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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

MOTION Brookfield

60 Old New Milford Road
Suite 2A
Brookfield, CT 06804
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MOTION Danbury OT

2 Riverview Drive
Suite 102
Danbury, CT 06810
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MOTION Norwalk

761 Main Avenue
Suite 113
Norwalk, CT 06851
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MOTION Westport

323 Riverside Avenue
Westport, CT 06880
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MOTION Lefferts Gardens

672 Parkside Avenue
4th Floor
Brooklyn, NY 11226
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MOTION Williamsburg

158 Broadway
Brooklyn, NY 11211
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MOTION Fishkill

400 Westage Business Center Drive
Suite 107
Fishkill, NY 12524
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MOTION Woodmere

1012 Railroad Ave
Woodmere, NY 11598
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MOTION Carmel

1880 U.S. 6
Carmel, NY 10512
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MOTION Forest Hills – Metropolitan Avenue

96-16 Metropolitan Avenue
Forest Hills, NY 11375
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MOTION Orangeburg

99 Dutch Hill Road
Orangeburg, NY 10962
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MOTION Tarrytown

303 South Broadway
Suite 101
Tarrytown, NY 10591
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MOTION Valhalla

503 Grasslands Road
Suite 105
Valhalla, NY 10595
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Frequently Asked Questions

  • A physical therapy visit lasts about 40-60 minutes. The actual contents of the visit vary based on your diagnosis / need, but typically what happens is:

    1. You check in with the receptionist, make any appointments necessary, and we discuss your health insurance benefits with you.
    2. You go into the gym. You can change clothes if you need to, then begin therapy.
    3. You perform 6-8 various exercises and stretches. These can include therapeutic band exercises, light body weight exercises, or minimal weights. The stretches will promote strength, stability, improved range of motion, and pain relief.
    4. We can initiate other techniques to include manual work, taping, cupping, and dry needling as needed.
    5. The therapist makes recommendations based on your progress. These can include altering the frequency of visits, making additions / alterations to your home exercise plan, or things to do before your next visit.
  • We recommend budgeting 40-60 minutes for a typical therapy session. The only exception to this will be your first visit, which can take about 20 minutes longer due to the physical therapy evaluation your therapist will provide. We also recommend showing up about 10-15 minutes early to your first visit. This way, you can complete the paperwork before your visit time and streamline the process.

  • If we are asking you to do something that is hurting too much, let us know! Physical therapy should not be severely painful. It is not common to be so sore that patients are in pain or it affects their daily life. If this ever happens during or after an appointment, let us know and we will adapt your program.

  • 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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