Rotator Cuff Repairs
  • Spinal cord and central nervous system injuries
  • Swan-neck deformities
  • Tendon injuries and conditions (e.g., lacerations, transfers, tendonitis, tendons, ruptures)
  • Tennis Elbow (Lateral Epicondylitis)
  • Thoracic Outlet Syndrome
  • Trauma (multi-system injuries)
  • Vascular disorders
  • Wounds

 Evaluation

Our Hand Program begins with an extensive clinical evaluation (history, P/A/AAROM, joint mobility, strength, edema, sensation, function). All medical, vocational, and psychosocial history aspects will be considered to develop a plan of care that will get you back to the activities of living your life.

Treatments  

Manual Therapy A variety of techniques and procedures may be used in therapeutic intervention with hand and upper quarter patients, including but not limited to:

  • Joint mobilization                                                                                               
  • Passive range of motion
  • Manual edema mobilization (MEM)
  • Scar mobilization
  • Deep Friction Massage
  • ASTYM

  Therapeutic Exercises

  • Active range of motion
  • Active/active-assist range of motion
  • Strengthening
  • Conditioning/endurance
  • Desensitization
  • Grasp/pinch exercises

  Neuro muscular Re-education 

Certified Hand Therapists make custom splints for many conditions
  • Kinesio tape
  • Muscle re-education
  • Dexterity and coordination training
  • Sensory Re-education     

  Therapeutic Activities

  • Activities of daily living (reaching, lifting, carrying, dressing, etc)
  • Grasp and pinch prehension activities

  Education

  • Symptom management
  • Activity modification in home, work, school or leisure (Ergonomic)
  • HEP – Home Exercise Program
  • HSP – Home Strengthening Program
  • Arthritis joint protection instruction/energy conservation instruction
  • Training in ADL/adaptive/assistive devices

Modalities Physical agents such as heat, cold, ultrasound, electrical stimulation may be used during treatment as determined by your therapist.    

Custom Splinting Our staff of certified hand therapists are experienced in all aspects of custom splinting.  The process of splint fabrication starts with designing a custom pattern from which the splint is made of a low temperature thermoplastic material. The splint is secured to the body part with velcro straps.  The fitting and fabrication is specific to the purpose of the splint and for your comfort.  The purpose of splints are to:

  • immobilize and rest
  • protect injured areas
  • assist range of motion and increase function
  • stretch connective tissue and increase joint mobility
  • prevent or correct joint deformity
  • maintain alignment of a joint after joint replacement

Splints used to immobilize and protect are referred to as static splint.  Splints that allow motion or use motion to increase range of motion may be referred to as dynamic or static progressive. Prior to leaving our office with a splint, your therapist will educate you in the wear, care and precautions of splint use.

 

You can access our services in Salt Lake, Summit, or Davis counties in one of our outpatient clinic locations
Salt Lake City | Murray | Draper | Park City | Bountiful