Mary Reilly stated, “Man, through the use of his hands, as they are energized by mind and will, can influence the state of his own health.” A pioneer in the field of occupational therapy, Reilly captured the complexity of upper extremity dysfunction in her powerful 1961 Eleanor Clarke Slagle lecture.

At Commonwealth Hand Therapy, we understand the message that Mary Reilly passionately conveyed. Staffed with a team of highly skilled individuals, Commonwealth Hand Therapy treats a wide variety of diagnoses. As a teaching facility, we strive to provide gold standard quality of care by constantly evolving with the addition of cutting edge technology and research.


Commonwealth Hand Therapy provides highly specialized treatment for both cumulative trauma and acute trauma diagnoses.

Cumulative trauma disorders are occurrences in which body structures have been stressed and loaded over time causing problematic dysfunction during activities of daily living. Commonly referred to as repetitive injury from “wear and tear,” cumulative trauma disorders are often ergonomically related.

Acute trauma occurs when body structures are damaged by sudden injury.

Cumulative Trauma Disorders

  • Proximal nerve compressions
  • Median nerve compression
    • Pronator Teres Syndrome
    • Carpal Tunnel
  • Ulnar Nerve Compression
    • Cubital Tunnel
    • Guyons Canal
  • Chronic tendon conditions
    • Lateral Epicondylitis
    • Medial Epicondylitis
  • Radial Tunnel Syndrome
  • DeQuervain’s Disease
  • Ganglion Cysts

Acute Trauma Disorders

  • Complex nerve injuries
  • Fractures/Dislocations
    • Humeral fractures
    • Elbow fractures
    • Distal radius fractures
  • Complex Regional Pain Syndrome (I / II)
  • Burns
  • Crush
  • Amputations
  • Tendon Injuries
    • Flexor tendons
    • Extensor tendons
    • Tendon transfers
  • Complex Wrist Disorders
    • TFCC
    • SLACK
    • SNAC
  • Sports injuries
  • Finger Conditions
    • Mallet Finger
    • Nail Bed Injuries
    • Game keeper’s Thumb
    • Trigger Finger
    • Boutonniere deformity
  • Swan neck deformity

Degenerative / Chronic Conditions

  • Dupuytren’s Disease
    • Post Surgical
    • Post Injection
  • Osteoarthritis
    • CMC Thumb arthritis
    • Wrist arthritis
  • Rheumatoid arthritis
    • Presurgical inflammatory management

Special Services

  • Custom Orthodics
  • Upper Extremity Custom Orthotics
    • Dynamic
      • Flexion
      • Extension
    • Static
      • Gauntlet
      • Forearm Spica
      • Hand Based Spica
      • Long Arm
      • Munster
  • Industrial Programs
  • Functional Capacity Evaluations (FCE)
  • Ergonomics
  • Tool design
  • Activity modification
  • Joint Protection Techniques
  • DME Products
    • Edema Glove
    • Elastomer
    • Silicone/Silipos
    • Electrodes
    • Theraputty
    • Big Gripper/Hand Exerciser
    • Vibrating Scar Massager
    • Mac Blocker
    • Buddy Strap/Soft
    • Elbow Pad
    • Comfort Cool
    • Tube Splint
    • Knuckle Bender


Video 1: Wrist Gauntlet

Video 3: Hand Based Ulner Gutter

Video 2: Forearm Thumb Spica

Video 4: Forearm Based Dynamic Extensor Outrigger

At Commonwealth Hand Therapy we are committed to leading the way to good health – it is our business.


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