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
