The Hand to Shoulder Podcast

Many of you are studying for the CHT exam or have already put many hours into passing the specialty hand therapy exam. Don't you wonder how this exam came about or even how hand therapy became a subspecialty? Well, today we talk with Wisconsin native Mary Dimick, who previously served as the president of the Hand Therapy Certification Commission, also known as the HTCC. She gives us a background of how HTCC and the practice ana...

For those of you who work in hand therapy clinics, it can be intimidating to see high- level athletes.  This population has specific demands above and beyond the regular day-to-day activities of daily living.  Join us as we discuss what typeof issues affecting these patients with Jean-François Ouellet, BSc (OT), CHT! He works with a team of physicians and therapists who specialize in treatment of these conditions. In addition, he p...

Please join Hand to Shoulder podcast members Ann and Cassie as they interview Kantessa Stewart out of Southwestern Ohio Orthopedics discussing a hand therapy technique called CMMS for addressing stiff joints. Kantessa talks through launching the program and how patients with stiff joints benefit from casting to relieve stiffness. Learn clinical pearls regarding materials and length of time in between castings. We hope you gather ta...

Patients with hypermobility syndromes who present with shoulder instability have traditionally been told to go to therapy. But what if therapy is not enough?  Join Dr. Tamara Scerpella as she explains how she evaluates and treats this challenging issue. She goes into details regarding surgical procedure, sling use, protocol and rehabilitation post-surgically for capsular shift or tightening. Listen for key takeaways regarding preca...

Supercharged and ready for rehab! Are you working with a brachial plexus patient that had a nerve transfer? Well, listen up, this is the podcast for you!

Jen Dodson joins the Hand to Shoulder podcast team to discuss rehabilitation theories and principles as well as a timeline of what to expect.

Jen is a part of a qualitative research study involving rehabilitation processes with outcomes. We hope you enjoy listening to Jen as she...

Nerve transfer surgery involves reconnecting a functioning nerve fascicle to a damaged or lacerated nerve to restore connection to muscles with absent innervation. This is an extensive surgery that takes a lot of time and education with our patients before and after surgery. Dr. Munaretto explores common nerve transfers he completes at the Hand to Shoulder Center while discussing appropriate candidates and clinical findings. He sha...

 Wrist instability can be a difficult condition to treat. Today’s episode covers the intricate mechanics of midcarpal instability and the two types of clinical presentations: midcarpal VISI (volar intercalated segmental instability) and the less common midcarpal DISI (dorsal intercalated segmental instability). Clinical testing for each of these conditions will be covered as well as evidence-supported treatment interventions includ...

Somatosensory rehabilitation is a method of assessment and treatment for neuropathic pain developed in Switzerland two decades ago by Claude Spicher, a Swiss hand therapist. It draws on contemporary understandings of functional neuroanatomy to address both sensory loss and sensory gain (allodynia). While it can be used for the entire body, it is especially useful for conditions commonly seen in the upper extremity such as complex r...

Jyo Supnekar, OTR/L, OTD, CHT, CLT, C/NDT, COMT and her colleagues at Johns Hopkins Health System had the vision of building a hand therapy fellowship in 2015 and after much research and numerous hours dedicated towards the application process, creating a curriculum, creating a core group of mentors and educators, marketing and receiving candidacy status, the Fellowship was launched in 2017. Jyo shares how this process has been rig...

Neuromodulation coaching is a unique treatment approach which helps to assess and categorize each patient into specific archetypes with associated neurophysiological profiles. By understanding each patient’s archetype, a clinician can create and implement more effective plans of care which address the physical, mental, and emotional health of the patient. Join us to learn more about Neuromodulation coaching and how it can help impr...

We become accustomed to our role as a hand therapist in the clinic where we practice, often not giving a second thought to how we perform our daily duties. But what does the role of a hand therapist look like in another part of the world? Blair Agero, occupational therapist, joins us from Dubai, UAE to share what his day-to-day roles entail. Please join us for an interesting look at hand therapy practice abroad!

Blair Agero recei...

We’ve seen lots of hype about Blood Flow Restriction, or BFR in social media, but how does it work? Join us as Jim Wagner, seasoned hand therapist and powerlifter as he brings to light the physiologic benefits of BFR and how this can be incorporated into your hand therapy practice!

Jim Wagner has been practicing for 30 years with clinical experience of the UE in orthopedics. He received his post professional doctorate from Rocky Mo...

Open wound? Don’t panic, Nora is here to help! Join us with Nora Barrett discussing how to evaluate, cleanse, dress and document all different types of wounds. Nora organizes all the products that she recommends for various types of wounds seen in a hand clinic. You will not be disappointed in the takeaways and clinic pearls after listening.

Nora Barrett OTR/L, CHT, WCC graduated from the Program in Occupational Therapy at Washin...

“The arm bone is connected to the wrist bone”….. come on now, we all know this song! Well, it’s a fact, everything is connected. Derek Clewley, DPT, PhD., not only details us through examination of an injury, he clues us in on treatment of the kinetic chain. Join us as we discuss looking proximal to the cervical spine when we are treating conservative lower arm issues such as ulnar wrist pain or lateral epicondylitis. Just imagine...

Stuck on you! Have you ever used Kinesiotape before? Where did you put it and for what purpose? Did you know there’s different degrees of tension when applying the tape? Well, all these are questions you may not have thought of when using Kinesiotape. Listen up, we have all these pondering thoughts answered in this podcast. Teresa Casagrande, PT, CHT from Sturgeon Bay, WI energetically greets us to discuss various kinds of tape and...