Custom Splinting

Certified Hand and Upper Extremity Therapy

We are Certified Hand Therapists (CHT’s) and Occupational Therapists; specialists in the evaluation and rehabilitation of the upper extremity, which includes the shoulder, arm, wrist, and hand. Below are some of the conditions we treat:


Repetitive Strain Injuries & Inflammatory Conditions

  • Arthritis
    • Osteoarthritis
    • Rheumatoid Arthritis
    • Psoriatic Arthritis
    • Synovitis
  • Adhesive Capsulitis / Frozen Shoulder
  • Nerve Compressions
    • Carpal Tunnel Syndrome
    • Cubital Tunnel Syndrome
    • Radial Tunnel Syndrome
    • Brachial Plexopathy 
    • Thoracic Outlet
  • Shoulder Impingement & Rotator Cuff Injury
  • Sports-Related Injuries
  • Tendonitis
    • Tennis Elbow
    • Golfer’s Elbow
    • Trigger Finger
    • DeQuervain’s Tenosynovitis

Upper Extremity Trauma

  • Acute or Chronic Pain Syndromes
    • CRPS (Complex Regional Pain Syndrome)
    • RSD (Reflex Sympathetic Dystrophy)
  • Burns, Crush, or Poly-Trauma
  • Fractures
    • Hand, wrist, forearm, elbow, and shoulder fractures
  • Joint Dislocations & Injuries
  • Ligament Tears
  • Tendon Injuries
    • Lacerations, repairs, and transfers

Post-Surgical Rehabilitation

We provide comprehensive rehabilitation following various surgical procedures, including:

  • Amputations
  • Dupuytren’s Contracture Surgery (Fasciotomy)
  • Fracture Fixation
  • Ganglionectomy / Synovectomy
  • Joint Arthroplasty / Reconstruction
  • Nerve Repairs / Nerve Transfers
  • Peripheral Nerve Decompression
    • Carpal Tunnel Release
    • Cubital Tunnel Release
  • Tendon Repairs & Transfers
  • Trigger Finger / Thumb Release
  • Wrist Surgeries

Naturally Occurring Conditions

  • Arthritis & Autoimmune Conditions
  • Congenital Deformities
  • Cysts & Tumors
  • Dupuytren’s Contracture (Post-Operative Management)
  • Infections
  • Stroke & Neurological Impairments Affecting the Upper Extremity

At Lang Hand Therapy, we are committed to creating a healing and supportive rehabilitation environment. Our treatment plans are tailored to address specific upper extremity conditions, with special consideration given to the individual’s unique goals and life roles.

We use evidence-based techniques to provide pain relief and facilitate functional recovery. Our therapies include:


Our Therapeutic Techniques

  • Custom Splint / Cast Fabrication
  • Splint Adjustment / Modification
  • Splint / Orthotics for Pain Management (cmc joint, wrist)
  • Electro-modalities
  • Cold Laser Therapy / Low-Level Laser Therapy (LLLT)
  • Ergonomic Assessment & Intervention
  • Activity Analysis
  • Joint Mobilization
  • Soft Tissue Mobilization
    • Nerve and Tendon Gliding
    • Myofascial Massage
    • Scar Management
  • Taping
  • Thermo-modalities
  • Ultrasound

Therapeutic Exercise & Functional Activities

Our therapeutic exercise and functional activities are designed to promote:

  • Functional use of the hand, wrist, elbow and shoulder
  • Range of Motion Improvement
  • Edema Reduction / Manual Edema Mobilization (MEM)
  • Strength & Endurance Training
  • Desensitization & Sensory Re-education
  • Wound Care & Scar Management
  • Motor Retraining
  • Dexterity & Fine Motor Control
  • Activity Modification
  • Postural Control
  • Work Hardening & Pre-vocational Training

Click the button below to learn more about Hand Therapy:

Did you know?

About 90% of certified hand therapists are occupational therapists! Physical therapists can be hand therapists as well, however they represent about 10% of Hand Therapists. Click the button above to learn more!