Introduction
Hand therapy is a focused branch of rehabilitation that helps individuals recover function in their hands and arms. Your doctor may recommend seeing an occupational therapist with advanced expertise or a Certified Hand Therapist (CHT) for treatment. A CHT is a qualified occupational or physical therapist who has completed specialized education, supervised training, and certification exams beyond a standard therapy degree. These therapists provide care for a range of conditions affecting the hand and arm.
Hand therapists support patients with hand issues resulting from medical conditions, injuries, or post-surgical needs. Health conditions, such as arthritis, neurological disorders like stroke, traumatic brain injuries, spinal cord injuries, and issues like carpal tunnel syndrome, can all impact hand movement and function. Hand therapy is beneficial for individuals who have experienced trauma, burns, or amputations. It’s also commonly recommended after surgeries that repair tendons, nerves, or joints. In industrial settings, a hand therapist may be involved to advise on prevention strategies.
Treatment
Working with your physician, your hand therapist will recommend treatments tailored to your condition and goals. Hand therapy aims to alleviate pain, reduce swelling, restore strength, coordination, and movement, and improve endurance. It also supports healing and reduces scar formation. It’s essential to discuss any symptoms, concerns, or goals with your therapist, who will develop a personalized treatment plan to support your functional recovery.
During your first evaluation, the therapist will assess your hand's strength, coordination, range of motion, and sensation. They will look for any visible issues such as sores, swelling, or deformities.
The treatment plan depends on your condition and goals. Common therapies include exercises, splinting, and other therapeutic techniques. Splints may be used during rest, work, or both to aid healing, reduce discomfort, and enhance hand function. Therapies may also involve heat, cold therapy, ultrasound, or electrical stimulation to relieve pain and encourage mobility. Additional treatments could involve wound care or burn management. Adaptive devices, such as modified utensils for eating or writing, may also be suggested to increase independence.
In workplace settings, hand therapists conduct evaluations to identify injury risks. They may suggest ergonomic changes or modifications to work methods or environments to prevent repetitive strain injuries. Therapists also assist individuals with hand injuries in returning to work by recommending suitable adjustments.
