© 2019 by ODARK30soultions

THE GOLD STANDARD OF QUALITY CARE

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 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

    • Cubital Tunnel

    • Guyons Canal

  • Chronic tendon conditions

    • Lateral Epicondylitis

    • Medial Epicondylitis

  • Radial Tunnel Syndrome

  • DeQuervain’s Disease

  • Ganglion Cysts

  • Cervicogenic headaches

  • Rotator cuff related pain

  • Thoracic outlet syndrome

  • Generalized low back pain

  • Nerve-related pain of the lower extremities 

  • Femoral-acetabular impingement (hip pain)

  • Gluteal tendinopathy (hip pain)

  • Patellar tendinopathy (knee pain)

  • Achilles tendinopathy (ankle pain)

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

    • Spinal fractures (neck)

    • Shoulder

    • Elbow

    • Hip

    • Knee

    • Ankle

DEGENERATIVE / CHRONIC CONDITIONS

  • Dupuytren’s Disease

    • Post Surgical

    • Post Injection

  • Osteoarthritis

    • CMC Thumb arthritis

    • Wrist arthritis

  • Rheumatoid arthritis

    • Presurgical inflammatory management

  • Glenohumeral (shoulder) osteoarthritis 

  • Hip osteoarthritis 

  • Knee osteoarthritis

FUNCTIONAL CAPACITY EVALUATIONS

Functional Capacity Evaluations (FCE’S) are a collection of tests that are used to identify a person’s current safe work capacity. Patients will be asked to perform a range of physical activities that will include sitting, standing, walking, climbing, lifting, carrying, pushing, pulling, handling, reaching, squatting, crouching, kneeling, turning, crawling and work simulation.

 

Commonwealth Hand Therapy FCE’s are a comprehensive, systemic and objective process of assessing a worker’s ability to perform essential job functions.

Results may be used to determine: return to work capabilities, possible job accommodations, the need for further treatment, residual functional capacity, and impairment ratings.

Based on the Matheson System of Biopsychosocial Evaluation.

Residency trained “Thinking Evaluators” combine standardized testing with the expertise of an experienced clinician.

Administer’s functional testing protocols based on the most recent published, peer reviewed and court tested literature.

Report includes a short summary attached to a full-length report for quick and easy review of results.

Results are objective, reliable and always include statements regarding client physical effort and reliability.

Customized to each physician’s referral questions

  • Work restrictions/accommodations

  • Recommendations for further treatment

  • ETC

Full report available in less than 2 business days of test administration.

SPECIAL SERVICES

  • Custom Orthodics

  • 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