Relief for Everyday Use. Strength for Active Living.

From sprains to post-op fractures, ESPT provides evidence-based therapy for wrist and hand pain — and refers to Certified Hand Therapists (CHTs) for advanced, complex cases.

Overview

The wrist and hand are essential for nearly every aspect of life — from typing and cooking to lifting weights or gripping in sport. Pain or injury in this region can quickly interfere with work, independence, and recreation.

At ESPT, we specialize in treating select wrist and hand conditions with an evidence-based approach. For more complex surgical or traumatic injuries, we refer to Certified Hand Therapists (CHTs) to ensure patients receive the highly specialized care they need.

Scope Notice:

We treat at ESPT: sprains, post-op fracture rehab (non-complex), De Quervain’s, general wrist/hand pain, stiffness, and overuse
We refer to CHTs for: tendon/nerve repairs, complex fractures, custom splinting, trigger finger, Dupuytren’s, CRPS, and pediatric or severe arthritis cases

Common Conditions We Treat at ESPT

  • Wrist sprains and repetitive stress injuries
  • Post-op wrist/hand fracture rehab (without tendon/nerve involvement)
  • De Quervain’s tenosynovitis (“mother’s thumb”)
  • General wrist/hand stiffness, weakness, or overuse pain
  • Mild arthritis-related wrist or hand pain

When We Refer to a Certified Hand Therapist (CHT)

Certain conditions require specialized splinting, orthotic fabrication, or advanced surgical rehab protocols. ESPT will refer to a CHT for:

  • Tendon repairs (flexor/extensor) or complex lacerations
  • Nerve repairs or grafts (median, ulnar, radial)
  • Complex fracture fixation (multi-fragment, comminuted, or unstable fractures)
  • Trigger finger and Dupuytren’s contracture (post-release or enzyme treatment)
  • Complex Regional Pain Syndrome (CRPS)
  • Advanced arthritis cases or joint replacements in the hand/wrist
  • Boutonniere, swan-neck deformities, and severe contractures
  • Custom splinting/serial casting needs
  • Pediatric hand injuries (congenital deformities, growth plate injuries)

ESPT Pathways for Wrist & Hand Care

Insurance-Based PT

For patients with documented pain, injury, or post-op recovery that meets medical necessity

Focus of care:

  • Pain and swelling management
  • Range of motion restoration
  • Functional grip retraining
  • Strengthening for lifting, typing, and ADL needs

Examples: wrist sprain affecting work, post-op fracture stiffness, De Quervain’s pain limiting ADLs

Cash-Pay PT (Extended or Complex Cases)

For patients needing longer or more personalized sessions beyond insurance limits

Focus of care:

  • Extended manual therapy and mobility work
  • Progressive strengthening and endurance training
  • Functional retraining for work, sport, or daily life
  • Whole-arm integration (shoulder, elbow, wrist mechanics)

Advantages:

  • No visit caps or restrictions
  • Customized 40–60 min uninterrupted sessions
  • Addressing both local pain and full upper extremity movement patterns
Performance Training (Upper Extremity Pathway)

For active adults and athletes building strength and endurance beyond rehab

Focus of care:

  • Forearm and grip strengthening for sport and lifting
  • Wrist stability drills for pressing, push-ups, or martial arts
  • Hand endurance training for functional and recreational needs

Examples: lifters rebuilding grip, martial artists returning to striking, professionals needing resilience for repetitive hand use

⚠️ Note: Performance Training is not covered by insurance.

Why Choose ESPT

  • Selective Expertise – We treat appropriate wrist/hand conditions and clearly define when specialized referral is needed
  • Referral Integrity – Complex trauma or surgical cases are directed to Certified Hand Therapists (CHTs)
  • Whole-Arm Integration – Treatment includes wrist/hand and shoulder/elbow mechanics for lasting function
  • Individualized Care – Plans matched to work, sport, and lifestyle demands

Who This Program is For

  • Insurance Pathway: Patients with sprains, post-op fractures (non-complex), or De Quervain’s pain affecting daily function
  • Cash-Pay Pathway: Patients seeking extended care after insurance or with persistent wrist/hand pain
  • Performance Pathway: Lifters, martial artists, and active adults rebuilding grip, stability, and functional strength
  • Referral to CHT: Patients with tendon/nerve repairs, complex fractures, or conditions requiring custom splinting and advanced surgical rehab

Pricing & Pathways

Cash-Pay PT (Extended Wrist/Hand Rehab)
  • 40-minute: $200 (Staff PT) / $250 (Senior PT)
  • 60-minute: $225 (Staff PT) / $275 (Senior PT)
  • Packages available for ongoing care
Performance Training (Not Covered by Insurance)
  • Upper Extremity Performance Assessment (Required): $275 (60 min with ESPT clinician)
  • Premier Training (Licensed PT): $175 / 40 min (single sessions only)
  • Performance Specialist Packages:
    • Single Session: $110 / hr
    • Intro Package: 3 sessions for $285 ($95/session)
    • 5-Session Package: $475 ($95/session)
    • 10-Session Package: $900 ($90/session) – Best Value
Insurance-Based PT
  • Standard co-pay, coinsurance, or deductible applies
  • Must qualify under medical necessity guidelines

Recover Function. Rebuild Strength. Return to Life.

Schedule your Wrist & Hand Assessment today — ESPT will provide expert care for appropriate conditions, and connect you with a Certified Hand Therapist if your case requires specialized treatment.