Hand & Wrist Therapy
Certified hand therapy for the intricate mechanics of your hands and wrists.
From the blog: Why Hand Therapy Is Its Own Specialty
Few areas of the body demand more specialized rehabilitation than the hand. Our certified hand therapy program — led by Laura Drumm, CHT — provides precise, protocol-driven care for conditions and surgeries of the hand, wrist, and forearm, including custom splinting fabricated in-clinic. Patients travel to us from across the county for this specialty, including West Palm Beach and Palm Beach.
Conditions we treat
- Carpal tunnel syndrome
- Wrist fractures and sprains
- Tendon injuries and repairs
- Trigger finger
- Arthritis of the hand and thumb
- Post-surgical hand rehabilitation
Our approach
Care is exacting by design: custom orthoses to protect healing structures, graded motion and strengthening timed to tissue healing, and functional retraining for grip, pinch, and dexterity. We coordinate closely with area hand surgeons throughout recovery. Splints are fabricated here in the clinic rather than ordered in, molded to your hand and adjusted as healing progresses — and built to your surgeon’s protocol when you are recovering from an operation. For carpal tunnel and thumb arthritis caught early, conservative care is often enough: night splinting, nerve and tendon gliding, joint protection technique, and practical changes to the activities that keep provoking symptoms. After a repair or a fracture, the timeline belongs to the tissue rather than the calendar, so motion is staged deliberately — too soon risks the repair, too late costs motion. If a case warrants a surgical consult we say so plainly and coordinate with your physician. Our certified hand therapist page has the full condition-by-condition detail.
What to expect at your first visit
Your first appointment includes a comprehensive movement-based evaluation, an honest conversation about your goals, and a proposed plan of care — including hands-on treatment that very first day whenever appropriate. We accept most major insurance plans, including Medicare, and our front desk will gladly verify your coverage before you arrive.
Hand and wrist pain, and what usually helps
Most people do not arrive knowing what is wrong. They arrive because something hurts, or has gone numb, or will not grip the way it used to. The evaluation is what sorts that out. What follows is how the most common complaints tend to present, so you have some idea what you are looking at before you call.
Numbness or tingling that wakes you up
Hand symptoms that are worse at night, or that show up while you are driving or holding a phone, are a common reason people are referred to hand therapy. Caught early, these cases often respond to conservative care, and a custom night splint is frequently part of it. If your case turns out to warrant a surgical opinion we will tell you plainly and coordinate with your physician rather than keep you in therapy.
Wrist pain that has not settled
A wrist can stay painful and stiff long after the injury that caused it, and it is one of the areas people most often assume they simply have to live with. Wrists fall squarely inside a certified hand therapist’s scope alongside the hand itself, and the evaluation looks at motion, strength and how the whole forearm is loading before anything is treated.
Grip and dexterity that have quietly gone
Jars, keys, buttons and steering wheels are usually where people first notice. Lost grip and pinch are treated directly here rather than left to come back on their own, and because our occupational therapy program runs in the same building, the daily tasks you are actually struggling with can be worked on alongside the hand itself.
Pain at the base of the thumb
Thumb pain that flares with pinching, opening and twisting is common and it is one of the conditions conservative hand therapy addresses most effectively. Treatment leans on joint protection technique, targeted strengthening, a supportive splint made here, and changing the specific movements that keep aggravating it.
A finger that catches, or a hand that is still swollen after surgery
Both are routine referrals to a hand therapy program rather than to general rehabilitation. Post-operative hands in particular are managed to the surgeon’s protocol, and the swelling, stiffness and scar that follow an operation are treated as part of the plan rather than as something to wait out.
After a cast comes off
The fracture healing and the hand working again are two different problems, and the second one is the reason people come here. Expect the early work to be about motion and swelling before it is about strength, and expect the pace to be set by the tissue that is healing rather than by a fixed number of weeks.
Do you need a referral, and will insurance cover it
It depends on your plan, and post-operative patients usually arrive with a referral and protocol from their surgeon already. The quickest way to find out is to call the front desk at 561-624-4263 — they will check what your plan requires, including how it handles a custom splint, before you come in.
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