Hand, Wrist and Elbow Therapy

Female hands using computer keyboard

At Central Vermont Medical Center our Occupational Therapists and Certified Hand Therapists specialize in the treatment of hand, wrist and elbow injuries.

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Occupational therapists help their clients maximize their independence with daily activities after injury to the hand, wrist or elbow. Often one’s independence is related to how they complete self-care, work and leisure activities. The upper body tends to be critical in the achievement of independence. Hence, some occupational therapists specialize in the treatment of hand, wrist and elbow injuries.

Injuries may be a result of a trauma or accident such as wrist and finger fractures or tendon injuries. Other conditions may be a result of arthritis or repetitive stress to the upper extremity including carpal tunnel, cubital tunnel and tennis or golfer’s elbow.

Hand Specialists

CVMC Rehabilitation Therpay has a Certified Hand Therapist who has been trained in the additional techniques necessary to provide hand therapy. Hand therapists teach exercises, apply modalities and create custom orthosis (splints) to help the hand heal and to protect it from additional injury.


An Occupational Thearapist may opt to issue an orthosis (splint) to help support the injured area.

What is an orthosis?

An orthosis, by definition, is an external, custom-made medical device that is used to support, align, prevent or correct deformities of a body part.  An OT would select and fit the appropriate orthosis based on the patient’s needs.

Types of orthoses

A prefabricated (off the shelf) orthosis may be sufficient in providing the level of support the patient needs for the current injury. The therapist would instruct the patient how to place the splint on correctly, make any adjustments as needed and explain when the patient should be wearing the orthosis.

A custom splint would be fabricated during the visit. The therapist would measure and form the orthosis to the patient for optimal fit. The patient would be instructed in how to care for the orthosis as well as the best wearing schedule to support and assist the injured area for healing. 


Sue Arbogast, PT, MS
Physical Therapist
Lauren Briere, OTR/L, MOT
Occupational Therapist
Operations Supervisor, Rehabilitation Services
Kate Gaylord, OTR
Occupational Therapist
Vicki Maier, OT
Occupational Therapist

Request an Appointment

Use our online form to request an appointment with a CVMC Physical Therapist (PT), Occupational Therapist (OT) or Speech Language Pathologist (SLP). Once you have filled out the form below, you will be contacted by a scheduler from our Rehabilitation Therapy department.

Referrals: Appointments for OT or SLP require a provider referral. Note that some PT may also require a referral. Our scheduler will discuss this with you on the phone. Click here for more information about Referrals.

This form is for non-urgent appointments only. If you have an urgent medical request, please call 911 immediately or go to your nearest emergency room or express care facility. We do not respond to emergencies through our website.

Please be assured your submission is secure and confidential.

Thank you. Please expect a phone call from our office within 2 business days.