About Hand Therapy
Occupational and physical therapists certified in hand therapy provide evaluation and treatment for individuals with a variety of upper extremity related problems. Rehabilitation aides and massage therapists are also available to compliment the therapy that patients receive. The Certified Hand Therapists (CHT's) work closely with our board certified hand surgeons to ensure excellent continuity of care and a true "team" approach to the treatment of all upper extremity conditions.
Below is a list of the conditions we treat and the services we offer:
- Hand and wrist fractures
- Elbow fractures/dislocations
- Upper extremity crush injuries
- Tendon lacerations
- Nerve compression injuries
- Brachial plexus injuries
- Upper extremity burns
- Upper extremity replantation
- Rheumatoid arthritis
- Upper extremity osteoarthritis
- Hand therapy evaluation
- Custom splint fabrication
- Hand therapy treatment
- Functional capacity evaluation
- Upper extremity wound care
- Upper extremity scar management
Anatomy of the Hand
The hand is composed of many different bones, muscles, and ligaments that allow for a large amount of movement and dexterity. There are three major types of bones in the hand itself, including the following:
Phalanges. The 14 bones that are found in the fingers of each hand and also in the toes of each foot. Each finger has three phalanges (the distal, middle, and proximal); the thumb only has two.
Metacarpal bones. The five bones that compose the middle part of the hand.
Carpal bones. The eight bones that create the wrist. The carpal bones are connected to two bones of the arm--the ulnar bone and the radius bone.
Numerous muscles, ligaments, and sheaths can be found within the hand. The muscles are the structures that can contract, allowing movement of the bones in the hand. The ligaments are fibrous tissues that help bind together the joints in the hand. The sheaths are tubular structures that surround part of the fingers.