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Hand Therapy and Custom Splinting

Hand Therapy

This is a type of rehabilitation performed by occupational and physical therapists on patients with conditions affecting their hands and upper extremities. It requires a high degree of specialization obtained through continuing education and experience. Treatments can be preventative, centered on the management of acute or chronic pain, or involve sensory re-education after nerve injury, among other things. Conditions we treat include carpal tunnel syndrome, rheumatoid arthritis, rotator cuff injuries, fibromyalgia, golfer and tennis elbow, post hand/wrist/elbow/shoulder fracture, post CVA/stroke and most sports injuries.

Custom Splinting

Orthotics and the development of custom splints deals with the science of support and/or bracing of weak or ineffective muscles or joints. Custom splints are also used to align, prevent or correct deformities of a body part or to assist in strengthening a physical weakness or improve the functioning of movable parts of the body.

Custom fabricated hand based thumb spica splint.

Purpose: Immobilize CMC joint to thumb

Used for the following conditions: Thumb CMC osteoarthritis, MPJ ulna collateral ligament/Radial collateral ligament of the thumb.

Custom fabricated wrist cock-up/wrist support splint

Purpose: Wrist immobilizer

Used for the following condition: Ganglion cyst, distal radius/ulna fractures, carpal fractures, carpal tunnel syndrome, ulna complex/TFCC injury, tenosynovitis, cellulitis to the hand.

Custom fabricated ulna gutter intrinsic + position splint (PIP Joint free)

Purpose: Immobilize metacarpal and or proximal/middle phalanx of finger.

Used for the following conditions: Fracture to the metacarpal, proximal/middle phalanx of finger. Length of splint is longer for proximal and middle phalanx fracture towards the finger tip.

Custom fabricated ulna gutter intrinsic + position splint (PIP/DIP joints of finger included)

Purpose: Immobilize wrist and finger for proximal/middle phalanx fractures.

Used for the following conditions: Fracture proximal/middle phalanx of finger. Length of splint is longer for proximal and middle phalanx fracture towards the finger tip.  

Custom fabricated mallet finger splint

Purpose: Immobilize/protect distal phalanx of finger:

Used for the following conditions: Distal phalanx fracture, mallet finger injury.

Custom fabricated PIP joint finger extension splint

Purpose: Immobilize PIP joint of finger

Used for the following conditions: Central slip/boutonniere injury to finger, swan neck deformity.

Custom fabricated dorsal block splint

Purpose: Hold PIP joint of finger into full extension.

Used for the following conditions: Swan neck deformity in finger.

Custom fabricated thumb spica splint with IP joint included

Purpose: Prevent wrist flexion, MP and IP joint flexion/extension of thumb

Used for the following conditions: Extensor tendon laceration to the thumb, proximalphalanx fracture to the thumb

Custom fabricated finger extension splint with cap to protect surgically placed pin

Purpose: Protect surgically placed pin and immobilize finger

Used for the following conditions: Post-operative placement of pin for middle/distal phalanx fractures or dislocations.

Custom fabricated figure-8 splint of hand

Purpose: Prevent ulna drift associated with rheumatoid arthritis

Used for following conditions: Rheumatoid arthritis

Standard custom fabricated forearm based thumb spica splint

Purpose: Immobilize wrist along with the thumb.

Used for the following conditions: Scaphoid fracture, scaphoid-lunate ligamentous injury, DeQuervain’s syndrome, thumb metacarpal fracture.

Custom fabricated radial thumb spica splint

Purpose: Immobilize wrist.

Used for the following conditions: DeQuervain’s syndrome, thumb metacarpal fracture.

Custom fabricated resting hand splint

Purpose: Rest/immobilize hand and wrist secondary to fractures, swelling, stiffness associated w/ trauma and or infection to the hand.

Used for the following conditions: Cellulitis, severe edema to fingers, multiple fracture sites to fingers.

Custom fabricated dorsal block splint immobilizing IV/V fingers

Purpose: Immobilize/protect fingers and wrist limiting allowed motion following flexor tendon repair. This splint immobilizes surgically repaired fingers; at the same time allows freedom of motion for uninvolved fingers to enhance function while recovering.

Used for the following conditions: Flexor tendon repairPicture 36: Custom fabricated PIP/DIP Strap:Purpose: Decrease intrinsic tightness in fingers following traumaUsed for the following conditions: Finger trauma, joint contractures, volar plate injuries, overall stiffness in fingers.

Custom posterior extension splint (static @ 90 degrees):

Purpose: Immobilize fracture or injured elbow.
 
Used for the following conditions: radial head fracture, proximal ulna fracture, distal humeral fracture, elbow joint effusion.

Custom fabricated sarmiento splint

Purpose: Provide circumferential pressure/immobilization to humeral fractures.
 
Used for the following conditions: Humerus fractures to the upper arm.