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New England Hand Therapy

Hand Therapy

New England Hand Associates is excited to offer on-site occupational hand therapy services for our patients. Hand therapy encompasses rehabilitation for the entire upper extremity – from your fingertips to your shoulders.

At New England Hand Associates, we are fully staffed with occupational therapists having advanced training in hand and upper extremity rehabilitation. To obtain the credential of certified hand therapist (CHT), a therapist must have a minimum of 5 years clinical practice, have performed over 4,000 hours of direct training, and have passed a comprehensive certification examination. In addition, therapists must recertify every 5 years – including 80 hours of continuing education in current hand therapy practice and current clinical research. Using their expertise in assessing and treating hand, wrist, elbow, and shoulder injuries, our hand therapists help their patients regain function and the ability to perform their daily activities.

The CHT credential reflects the highest level of competency in the field. Each of our hand therapists has at least 10 years of experience and advanced knowledge and skill in splinting and orthotic fabrication. Our close-knit office ensures great communication between your surgeon and therapist to develop the best plan of care for you. Our hand therapy team works closely with your doctor to develop a personalized treatment plan based on your unique situation at work or at home. This may include splinting, modalities, and therapeutic exercises to improve and optimize function. Patient education – including activity modification and joint protection – is also a major focus of our therapists’ treatment efforts.


When appropriate, our surgeons will refer you to hand therapy for custom fabrication of an orthosis or splint on the same day as your office visit – particularly if protection is needed for an acute injury or fracture. Other times, your appointment will be scheduled to coincide with your surgery. Depending on your needs, you may receive a full evaluation, in which your therapist will carefully examine all issues you are having with your hand, wrist, elbow, or shoulder. Our therapists use several different modalities, including heat, ultrasound or electrical stimulation to help increase motion or to decrease pain. Depending on your needs, home exercises are often given to aid in the healing process.

We have three certified hand therapists available to treat you.

Kara L. LeSiege, OTR/L, CHT

Natalie M. Helwing, OTR/L, CHT

Melissa A. Warren, OTR/L, CHT

With on-site services in our Framingham and Milford offices, hand therapy can help get you back to work and the activities you love. To schedule an appointment, call our main office in Framingham, MA at (508) 872-7881.