Hand Therapy

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Mary Reilly stated, “man, through the use of his hands, as they are energized by mind and will, can influence the state of his own health.” A pioneer in the field of occupational therapy, Reilly captured the complexity of upper extremity dysfunction in her powerful 1961 Eleanor Clarke Slagle lecture.

At Commonwealth Hand and Physical Therapy, we understand the message that Mary Reilly passionately conveyed. Staffed with a team of highly skilled individuals, Commonwealth Hand Therapy treats a wide variety of diagnoses. As a teaching facility, we strive to provide gold-standard quality of care by constantly evolving with the addition of cutting edge technology and research.

Cumulative Trauma Disorders

Cumulative trauma disorders are occurrences in which body structures have been stressed and loaded over time causing problematic dysfunction during activities of daily living. Commonly referred to as repetitive injury from “wear and tear,” cumulative trauma disorders are often ergonomically related.

  • Proximal nerve compressions
  • Median nerve compression
    • Pronator Teres Syndrome
    • Carpal Tunnel
  • Ulnar Nerve Compression
  • Chronic tendon conditions
    • Lateral Epicondylitis
    • Medial Epicondylitis
  • Radial Tunnel Syndrome
  • DeQuervain’s Disease
  • Ganglion Cysts
  • Numbness/tingling in arms and/or hands

Acute Trauma Disorders

Acute trauma occurs when body structures are damaged by sudden injury.

  • Complex nerve injuries
  • Fractures/Dislocations
    • Humeral fractures
    • Elbow fractures
    • Distal radius fractures
  • Complex Regional Pain Syndrome (I / II)
  • Burns
  • Crush
  • Amputations
  • Tendon Injuries
    • Flexor tendons
    • Extensor tendons
    • Tendon transfers
  • Complex Wrist Disorders
    • TFCC
    • SLACK
    • SNAC
  • Sports injuries
  • Finger Conditions
    • Mallet Finger
    • Nail Bed Injuries
    • Game keeper’s Thumb
    • Trigger Finger
    • Boutonniere deformity
  • Swan neck deformity
    • Fractures/dislocations​
      • Elbow

Degenerative / Chronic Conditions

  • Dupuytren’s Disease
    • Post Surgical
    • Post Injection
  •  Osteoarthritis
    • CMC Thumb arthritis
    • Wrist arthritis
  • Rheumatoid arthritis
    • Presurgical inflammatory management
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Special Services

  • Upper Extremity Custom Orthotics
    • Dynamic
      • Flexion
      • Extension
    • Static
      • Gauntlet
      • Forearm Spica
      • Hand Based Spica
      • Long Arm
      • Munster
  • Industrial Programs​​
  • Ergonomics
  • Tool design
  • Activity modification
  • Joint Protection Techniques
  • DME Products
    • Edema Glove
    • Elastomer
    • Silicone/Silipos
    • Electrodes
    • Theraputty
    • Big Gripper/Hand Exerciser
    • Vibrating Scar Massager
    • Mac Blocker
    • Buddy Strap/Soft
    • Elbow Pad
    • Comfort Cool
    • Tube Splint
    • Knuckle Bender
  • Pain neuroscience education (help understand the mechanism of pain)

Splint Fabrication

Wrist Gauntlet

Forearm Thumb Spica

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