Upper Extremity Occupational Therapy in New York City

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.

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.

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

Shoulder Pain Therapy

We treat a wide range of shoulder issues including:

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.

Isabelle Karman

Isabelle Karman

MS, OTR/L

Shereen Tan, PT, CHT - Chelsea

Shereen Tan’s expertise in hand and upper extremity rehabilitation has been integral to Cynergy’s growth, as she continues to deliver exceptional care in both post-surgical and conservative treatments.

Her commitment to continuous learning is reflected in her extensive training in orthotic fabrication with leading hand therapists from institutions like the Philadelphia Hand Center and Hospital for Special Surgery. She uses her expertise in custom orthoses to help her patients protect their injuries, alleviate pain, and progress toward their rehabilitation goals.

Throughout her career, Shereen has worked with a diverse range of patients, including athletes, performers, and active New Yorkers, with notable experience treating members of the SAG-AFTRA, NBA, and NHL.

She collaborates with top surgeons and hand specialists across New York, healing patients one hand at a time.

Christine Rodriguez MS, OTR/L, CHT, CLT - Upper Extremity

Christine Rodriguez’s journey with Cynergy began when she partnered with founder Cynthia Gormezano to establish Cynergy Upper Extremity, where she has played a pivotal role in expanding our focus on specialized upper extremity care.
Christine treats a wide range of orthopedic upper extremity diagnoses, including fractures, tendon injuries, arthritis, and neurological conditions. She holds a Master’s Degree in Occupational Therapy from Stony Brook University and is a Certified Hand Therapist (CHT) and a Certified Lymphedema Therapist for the Upper Extremity (CLT-UE).
She is driven by her passion for music and the arts, as well as her fascination with the complexities of the upper extremity. She brings creativity and positive energy into every treatment session.
Outside of work, Christine enjoys traveling, visiting museums, and maintaining an active lifestyle. She consistently integrates these passions into her approach to wellness.

Frequently Asked Questions

How soon will I feel better?

Most patients see improvements within a few weeks of consistent therapy.
No. We focus on conservative care. Only severe or unresponsive cases may need surgery.
There is no cure, but our therapy significantly reduces symptoms and improves quality of life.
Through clinical exams, range of motion assessments, and imaging (X-rays, MRIs).

Our Providers

MIDTOWN WEST

119 West 57th Street Suite: 600 New York, NY 10019

MIDTOWN EAST

485 Madison Avenue 8th Floor New York, NY 10022

CHELSEA

135 West 27th Street 2nd Floor New York, NY 10001

COBBLE HILL

165 Smith Street Brooklyn, NY 11201

ADPT BY CYNERGY

119 West 57th Street Suite: 200 New York, NY 10019

The Wellness Den By Cynergy

177 East 87th Street Suite 206 New York, NY 10128

Get in Touch with Us

Careers at Cynergy

At Cynergy, we are driven by a set of core values that define who we are and guide everything we do. We believe in fostering a workplace built on empathy and compassion, where every team member feels valued and heard. We take pride in being a part of the community, embracing diversity and cultivating strong, collaborative teamwork.
If you’re looking to be part of a team that values people first and is committed to continuous improvement, Cynergy is the place for you!