Therapy provided by a certified hand specialist with varied techniques to mobilize the hand, fingers and thumbs, strengthen grip, pinch, etc. to enhance hand function. Therapy may include conditions such as status post surgical, repetitive strain such as carpal tunnel, chronic conditions as contractures, tendonitis, and arthritis. Some conditions may require custom splinting or active splinting supports, deep heat as wax applications, Graston soft tissue and joint mobilizations.