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Hand and Upper Extremity RehabIn Connecticut, Maryland, Massachusetts, & New York

At MOTION, our certified hand therapists (CHTs) are highly trained to rehabilitate injuries, treat all upper extremity conditions, and increase the overall functionality of your upper extremities.

The hands are extremely complex. Each hand alone has 30+ muscles and 100+ ligaments and tendons. A CHT is highly recommended for people seeking treatment for conditions or injuries to their hands and arms. They care for the most delicate and complex conditions involving the upper extremity’s nerves, muscles, bones, ligaments, and tendons. 

Can you tell me more about CHTs?

CHTs are physical or occupational therapists who specialize in treating hand and upper extremity conditions. A CHT has extensive and intensive training above and beyond that of a non-CHT clinician requiring years of advanced training.

To earn this distinction, a therapist must have at least 3 years of direct patient care and 4,000 hours treating hand and upper extremity disorders. Clinicians are awarded a CHT designation when they pass a rigorous certification examination demonstrating expert knowledge of upper extremity therapy. Our CHTs stay up-to-date on the latest treatments and developments and must recertify every five years.

What Conditions Should I See a CHT for?

A CHT knows the ins and outs of rehabilitation of the hand and upper extremity injuries and conditions, from fingertip to shoulder. They excel at providing the complex therapy needed to restore fine motor skills, like writing, grasping, and manipulating objects with your hands. Our CHTs provide rehab for many upper extremity disorders, both non-operative and post-surgical. These include:

  • Crush injuries
  • Fractures
  • Strains and sprains
  • Injuries to tendons, and ligaments
  • Dupuytren’s contracture
  • Carpal tunnel syndrome
  • Arthritis
  • Nerve injury and disorders
  • Dislocations
  • Joint replacement
  • Lacerations
  • Amputation
  • Infections and inflammation
  • Burns
  • Post-surgical care 
  • Limb, hand or finger reattachment
  • Hand and arm function loss from a brain injury such as stroke or spinal cord injury
  • Acquired or congenital deformities

What treatments does a CHT perform?

Certified hand therapists fill the gap between medical management of your ailment and full recovery. They are well-versed in the optimal treatment to use for a certain condition. 

The types of interventions CHTs provide include:

  • Custom-designed exercise protocols
  • Compressive therapy
  • Edema management
  • Orthotic fabrication
  • Taping
  • Functional assessments
  • Desensitization and sensory re-education techniques
  • Training in joint protection and energy conservation
  • Electrical stimulation
  • Ergonomic modifications
  • Design or recommendations for assistive devices
  • Manual therapy
  • Pain management
  • Prosthetic training
  • Scar management
  • Thermal modalities like paraffin wax, ultrasound or low-level laser therapy
  • Work conditioning and return to work programs
  • Wound care

Certified Hand Therapy at MOTION

Living life would be quite difficult if your hands no longer worked. Focusing their practice on one area of the body allows our certified hand therapists to thoroughly understand upper extremity anatomy, the mechanics of each structure, and how injuries can complicate healing. Here at MOTION, our CHTs are passionate about what they do. They love it and are experts at it. They have intimate knowledge of how to restore function in your hands and arms. This extensive knowledge combined with the years of experience required for this specialized certification lead to better clinical judgement and better care overall. 

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Hand and Upper Extremity Injuries Locations

Bronx

Brooklyn

Dutchess County

Fairfield County

Manhattan

Nassau County

Orange County

Putnam County

Queens

Rockland County

Westchester County

Frequently Asked Questions

  • Your first appointment will include a full, comprehensive evaluation so we can understand what’s causing your pain and build a personalized treatment plan that works for you. We ask that you arrive 15–20 minutes early so you have time to complete any remaining paperwork and review your insurance benefits. You can save time by completing your new patient forms online before your first visit.

    During the evaluation, your therapist will take time to learn about your medical history, listen to your concerns, and perform a detailed assessment to understand the root cause of your symptoms. This information helps us create a treatment plan tailored specifically to your needs and goals.

    You’ll then begin your initial treatment session. This usually includes guided exercises and stretches that focus on building strength, improving mobility, and reducing pain. Depending on your condition, your therapist may also incorporate other techniques to support your recovery.

    At the end of your visit, you’ll receive a personalized Home Exercise Program (HEP) to continue your progress between sessions.
    Follow-up visits focus on advancing your program, tracking progress, and making adjustments to keep you moving forward. Because we schedule future visits ahead of time, please bring your schedule with you to help us plan your upcoming visits.

  • We understand that unexpected situations can arise, and you may find yourself running late or needing to cancel your appointment. If that happens, please call your clinic directly. This allows us to adjust the schedule and reschedule you in a timely manner so your care plan stays on track.

  • Please bring a form of identification, your insurance card, and a method of payment if required. Having these items ready helps us check you in smoothly and ensures there are no delays with your appointment. Some of our clinics operate as cashless and checkless locations, meaning credit card payments are the only form of payment accepted. Online payment through MyChart is also available for your convenience.

    For every visit, we recommend wearing loose, comfortable clothing that allows you to move freely and gives your therapist access to the area being treated. Many patients find that athletic wear, such as shorts, yoga pants, and sneakers, works best, but any clothing that lets you move comfortably is acceptable.

  • During your initial evaluation, your therapist may ask you a number of questions to determine what the cause of your pain is. This can include questions about your sleep habits, activity level, and work environment. They will also ask for a medical history, and then typically ask direct questions about where and when you experience pain.

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