Hand and Upper Limb

Julie Howson-Chang offers specialized physiotherapy services for the hand and upper extremity. Julie passed the Certified Hand Therapist exam in 1998 and has developed specific skills to provide treatment and splinting for a wide range of hand and upper extremity conditions, including acute post-op procedures or complex traumatic conditions.

Julie’s experience includes 17 years practicing in the Hand Therapy program at Stratford General Hospital, covering clinics for 2 plastic hand surgeons, as well as orthopaedic surgeons, family physicians, and transferred patients from London’s Roth McFarlane Hand and Upper Limb Clinic.

Julie treats a variety of conditions such as:

Carpal tunnel syndrome (CTS)
De Quervain’s Tenosynovitis
Thumb Osteoarthritis (OA)
Mallet Finger
Swan Neck Deformity
Post-surgical rehabilitation for hand, wrist and elbow fracture

Post-fracture rehabilitation
Complex regional pain syndrome (CRPS)
Dupuytren’s Contracture
Sprains/strains
Overuse injuries
Other

Custom Splinting

Custom Splinting is available for many upper extremity conditions, including:

De Quervain's Tenosynovitis
Carpal Tunnel Syndrome
Thumb UCL Sprains
Thumb OA
Volar Plate Injuries
Mallet Finger
Boutonnière Deformity
Arthritis (Resting Splints)

Cost for custom splinting is variable depending on size, material and condition. Please contact the clinic for further details.

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