Therapist : Natasha Rinard, OTR/L University of Puget Sound, Tacoma, WA 1996 Clinic co-owner with Nick Rinard, PT since 1999
Hand Therapy: Appropriate diagnoses Hand Therapy: Appropriate diagnoses repetitive strain injuries arthritis (thumb CMC joint, OA, RA) stiff and/or painful wrists & fingers tendinitis (medial and lateral epicondylitis, DeQuervain’s, etc.) post-fractures, dislocations, sprains in upper extremities (wrist, shoulder, finger) post-surgical repairs (tendon repairs, partial/complete amputations, burns, decompressions, transplantations) systemic/ genetic disorders (RA, dystrophy, Raynaud’s, Dupuytren’s contractures, camptodyctaly, reflex sympathetic dystrophy, MS) nerve involvement (compression, repair, transplantation)	Hand Therapy: Treatment used mechanical diagnosis and therapy screen for spinal disc/nerve involvement patient education and training in self-treatment static/dynamic splinting, positional taping, adaptive equipment solution ergonomic work station evaluations and solutions appropriate & specific strengthening and conditioning exercises
Occupational Therapy: Appropriate diagnoses post-CVA or brain injury (hemiplegia, contractures, sublaxation) spinal cord injuries (contractures, impaired ADL status) repetitive strain related to work station aging with decline in function (ADL)	Occupational Therapy : Treatment used rehabilitative, neuro-developmental and compensatory approach adaptive equipment for self care and work ergonomic solutions splinting and self-care equipment fabrication patient/caregiver education, home safety evaluations wheelchair seating and positioning (manual, electric, specialized)