Hand Therapy Outcomes
At LB Hand Therapy, we strive to provide the best treatment to our patients. Here’s what our hand therapy patients have to say about us:
- “Thank you for helping me. I wasn’t getting better until you told me what to do and helped me know how to approach my health care.” Byoung P.
- “I love the atmosphere here.” Diane H.
Doctors in Maryland, DC, and Virginia who refer their patients to LB Hand Therapy are rarely disappointed.
- “The best I worked with” T. Gillespie, MD
- “An expert hand therapist,” S. Hashemi, MD
Read our selection of case studies to learn about the hand therapy outcomes you could expect from our various hand therapy services.
CASE STUDY #1 – Enjoying Yoga Again
This patient experienced a forearm and elbow fracture while traveling overseas. She was flown home and treated by a local therapist. When she expressed concern to her doctor and her therapist that her arm was not progressing, they told her that she wasn’t trying hard enough.
The patient’s friend recommended that she try LB Hand Therapy, which evaluated her CT scans. LB Hand Therapy suspected that the extensive screws and plates in the patient’s arm were blocking her range of motion, and therefore referred her to Shock Trauma for a second opinion.
A second CT Scan revealed that the screws were indeed affecting her range of motion. After receiving a second surgery and hardware adjustment, the patient returned to LB Hand Therapy to complete her rehabilitation.
Within three months, the patient experienced full Active Range of Motion (AROM) and returned to practicing yoga. She lamented that her case was not going anywhere until LB Hand Therapy got involved and recommended effective treatment.
CASE STUDY #2 – From Rotator Cuff Repair to Less Painful Racquetball
This patient was unable to tolerate the shoulder pain she was experiencing while playing racquetball, so she had her rotator cuff repaired.
Having used LB Hand Therapy previously, the patient called one week post-op asking for help due to severe pain and problems with sling/positioning.
The patient received an emergency appointment during which Laura taught the patient’s husband how to properly apply the sling and position her arm to make her more comfortable after surgery.
After her surgery, the patient returned for a two-week post-op visit for an official evaluation. Initially, she had an extremely limited range of motion, which is typical in rotator cuff repairs. An early range of motion protocol was initiated and then slowly, steadily progressed, according to her physician’s protocol, during four and a half months. The patient was given not only physical exercises, but also emotional support to deal with the very painful surgery.
As the patient’s arm health increased, her pain level decreased and she returned to playing racquetball regularly. Once again, she has full range of motion and strength. The patient’s physician sent a personal note to LB Hand Therapy commending the practice for the patient’s progress.
CASE STUDY #3 – Caring for the Caregiver with an Integrated Approach
This patient was suffering from bilateral thumb arthritis and a potentially dangerous home situation involving her husband’s physical health.
As the patient received hand therapy sessions, she confided in Laura about her husband’s medical situation. The patient was given clear guidelines for getting her husband evaluated for a rare form of dementia that could have been causing his behavior.
Laura also referred the patient to a psychologist and coached the patient as to how to take time off work and get her family to do things with her husband so that she could get a break. The patient was encouraged to take short emotional breaks from this emotionally charged situation.
Laura’s integrated approach helped the patient realize that she was not alone in her struggles to care for her husband. She needed to care for the caregiver so that she had the strength to help her husband and to cope with this unforeseen circumstance. With Laura’s help, the patient was able to control the arthritis in her thumbs and cope with the emotions she was experiencing.
CASE STUDY #4 – Returning to the Gym and the Golf Course after Treatment
The patient developed a blood clot that moved into his forearm and led to compartment syndrome, a condition in which blood backs up into the sacs where the muscles are located.
The patient underwent emergency surgery to relieve the pressure in his forearm while trying to prevent death of his forearm muscles and nerves. It took three more operations to get the wounds closed. He had not only tissue damage but also significant scarring on both sides of his arm.
During the same timeframe, the patient also experienced complications from having his heart defibrillator replaced. With so much going on in his life, he was struggling to navigate the health care system.
During therapy, the patient worked on range of motion, scar mobilization, and strengthening. Laura and her staff also helped this patient navigate the health care system. They focused on improving his arm function while assisting him in getting another opinion on his defibrillator.
The patient was able to use his arm again post-therapy, and he returned to golf and his daily gym routine. He enjoyed therapy so much that he did not want to be discharged! He reports that his case was a “mess” until Laura got involved and helped manage it.
CASE STUDY #5: Healing a Broken Elbow While Restoring Self Confidence
After breaking her elbow, this patient attended therapy in an environment that was too busy and too loud to be conducive to treatment. The patient regretted that she was dependent on others because of her injury, and she felt as though her life were at a standstill.
With LB Hand Therapy’s care and coaching, this patient began to think about her life and her goals for herself while working on her elbow rehabilitation. The time the patient spent in therapy forced her to slow down and think about what she wanted to do with her life.
With encouragement from LB Hand Therapy, the patient achieved excellent results from her elbow rehabilitation and has resumed all aspects of her normal life. The practice also used guiding questions to help the patient formalize a business plan and later start her own company.
CASE STUDY #6: Two Problems, One Ergonomic Solution
This patient was referred to LB Hand Therapy for intermittent bilateral carpal tunnel syndrome. He was also suffering from scoliosis; post-back surgery, he was unable to work or attend school due to his limited trunk range of motion and function.
LB Hand Therapy recommended an appropriate chair and table height, which improved the patient’s symptoms without requiring the purchase of specialized equipment. The LB Hand Therapy team also helped the patient find a keyboard that would prevent awkward wrist positions.
The patient’s tendonitis greatly improved. He graduated from college and is planning to pursue additional education to help support his career goals.
CASE STUDY #7: Symptoms Subside at an Office Workstation
This patient had developed neck, shoulder, and hand pain from typing at a stationary workstation for eight hours a day. Her company’s Ergonomics Specialist was willing to help, but the problem surpassed his skill set.
The patient’s co-worker took photographs that showed the patient working at her station. The photographs were then emailed to LB Hand Therapy, which recommended the following actions:
- changing her eye focus at least every hour
- performing preventative exercises
- switching to a petite chair
Once the patient started using her petite chair and performing the prescribed exercises, her pain and symptoms subsided.