Specialized Hand, Wrist & Elbow Care
Without the wait
Personalized one-on-one virtual care delivered by a Certified Hand Therapist to patients located in Massachusetts.
Start with a full evaluation to receive a personalized plan of care.
Not sure where to begin? A brief consultation is a simple place to start.
Benefits of Virtual Care
Expert care Without The Wait
Start care sooner
Appointments may be available sooner than many traditional in-person therapy options.One-on-one, uninterrupted sessions
Your full session is dedicated to you, without overlap or clinic distractions.Care in your real environment
Treatment is guided using your actual home and daily routines—making it more practical and effective.Direct access to a Certified Hand Therapist
Work one-on-one with an experienced specialist in upper extremity rehabilitation.Flexible and convenient
No travel, no waiting rooms—care that fits into your schedule.
Virtual care allows you to begin sooner, stay consistent, and make meaningful progress—without the barriers of travel or scheduling delays.
Care Model
Individualized virtual care for patients physically located in Massachusetts at the time of their appointment. Services are available by appointment on a fee-for-service basis.
Referrals Welcome
Referrals from physicians and other healthcare providers are welcome. Care is delivered per physician protocol when applicable, with patients referred for in-person assessment when clinically indicated.
Massachusetts-based • Licensed Occupational Therapist • Certified Hand Therapist
Virtual Hand & Upper Extremity Therapy Services
Hand & Upper Extremity Conditions Treated
Individualized virtual occupational therapy for hand, wrist, elbow, and other upper-extremity conditions, focused on restoring function, supporting recovery, and helping patients return to meaningful daily activities.
Services address a wide range of hand, wrist, and elbow conditions, including post-operative rehabilitation (once cleared), fracture management, tendon and nerve injuries, arthritis-related conditions, and repetitive strain injuries.
About the Therapist
Kara LeSiege, MS, OTR, CHT, is a Certified Hand Therapist with nearly 30 years of experience in hand and upper-extremity rehabilitation. She founded Virtual Upper Extremity Clinic to provide expert, personalized care through secure telehealth.
All services are provided on a fee-for-service (self-pay) basis. Insurance is not billed. Patients may submit receipts to their insurance carrier or HSA independently if eligible.
Patient Experiences
“Virtual therapy allowed me to begin treatment quickly when in-person appointments weren’t available. The guidance was clear, personalized, and easy to follow at home.”
— Cam F.
“Discovering Kara’s virtual hand therapy website provided exactly what I needed to complete my therapy without the hassle of traveling to appointments or missing time at work. The convenience and accessibility made a challenging situation much easier to manage.”
— David L.
“I highly recommend Kara. she is great at what she does and is a pleasure to work with. Each exercise given to me for my wrist was demonstrated and explained so I knew exactly what to do. Plus, the virtual appointments are super convenient!”
— Julie S.
View patient reviews on Google