Patient Health Forms
Who uses Hand Therapy or Occupational Therapy?

Our Occupational Therapists assist individuals who are in need of increasing flexibility, decreasing pain or building strength. Additionally, we help patients who have undergone surgeries and who are in need of therapy to regain optimal physical functionality.

What is Hand Therapy?

Hand Therapy is the art and science of rehabilitation of the upper limb, which includes the hand, wrist, elbow and shoulder girdle.  It is a merging of occupational therapy and physical therapy theory and practice.

Why is it important for me to see a Certified Hand Therapist (CHT)?

The treatment of the upper extremity is a highly specialized skill.  The CHT credential ensures that the therapist has attained the highest level of competency in the care of the upper extremity.  The CHT has up-to-date knowledge and expertise in surgical techniques.  This is critical in post injury and surgery care, allowing the therapist to protect the delicate structures while helping you restore your motion and function.

What is a Certified Hand Therapist (CHT)?
  • CHT is a separate credential that an experienced therapist can attain through advanced study and training.  They have dedicated their careers to this specialization.
  • CHT’s are therapists who have a minimum of 5 years of experience and 4,000 hours in the direct care of patients with upper extremity injuries.
  • CHT’s have passed a comprehensive examination of in-depth anatomy and physiology, theory and advanced clinical skills in treatment of the shoulder, elbow, wrist and hand.
What types of upper extremity therapy do you provide?

We provide comprehensive therapy and rehabilitation of the Upper Extremity to include the neck, shoulder, elbow and wrist in addition to the hand.  Some of the common conditions to the upper extremity in which we provide therapy include:

  • Tendonitis, Bursitis, Frozen Shoulder, Impingement and Rotator Cuff injuries and Post-Operative Therapy.
  • Bicep Tendonitis and Rupture, Shoulder and Elbow Dislocation, Cubital Tunnel Syndrome, Stiff Elbow
  • Sports injuries (Tennis and Golfer’s Elbow, Baseball Finger, Trigger Finger, Skier’s Thumb)
  • Carpal Tunnel Syndrome
  • Fractures (Fingers, Hands, Arms, Shoulder, Neck)
  • Ganglion Cysts
  • Finger Amputations
  • Arthritis (Rheumatoid, Osteo, Basal Joint)
  • De Quervains Tendonitis
  • Lymphadema Management
What happens during my first visit?

During your first visit you can expect the following:

  • Arrive at your appointment with your paperwork completed (you can download it from our website – see the paperwork or forms link).
  • You will provide us with your prescription for occupational therapy.
  • We will copy your insurance card.
  • You will be seen for the initial evaluation by the therapist.
  • The therapist will discuss the following:
    1. Your medical history.
    2. Your current problems/complaints.
    3. Pain intensity, what aggravates and eases the problem.
    4. How this is impacting your daily activities or your functional limitations.
    5. Your goals with occupational therapy.
    6. Medications, tests, and procedures related to your health.
  • The therapist will then perform the objective evaluation which may include some of the following:
    1. Palpation– touching around the area of the pain/problem. This is done to check for the presence of tenderness, swelling, soft tissue integrity, tissue temperature, inflammation, etc.
    2. Range of Motion (ROM)– the therapist will move the joint(s) to check for the quality of movement and any restrictions.
    3. Muscle Testing– the therapist may check for strength and the quality of the muscle contraction. Pain and weakness may be noted. Often the muscle strength is graded. This is also part of a neurological screening.
    4. Neurological Screening– the therapist may check to see how the nerves are communicating with the muscles, sensing touch, pain, vibration, or temperature. Reflexes may be assessed as well.
    5. Special Tests– the therapist may perform special tests to confirm/rule out the presence of additional problems.
    6. Posture Assessment– the positions of joints relative to ideal and each other may be assessed.

The therapist will then formulate a list of problems you are having, and how to treat those problems. A plan is subsequently developed with the patient’s input. This includes how many times you should see the therapist per week, how many weeks you will need therapy, home programs, patient education, short-term/long-term goals, and what is expected after discharge from therapy. This plan is created with input from you, your therapist, and your doctor.

What treatment techniques are used?

