Upper Extremity Occupational Therapy in NYC

Expert Care for Hands, Wrists, Elbows, and Shoulders at Cynergy Physical Therapy

Are you dealing with pain, stiffness, or loss of function in your upper extremities? At Cynergy Physical Therapy, we specialize in occupational therapy for the hand, wrist, elbow, and shoulder—helping you recover movement, reduce pain, and get back to doing what you love.

With Certified Hand Therapists (CHTs) at every location, we provide walk-in access for same-day custom splinting and expert treatment for a wide range of orthopedic and neurological conditions.

What Is a Certified Hand Therapist (CHT)?

A Certified Hand Therapist is an occupational or physical therapist with advanced clinical training in upper limb rehabilitation. Each CHT has:

  • A minimum of 5 years of experience
  • Specialized certification in treating hand, wrist, elbow, and shoulder conditions

CHTs are experts in:

  • Fractures, tendon and ligament injuries
  • Repetitive strain injuries (RSI), nerve conditions, and post-surgical care
  • Splinting, ergonomic support, and joint protection strategies

Conditions We Treat

Carpal Tunnel Syndrome (CTS)

Carpal Tunnel Syndrome is a common nerve compression disorder caused by pressure on the median nerve in the wrist.

Common Symptoms:

  • Numbness and tingling in the thumb, index, and middle fingers
  • “Pins and needles” sensation, especially at night
  • Hand weakness and difficulty gripping

Causes:

  • Repetitive hand movements (typing, assembly-line work)
  • Poor wrist ergonomics or prior injuries

Treatment at Cynergy:

We offer non-surgical options such as:

  • Stretching and strengthening exercises
  • Heat and cold therapy
  • Ergonomic education and activity modification

Our goal is to restore hand function so you can return to work and daily activities pain-free.

UE hand tools

Trigger Finger

Trigger Finger causes your finger or thumb to lock or catch in a bent position due to tendon sheath inflammation.

Treatment:
We provide conservative care and post-surgical rehab to restore full, smooth finger motion.

Dupuytren’s Contracture

A progressive condition where tissue thickens in the palm, pulling fingers into a bent position.

Treatment:
We offer both pre- and post-operative therapy to restore mobility and reduce pain.

Repetitive Strain Injury (RSI)

RSI results from repetitive motion or poor ergonomics, leading to pain, cramping, and numbness in the hands and arms.

Treatment:

  • Custom splinting
  • Stretching and physical conditioning
  • Ergonomic education and activity adjustments

Elbow Pain Therapy in NYC

Whether you're dealing with Tennis Elbow, Golfer’s Elbow, or Bursitis, proper diagnosis and therapy are key.

What’s the Difference?

  • Tennis/Golfer’s Elbow: Affects tendons.
  • Bursitis: Involves inflammation of fluid-filled sacs (bursae) around the elbow.

Can Elbow Pain Heal on Its Own?

Mild cases may improve with rest, but persistent pain requires evaluation to avoid long-term damage.

Do I Need Surgery?

Only 10–20% of cases require surgery. Most improve with therapy.

Post-Surgical Rehabilitation

If surgery is necessary, we support recovery with:

  • Strengthening and flexibility exercises
  • Ultrasound and electrical stimulation
  • Personalized home exercise programs
pinch strength

Osteoarthritis Treatment

Osteoarthritis (OA) is a degenerative joint condition that causes pain, stiffness, and swelling—often in the hands, knees, hips, and spine.

Common Symptoms:

  • Pain with repetitive use 
  • Morning stiffness 
  • Reduced joint mobility 

Physical Therapy for OA:

Our evidence-based approach includes:

  • Stretching and strengthening 
  • Manual therapy and Active Release Techniques® 
  • Neuromuscular re-education 
  • Lifestyle and weight management strategies 

We focus on slowing OA progression and helping you stay active and independent.

Shoulder Pain Therapy

We treat a wide range of shoulder issues including:

  • Frozen Shoulder (Adhesive Capsulitis)
  • Rotator Cuff Injuries
  • Shoulder Impingement
  • Labral Tears

Frozen Shoulder Treatment:

We guide you through all four phases of recovery using:

  • Gentle stretching and soft tissue mobilization
  • Gradual strengthening exercises

Post-Surgical Shoulder Care:

After procedures like rotator cuff repair or labral repair, our rehab programs aim to:

  • Regain mobility
  • Strengthen the shoulder
  • Prevent re-injury

Rotator Cuff Therapy:

The rotator cuff is a group of four muscles vital for shoulder stability and motion. Injuries can be due to trauma, overuse, or aging.

Symptoms:

  • Pain when lifting or reaching
  • Weakness or restricted movement

Treatment:

  • Strength training and posture correction
  • Manual therapy and ultrasound
  • Post-surgery rehabilitation, if needed

Shoulder Labral Tears:

Common in athletes and overhead workers, labral tears cause instability and deep shoulder pain.

Types We Treat:

  • SLAP Tears
  • Bankart Lesions
  • Posterior Labral Tears 

Therapy Focus:

  • Strengthening surrounding muscles
  • Joint stabilization
  • Range of motion restoration

Most labral tears can be managed without surgery.

Why Choose Cynergy Physical Therapy?

✅ Certified Hand Therapists at every location
✅ Walk-ins welcome for same-day splinting
✅ 1-on-1 evidence-based therapy
✅ Advanced techniques like Active Release Techniques® and neuromuscular re-education
✅ 20+ years of orthopedic expertise

FAQs

How soon will I feel better?
Most patients see improvements within a few weeks of consistent therapy.

Is surgery always required?
No. We focus on conservative care. Only severe or unresponsive cases may need surgery.

Can osteoarthritis or labral tears be cured?
There is no cure, but our therapy significantly reduces symptoms and improves quality of life.

How are conditions diagnosed?
Through clinical exams, range of motion assessments, and imaging (X-rays, MRIs).

Get Started Today

If you're suffering from hand, wrist, elbow, or shoulder pain, Cynergy Physical Therapy is here to help. Our expert occupational and hand therapists create customized plans to reduce pain, restore mobility, and support long-term recovery.

📍 Multiple NYC Locations
📆 Same-day Appointments Available

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