Introduction
Hand therapy is a focused area of rehabilitation aimed at restoring hand and arm function. Your physician may recommend treatment with a specially trained occupational or physical therapist, or a Certified Hand Therapist (CHT). This certification is held by therapists who have pursued advanced training and rigorous testing in hand rehabilitation. Hand therapists assist individuals affected by conditions that impact the hands and upper limbs.
A hand therapist provides ongoing care for people with hand-related medical conditions, post-surgical recovery, or injury. Conditions such as arthritis, neurological issues like stroke or traumatic brain injuries, and nerve disorders such as carpal tunnel syndrome can impact hand movement and function. Hand therapy also supports those who have experienced trauma, burns, or amputations. For individuals who have undergone surgery on the hand, therapy is key to restoring tendon, nerve, and joint function. Hand therapists may also work in preventative roles, particularly in manufacturing industries to reduce workplace injuries.
Treatment
A hand therapist collaborates with your doctor to determine the best treatments tailored to your goals. Hand therapy helps relieve pain, control swelling, and improve strength, endurance, and coordination. It also fosters healing and minimizes scarring. It’s essential to discuss your symptoms, concerns, and functional goals with your therapist, who will design a treatment plan aimed at achieving those outcomes.
During your initial assessment, the therapist will examine your hand, measuring aspects such as strength, coordination, and joint movement. They’ll observe any signs of soreness, deformities, or swelling.
Therapy methods vary based on your specific condition, the severity of the issue, and your personal goals. Common approaches include hand exercises, splinting, and various modalities. Hand splints may be used to support healing, alleviate pain, or enhance functionality, and can be worn either at rest or while working. Modalities, which help reduce pain and encourage movement, may include heat, ice, ultrasound, and electrical stimulation. Wound care, burn treatment, and debridement are also available. Your therapist can recommend adaptive tools, such as specialized utensils for eating or writing, to improve your daily independence.
In workplace settings, hand therapists perform ergonomic assessments to help prevent injuries and cumulative trauma. They can suggest adjustments to workstations and methods to reduce strain and can assist individuals with returning to work after hand injuries by customizing the workplace environment.
