Virtual Hand & Upper Extremity Occupational Therapy
Care is individualized based on diagnosis, stage of recovery, and functional goals, with a focus on restoring function and supporting meaningful daily activities through secure virtual visits.
When Virtual Therapy Is Especially Helpful
Virtual hand therapy may be appropriate when:
• In-person therapy waitlists are long
• Appointments are difficult to schedule within a reasonable timeframe
• Early guidance is needed after cast removal or surgery
• Swelling, pain, or stiffness begins before in-person therapy is available
• Work, childcare, travel, or mobility limitations make in-person visits challenging
• A home-based functional assessment is preferred
What a Virtual Session Looks Like
A typical virtual hand therapy session includes:
• Review of symptoms, goals, and functional challenges
• Assessment of movement and task performance
• Instruction in exercises, activity modification, and symptom management strategies
• Ongoing progression, troubleshooting, and plan adjustment
Sessions are designed to be focused, interactive, and adjusted based on your progress and goals.
Areas Addressed
• Therapeutic exercise with progression based on healing stage and individual goals
• Splint assessment, education, wear schedules, and weaning guidance
• Ergonomic assessment and activity modification
• Functional training for daily activities
• Education on precautions, healing timelines, and symptom management strategies
Hand & Upper Extremity Conditions Treated
• Tendon and nerve injuries
• Post-operative rehabilitation (once cleared by the treating surgeon)
• Joint replacement recovery
• Arthritis-related hand and wrist conditions
• Carpal tunnel syndrome and other nerve compression conditions
• Trigger finger
• Swelling and scar management
• Tendinitis and repetitive stress injuries
“Example of guided hand exercise used during virtual therapy sessions”
Care planning
For patients who benefit from a short series of visits, optional care planning packages may be discussed after the initial evaluation.
Payment & Insurance
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.
Referral/Prescription Requirements
Do I Need a Referral?
Most clients in Massachusetts can begin virtual hand therapy without a prescription.
If your provider prefers to send one, it may be uploaded during intake.
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A smartphone, tablet, or laptop with a camera is sufficient.
Good lighting and clear camera positioning help ensure accurate assessment and guidance.
Online scheduling opens June 2026. You may view availability and schedule beginning on that date.