Coban Fine Motor Test Grip Exercise Measuring Wrist ROM Paraffin Putty Exercise Sensory Testing Ultrasound on Hand Weight Well

As specialists of the Upper Extremity, we work closely with local and Boston area Orthopedic Hand Surgeons and Plastics Hand Surgeons. We maintain constant contact with them assuring the most up-to-date advances in therapy and the best follow through after injury or surgery. The diagnoses/ conditions that we care for include ALL injuries or conditions involving the fingers, hand, wrist, elbow, upper arm & shoulder.

Typical Conditions Include:
  • Amputations
  • Hand Replantation
  • Burns / Frostbite
  • Tendon and Nerve Lacerations
  • Fractures
  • Dislocations, Sprains, and Strains
  • Ligament and Joint Injuries
  • Sports Injuries of the Upper Extremity
  • Upper extremity Nerve entrapments including:
    • Median Nerve (Carpal Tunnel)
    • Ulnar nerve impingement (Cubital Tunnel)
    • Thoracic Outlet Syndrome (TOS)
    • Cervical Spinal Nerves Involving the Upper Extremity
    • Complex Regional Pain Syndrome (CRPS), also known as Reflex Sympathetic Dystrophy (RSD)
  • Repetitive injuries / tendonitis including:
    • Synovitis of the Hand, Wrist and Forearm
    • Trigger Finger
    • Lateral Epicondylitis (Tennis Elbow)
    • Medial Epicondylitis (Golfer's Elbow)
    • DeQuervains Tenosynovitis (Thumb Tendonitis)
    • Dupuytren's Contracture
    • Weakness and Coordiantion Issues Related to Central Nervous System (Spinal Injury, MS, Post Stroke)
  • Arthritis (pre & post surgery) such as:
  • Rheumatoid Arthritis (Joint Replacements)
  • Osteoarthritis
  • Scleroderma
  • Fibromyalgia
  • Lupus

We also specialize in all injuries and conditions of the upper extremity including , post surgical removal of: ganglion cysts, tumors, or growths on the upper extremity.

Services We Provide
  • Custom Splint Fabrication
  • Therapeutic Exercise
  • Therapuetic and Functional Activities
  • Activities of Daily Living (ADLs) Self Care Training
  • Manual Therapy
  • Pain Management
  • Edema Management
  • Scar & Soft Tissue Mobilization
  • Sensory Re-education Including:
    • Desensitization
    • Neuromuscular Re-education
    • Joint Protection Techniques
    • Adaptive Equipment Assessment
    • Injury Prevention
    • Body Mechanics & Ergonomic Post Surgical Care
  • Whirlpool & Wound Care
  • Kinesiotaping
  • Ultrasound
  • Electric Stimulation (Neuromuscular Stimulation ,TENS, Iontophoresis)
  • Heat/Ice (Paraffin Wax, Moist Hot Packs, Cold Packs, Cryostim)
  • Detailed Patient Education & Home Exercise Program