Our highly specialized staff provide treatment of Hand and Upper extremity injuries, while bringing the latest research and techniques to our patients.

IRG is committed to Occupational and Hand Therapy, offering access to highly trained OT's and Certified Hand Therapists (CHTs) at multiple convenient locations throughout the Puget Sound region.

Our Hand  and Occupational Therapists are ready to help manage all your Hand and Upper Extremity needs. 

Our team of Certified Hand Therapists have undergone the rigorous process of obtaining their CHT credentials. Prior to being board eligible, each therapist has completed 4000 hours of direct hand and upper extremity care and has practiced for a minimum of three years. Upon completion, each CHT is required to pass the Hand Therapy Certification Commission board examination. This ensures that all patients receive the highest quality of care in each treatment they receive.

What do our Hand Therapists and Occupational Therapists help with? 

  • Amputation
  • Arthritis
  • Burns
  • Carpal tunnel syndrome
  • Complex regional pain syndrome
  • Cumulative trauma
  • Nerve injuries
  • Soft tissue injuries
  • Surgical and non-surgical fractures
  • Tendinitis and trigger finger
  • Tendon lacerations
  • Wrist and elbow injuries

What to expect at your Hand or Occupational Therapy Appointment.

Occupational therapy sessions consist of education and training, which is usually hand and upper extremity strength, and coordination, Whether you're working on a simple task like typing or a complex task, the therapist explains what you need to know given your individual condition.

Does my insurance cover treatment? 

In order to receive full benefits, you must be referred by your doctor (although with some plans this is not always required). Insurance coverage differs with each carrier. Most will pay for a significant percentage of your treatment. As a courtesy, we will call your insurer to give you an idea of your coverage. We encourage you to also call your insurer to confirm the coverage and benefits we quoted. Some physical therapists provide certain treatments that are NOT covered by insurance, but are available on a cash payment basis. If this is an available option for your treatment, then we will inform you in advance.

Getting Started: 

On your first visit to the clinic, your therapist will conduct an evaluation of your problem. This process usually lasts between 60-90 minutes. The evaluation is necessary to create a program designed specifically to address your needs for a full recovery.

What do I bring? 

On your first visit you will need to bring a few things. First, you will need to bring the referral slip from your doctor. You will also need to bring your insurance information. If you are getting therapy as a result of a workers' compensation claim or an automobile accident, you will also need to bring your claim information, including claim number. Please make sure to arrive 15 minutes early on your first visit to fill out any necessary paperwork.

What do I wear?

You want to be as comfortable as possible when you go in for your appointment. Most therapists will recommend that you come in a T-shirt or tank-top.

How long is each visit?

After your first visit, subsequent visits will be 60 minutes on average. Times often vary due to the treatment and exercises being performed.

How often do I go to treatment?

In order for you to achieve the results that you deserve, you will be given a treatment plan after your initial evaluation. It is important for your recovery that you attend every appointment outlined by your therapist and prescribed by your physician. You may start to feel better after only a few visits, but can relapse if you do not complete your entire course of therapy.