Custom Splinting

Hand & Upper Extremity Therapy

We are experts in the evaluation and rehabilitation of the upper extremity (shoulder, arm, wrist and hand). Below is a list of some of the various conditions we work with:

Repetitive Strain Injuries and Inflammatory Conditions:

Arthritis (Osteoarthritis, Rheumatoid Arthritis, Psoriatic Arthritis, Synovitis)

Adhesive Capsulitis / Frozen Shoulder

Nerve Compressions (Carpal Tunnel, Cubital Tunnel, Radial Tunnel)

Shoulder impingement, rotator cuff injury

Sports-Related Injury

Tendonitis (Tennis and Golfer’s elbow, Trigger Finger, DeQuervain’s Tenosynovitis)

Upper Extremity Trauma:

Acute or Chronic Pain Syndromes (CRPS or RSD)

Burns/Crush/ Poly-Trauma

Fractures of the Hand, Wrist, Forearm, Elbow, and Shoulder

Joint Dislocations and injuries

Ligament Tears

Tendon Injuries (lacerations, repairs, and transfers)

Post Surgery, including, but not limited to:


Dupuytren’s Contracture Surgery (Fasciotomy)

Fracture Fixation

Ganglionectomy, Synovectomy

Joint Arthroplasty/reconstruction

Nerve Repairs

Peripheral Nerve Decompression (carpal or cubital tunnel release)

Tendon repairs and transfers

Trigger Finger/Thumb release

Wrist Surgeries

Naturally occurring conditions:


Autoimmune Conditions

Congenital Deformities

Cysts and Tumors

Dupuytren’s Contracture (Post-operative Management)


Stroke and other Neurological Pathology Impairing Upper Extremity Function

Therapy Specialties

At Lang Hand Therapy, we strive to provide a healing and supportive rehabilitation environment. Treatment plans are targeted to address specific upper extremity conditions with special consideration for the individual and their unique goals/ life roles.


We implement evidenced-based techniques that provide pain relief and facilitate functional recovery. These therapies include, but are not limited to:

  • Custom Splint / Cast Fabrication
  • Electro-modalities
  • Ergonomic Assessment and Intervention
  • Joint Mobilization
  • Soft Tissue Mobilization (nerve and tendon gliding, myofascial massage, scar management)
  • Taping
  • Thermo-modalities

We use therapeutic exercise and functional activities to promote:

  • Range of motion
  • Edema reduction
  • Strength/endurance training
  • Desensitization and sensory re-education
  • Wound care and scar management
  • Motor retraining
  • Dexterity and fine motor control
  • Activity modification
  • Postural control
  • Work hardening and pre-vocational training

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