Hand Therapy

The TOCA Upper Extremity and Hand Physical Therapists of Arizona (Certified Hand Therapists) provide services that improve function, increase motion, relieve pain, increase independence in activities of daily living, increase strength and dexterity for return to home, sports or work.

TOCA’s Hand Therapists work with individuals of all ages with a variety of injuries or conditions. Their areas of expertise involve evaluation, treatment and custom splinting of the shoulder, elbow, forearm, wrist, hand and fingers.

Hand Therapy is a type of rehabilitation performed by an occupational or physical therapist on patients with conditions affecting the hands and upper extremities. Such therapy is performed by a provider with a high degree of specialization that requires continuing education, and often advanced certification. This enables the hand therapist to work with patients to hasten their return to a productive lifestyle.

Who is a candidate for hand therapy?

Patients who are candidates for hand physical therapy may have been affected by an accident or trauma leaving them with wounds, scars, burns, injured tendons or nerves, fractures, or even amputations of the fingers, hands, or arms. Others include patients who suffer from the effects of conditions such as carpal tunnel syndrome and tennis elbow, as well as from such chronic problems as arthritis or a neurological condition (i.e., stroke).

What does hand therapy provide?

  • Non-operative Treatment
  • Management of acute pain
  • Management of chronic pain
  • Sensory re-education
  • Splint fabrication
  • Increase in motion and strength
  • Post Surgical Treatment
  • Treatment of Work Injuries
  • Arthritis Education and Support
  • Carpal Tunnel Education and Treatment

Hand Therapy Contact

Call the Hand Therapy specialists directly:


Learn more

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    American Society of Hand Therapists


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    Hand Therapy Certification Commission


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    The American Occupational Therapy Association


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    American Society for Surgery of the Hand


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    American Association for Hand Surgery


Our Experts

Leonie Chin-Duncan OTR/L, CHT

Leonie D

*Bachelor of Science of Occupational Therapy, Florida International University

*Associate Degree in Biological Sciences, Broward Community College

* Certified Hand Therapist

*Astym Certified

Leonie’s special areas of interest include wrist injuries and arthritis management.

In her free time Leonie enjoys spending time with her family, reading and yoga.

April Bryant MS, OTR/L

*Masters in Occupational Therapy, A.T. Still University

*Bachelor of Science in Health and Exercise Science, Colorado State University

*Hand Therapy Fellowship, University of Michigan

* Trained in the Graston Technique

April is currently engaged in the multi-step process to earn her certification in hand therapy. April comes from Ohio by way of Colorado, Texas and Michigan. She is looking forward to opportunities to combine her passion for hand therapy with educational and volunteer opportunities. She is a fitness and pizza enthusiast and enjoys hiking, water sports and spending time with family and friends.

Connie Johnson OTR/L, CHT

Connie J

*Bachelor of Science in Occupational Therapy, Colorado State University

*Certified Hand Therapist

*Adjunct Faculty, Colorado State University and University of Colorado

*Published in American Journal of Occupational Therapy

* Founding Member of the American Society of Hand Therapists

Connie has over 40 years of clinical experience. She has developed a seminar business, has been adjunct faculty at two universities, has developed and managed multiple hand clinics, performed research, and has been a national speaker in the her field. Connie enjoys traveling, reading, learning and painting in her free time.

Lani McEvers COTA

Lani M

*Associates Degree, Pima Medical Institute

*Rock Tape Certified

Lani’s special area of interest is in manual therapy. Lani has been happily married for 24 years, has two beautiful children and many pets. She loves anything that blooms and has quite a green thumb. In her free time she enjoys growing a small jewelry business, road trips, shopping, and movies.

Hand & Wrist News

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Top Doctors for 20 years... and counting!

Phoenix Magazine has consistently awarded TOCA doctors with the coveted Top Doctor award since 1996 – the very first year the award was introduced!