General Orthopedic Rehabilitation

Physical and occupational therapy intervention is designed to improve functional performance with activities of daily living after an injury, surgery or other medical conditions that causes musculoskeletal limitations. Diagnosis may include fractures, ligamentous sprains, muscular injuries, arthritis and posture-related problems of the upper and lower extremity, as well as the spine. Treatment methods including therapeutic exercise, manual techniques, specific modalities, and patient education are utilized when indicated to assist clients in reaching their goals.

Hand & Upper Extremity

Our Certified Hand Therapists have expertise in a variety of hand and upper extremity diagnoses including fractures, cumulative trauma (carpal tunnel, lateral epicondylitis, tendinitis) and traumatic injuries (nerve and tendon lacerations, amputations, crush injuries). Therapists are knowledgeable in the most current treatment protocols and with the latest equipment including the BTE, LIDO, Greenleaf, and Motion Watch. The Certified Hand Therapists and Occupational Therapists are skilled in constructing a variety of custom-made splints.

Who is a Certified Hand Therapist?

A Certified Hand Therapist (CHT) is an occupational therapist or physical therapist who has a minimum of five years of clinical experience, including 4,000 hours or more in direct practice in hand therapy. In addition, the Certified Hand Therapist has successfully passed a comprehensive test of advanced clinical skills and theory in upper quarter rehabilitation. Because of changes in the profession, every CHT is required to demonstrate continued professional development and competency by recertifying every five years.

Lymphedema

Upper extremity lymphedema is a potentially serious consequence of breast cancer after mastectomy. It is a medical condition that may develop due to stagnation of high protein fluid in body tissue that causes complications such as swelling, pain and loss of function. Therapy can be beneficial to these patients to educate them regarding their condition and prevention of further complications. Manual lymphatic drainage techniques and therapeutic exercises can be utilized to stimulate flow of lymphatics. The patient will be taught a specific home exercise program to manage the condition.

Breast Reconstruction

After breast reconstruction such as TRAM and tissue expanders as well as after cosmetic surgery, patients often develop difficulties in the shoulder, axillary area and lateral chest wall. Difficulties range from tightness in the shoulder capsule, axillary edema, upper limb transient edema, scar bands and nerve irritation to name a few. These patients are often fearful to move for worries of injury or pain and therefore develop limitations in range of motion, strength and inability to perform activities of daily living. Patients are instructed in a detailed home stretching and massage program.