Hand Therapy

Hand Therapy

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Anatomy of the Hand

The hand is composed of many different bones, muscles, and ligaments that allow for a large amount of movement and dexterity. There are three major types of bones in the hand itself, including the following:

Illustration of the anatomy of the hand
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  • Phalanges. The 14 bones that are found in the fingers of each hand and also in the toes of each foot. Each finger has three phalanges (the distal, middle, and proximal); the thumb only has two.

  • Metacarpal bones. The five bones that compose the middle part of the hand.

  • Carpal bones. The eight bones that create the wrist. The carpal bones are connected to two bones of the arm--the ulnar bone and the radius bone.

Numerous muscles, ligaments, and sheaths can be found within the hand. The muscles are the structures that can contract, allowing movement of the bones in the hand. The ligaments are fibrous tissues that help bind together the joints in the hand. The sheaths are tubular structures that surround part of the fingers.

Hand therapy helps people return to maximum function in their daily activities in the home, school, and workplace after an illness or injury.

Our staff of occupational therapists has received extensive training in upper extremity rehabilitation, and many are certified by the Hand Therapy Certification Commission. Hand therapists coordinate closely with the patient’s physician or surgeon to provide a specialized rehabilitation program.

Common conditions treated:
  • Complex trauma/injuries to hand/arm
  • Industrial injuries
  • Post surgical treatment
  • Arthritis
  • Tendon injuries
  • Fractures
  • Nerve injuries
  • Burns
  • Upper extremity lymphedema
  • Hand pain
  • Tendinitis
Services Provided
  • Wound and scar management to facilitate healing and control problems caused by excessive scarring such as stiffness or pain.
  • Soft tissue mobilization of the numerous ligaments, tendons and nerves of the hand. Hand therapists help provide proper positioning and exercises to enhance tissue repair and increase normal pain free movement.
  • Custom splints and braces to support arthritic joints or fractures. Other splints offered are used to protect healing tissue in cases of tendon lacerations.
  • Desensitization and sensory re-education to decrease pain from damaged nerves and help the hand regain its ability to recognize textures and objects by touch.
  • Education and home exercise programs to maximize recovery.
  • Recommendations for adaptive equipment and techniques to promote independence with activities of daily living.
How to Get Started

Ask your physician for a referral and then call to make an appointment at the facility closest to you. Hand therapy is covered under Medicare, and many insurance companies will reimburse the cost of this service.


Hand Therapy, Outpatient Rehabilitation Services

Front Royal 540-635-0730
Winchester 540-536-3013
Woodstock 540-459-1164