Episodes
287
Latest episode
Aug 2026
Language
EN
I recently consulted with a patient who had a nondisplaced radial styloid fracture—but as she told me how she had been immobilized, I immediately started asking questions.
What if the MRI isn't telling the whole story? Let's talk about a real patient case as we break down the critical thinking behind persistent wrist pain and why looking beyond the wrist can change your treatment approach.
Distal radius fracture rehab isn't just about waiting for the bone to heal. It's about knowing when to progress motion, how to teach exercises correctly, and recognizing that the elbow and shoulder can limit wrist recovery.
What do you do when a patient comes in just days after surgery for a finger fracture? I take you through my entire thought process—from deciding what orthosis to fabricate to determining when it's appropriate to begin gentle range of motion. Understanding why you're making each decision is just as important as knowing what to do.
What are the first things you should assess after a Dupuytren's release? Let's walk through the 3 things every therapist should address when it comes to evaluating and treating patients after a Dupuytren's release.
A patient came in with a distal radius fracture and an ulna styloid fracture. One of the first questions they asked was: "Why did they only fix one of the bones?" Questions like these come up all the time in hand therapy, and when you understand the anatomy and the reasoning behind the injury, you're able to educate your patients, build trust, and make better treatment decisions.
If I had to start over and break into hand therapy today, here's exactly what I'd do. Learn the three steps that can help you stand out to employers and build confidence faster.
If distal radius fractures overwhelm you, you're not alone. In this episode, I’ll tell you how to break wrist fractures into manageable concepts so you can think critically, make better clinical decisions, and feel more confident on the CHT exam.
Memorizing protocols might help you pass a test, but it won't help you think through real patient cases. I'll explain why true confidence in hand therapy comes from understanding principles and developing strong clinical reasoning—not just following a protocol.
What do you do when a patient case doesn't make sense? Let's walk through a real distal radius fracture case and show you the framework I use to think critically, gather the right information, and make confident clinical decisions.
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