Hand therapy is a specialized area of rehabilitation that focuses on the treatment of conditions affecting the upper extremity — including the shoulder, arm, elbow, forearm, wrist, and hand. It helps restore function, reduce pain, and support recovery after injury, surgery, or chronic conditions.

Hand therapy is performed by licensed occupational therapists (OTs) or physical therapists (PTs) who have advanced training and experience in treating upper extremity conditions.

A Certified Hand Therapist (CHT) is an OT or PT who has completed at least 3 years of clinical practice and 4,000 hours of direct hand and upper extremity treatment. They must pass a rigorous certification exam and recertify every five years to maintain their credential.

Hand therapists treat a wide range of conditions, including:

• Fractures and sprains
• Tendon and nerve injuries
• Carpal tunnel syndrome
• Arthritis
• Post-surgical recovery
• Stroke-related impairments
• Chronic pain or deformities of the upper limb

Hand therapy bridges the gap between medical management and full recovery. It may include:

• Custom splinting or orthotic fabrication
• Pain and swelling management
• Scar and wound care
• Strengthening and mobility exercises
• Post-operative rehabilitation
• Education on joint protection, energy conservation, and use of adaptive equipment

No. Hand therapy can be very effective as a non-surgical treatment for many upper extremity issues. It can also play a vital role in post-operative recovery when surgery is required.

Yes. Hand therapists often work in close collaboration with orthopedic and general surgeons, especially those specializing in hand and upper extremity care, to ensure the best possible outcome for the patient.