Our treatments include: Myofascial Release, Active Release Techniques, Conservative Management of Injury, Post-Op Management of Injury, Custom Splint Fabrication, Therapeutic Modalities (Ultrasound, Phonophoresis, Iontophoresis, Inter-X Therapy, Electrical Stimulation), Therapeutic Massage, Adaptive Techniques, Energy Conservation/Work Simplification, Work Stimulation/Re-Entry, Activities of Daily Living, Pediatric Hand Development. Neurological Conditions of the Upper Extremity, Prosthetic Training, Lymphedema Management, Strength and Transitional Training.

Do you make customized splints?

Utilizing all of the latest techniques we can fabricate any custom splint not matter how complicated.  Physicians may send their patients directly to us from their office if they require a splint, as we accept walk-ins. All other treatments are by appointment, but we offer hours from 7 a.m. to 6 p.m. Special arrangements can be made if necessary.

What should I bring with me to my first appointment?
  • Prescription from referring physician
  • Insurance cards
  • Identification
  • Referral (if required) from primary care physician
  • List of medications including dosages
  • Completed and signed patient packet forms (from our forms page)
What should I wear?

Comfortable, nonrestrictive clothing that allows us to evaluate your area of injury.

How long does each visit take?

Normally, appointments are approximately 60 minutes.  The initial visit and custom splinting visits may take longer.

How long will I need therapy?

You will need to attend your therapy sessions until you, your physician and your therapist decide that you have reached your desired level of function or that further therapy would not be beneficial.

Will my insurance pay for therapy?

Generally, most insurance companies pay for occupational therapy. As a courtesy to you we will contact your insurance company to check on your insurance benefits before you start therapy.

What insurances do you accept?

Our services may be covered in full or in part by your health insurance or employee benefit plan.  Some insurance companies may require a referral from your primary care physician or a prescription from your treating physician.  As a service to you, our office will call your insurance to check on your occupational therapy and/or durable medical equipment coverage.

We participate with most Maryland, West Virginia, and Pennsylvania insurances including, but not limited to the list below.  Notify us if you don’t see your insurance on this list.

  • Auto
  • Aetna
  • Blue Cross/Blue Shield
  • CareFirst
  • Cigna
  • Coventry
  • Healthsmart
  • Medicare
  • Medicaid (including MPC, Amerigroup, Priority Partners)
  • Railroad Medicare
  • Tricare
  • UniCare
  • United Health Care
  • UMR
  • Worker’s Compensation
  • Self Pay
What forms of payment do you accept?

We accept Cash, Checks, Visa, Master Card, American Express and Debit Cards.

Do I need a physician's referral for therapy?

Most insurance companies will require that you get a physician’s referral/prescription for occupational therapy, which you need to bring to your first appointment.

How do I make an appointment?

To make an appointment call the clinic at 301 777-2170 and choose option two for our front desk receptionists and they will schedule your appointment.

Where do I park and enter the clinic?

Regular parking is available on the rear side of the building as well as on the Pine Ave side of the building.  Our main entrance is also located on the rear side of the building.

Do you have an entrance and parking for people with disabilities?

The clinics handicapped entrance is located on the front side of the building which faces Willowbrook Road.  Parking spaces are located on the Pine Ave. end of the building.

How do I get there?

The clinic is located at 309 Willow Brook Road, Cumberland MD 21502    

From areas East of Cumberland                                                                                               

Follow I-68 W/US-40 W to US-40 ALT E/Baltimore Ave/Willowbrook Rd in Cumberland. Take exit 44 from I-68 W/US-40 W.                                                                                                                 Turn left onto US-40 ALT E/Baltimore Ave/Willowbrook Rd (signs for Greenway Ave, Allegany College of MD and Western Maryland Regional Medical Center hospital.)  The Clinic will be approximately 500 feet on your right after turning onto Willowbrook Road.

From areas West of Cumberland                                                                                            

Follow I-68 E/US-40 E to US-40 ALT E/Baltimore Ave/Willowbrook Rd in Cumberland.  Take exit 44 from I-68 W/US-40 W.                                                                                                                 Turn right onto US-40 ALT E/Baltimore Ave/Willowbrook Rd (signs for Greenway Ave, Allegany College of MD and Western Maryland Regional Medical Center hospital.) The Clinic will be approximately 500 feet on your right after turning onto Willowbrook Road.

What if I can not afford treatment?

We understand that therapy can be an expense that some may not be able to afford due to the frequency of visits required and the rising cost of health care.  Payment plans are available to assist patients in these circumstances.  Please enquirer with our Billing Coordinator, Shannon Lee. for details and information.