Our Certified Hand Therapists (CHTs) specialize in treatments of the upper extremities including fingers, hand, wrist, elbow, and shoulders. We have CHTs at each of our locations and welcome walk-in patients with any same-day splinting needs.
Here are some conditions you may seek treatment for:
Carpal Tunnel Syndrome
Carpal Tunnel Syndrome (CTS) is a common condition that causes numbness and tingling in the hand and arm. The carpal tunnel is a narrow channel on the palm-side of your wrist that protects the median nerve and tendons that bend your fingers. Overuse of these tendons and injury to the wrist can cause increased pressure here and result in pain and weakness in the wrist and hand. Common causes of CTS include excessive keyboard and computer use, assembly-line work and jobs requiring the use of hand tools. Symptoms may include sensations of “pins & needles” down the forearm, thumb and first 3 fingers. These symptoms are often more noticeable at night and many people report the need to “shake out” their hands for relief. More constant numbness may occur if the pressure on the nerve continues, as well as weakness of the hand muscles. Surgery may be considered in these cases.
Physical therapy treatment for CTS incorporates the use of heat/cold modalities to relieve pain, stretching exercises to improve flexibility of the wrist, hand and fingers, and exercises to increase wrist and hand strength. At Cynergy, we strive to reduce your symptoms without the need for surgery. Our goal is to enable you to be as active and functional as possible and to help you return to your normal work, home, and leisure activities.
Dupuytren’s Disease or Palmar Fibromatosis is a condition that affects the fascial tissue under the skin in the palm and fingers. The tissue can become thick and tighten over time causing the fingers to be pulled toward the palm resulting in a “Dupuytren’s Contracture.” This condition can result in pain and decreased mobility affecting your ability to go about your daily activities. Depending on the severity, this may be treated conservatively or may require surgical intervention before beginning a course of therapy. Cynergy Physical and Occupational Therapy can address both preoperative or postoperative care to help you to reach your goals.
Repetitive Strain Injury (RSI)
Repetitive Strain Injury (RSI) is a painful condition that can be caused by repetitive motion, awkward positions, or forceful exertions in the upper extremity. Symptoms can include tenderness, numbness and tingling, cramping and stiffness. The therapists at Cynergy can help treat these symptoms by fabricating splints and providing education regarding stretching, physical conditioning and ergonomic positioning.
Trigger finger is an inflammation to the tendon sheath that bends the finger/thumb on the palm side of your hand. When the tendon is inflamed, it has difficulty sliding through the sheath causing the finger/thumb to get stuck in a bent position resulting in difficulty opening the digits to a straight position. The first sign of trigger finger is a bump in the palm of the hand and pain. The therapists at Cynergy Physical and Occupational Therapy can help treat your trigger finger both conservatively or postoperative.
"I had therapy for my hand and fingers following surgery for Dupuytren’s Contracture. My therapist, Ray Nguyen, was very knowledgeable about Dupuytren’s and the intricacies of the hand which was essential to providing the best therapy modalities to reduce the post-surgery swelling and to restore the flexibility and function to my hand and fingers.
Ray’s demeanor was both professional and friendly. While concentrating on the therapy during my sessions Ray’s congenial manner made the sessions actually enjoyable. While my therapy is still ongoing I am very pleased with the progress I have made working with Ray." - David R.