What Our Patients Experience

↑ Function

Restored grip, pinch, dexterity, and pain-free use of the hand

↑ Range

Return of finger and wrist motion through hands-on care and the right splint

↓ Pain

Less hand and wrist pain with everyday activities

↑ Independence

Getting back to work, parenting, activity, and hobbies

Hands Are How You Work, Play, and Connect

When a hand or wrist injury limits grip, dexterity, or use, every part of life narrows. Focused hand therapy restores the precise function that a generic exercise program can't.

Pain, swelling, or stiffness in the hand or wrist Weaker grip, pinch, or fine-motor control Numbness, tingling, or weakness in the fingers Trouble with buttons, jewelry, writing, or your phone Pain with lifting, gripping, twisting, or impact Limited motion in the fingers, thumb, or wrist

Common Hand & Wrist Injuries

When symptoms linger long after an injury should have healed, deeper dysfunctions keep discomfort signals flowing.

Fractures

Wrist and finger fractures from falls, sport, ranching, and trades work.

Sprains & Tendon Injuries

Ligament sprains (like skier's thumb and climbing finger injuries), tendon tears, and overuse tendon pain.

After Surgery

Recovery after carpal tunnel release, trigger finger release, fracture fixation, tendon repair, or joint surgery.

Arthritis

Arthritis at the base of the thumb, throughout the hand, and inflammatory types like rheumatoid arthritis.

Hand and wrist injuries include fractures, sprains, tendon and ligament injuries, pinched nerves (carpal tunnel and others), arthritis, and recovery after surgery. Hand therapy combines hands-on care, splinting when appropriate, and gradual strengthening to bring back precise, confident use.

Focused Hand & Wrist Care in Bozeman

Your hands do everything — work, parenting, climbing, skiing, ranching, writing, eating. When one’s injured, a generic exercise program won’t bring back the precise use daily life needs. At Root Therapy and Wellness in Bozeman, hand therapy is delivered by an occupational therapist with more than 10 years of hand and upper-extremity experience — in full 1-on-1 sessions, with splinting when it’s appropriate.

We treat fractures, tendon and ligament injuries, recovery after surgery, arthritis, and the local injuries we see a lot — skier’s thumb, climbing finger injuries, and falls — working closely with hand surgeons across Bozeman Health, OrthoMontana, and out-of-state centers.

Common Hand & Wrist Injuries

Fractures — wrist and finger fractures, common from skiing falls, mountain biking, and trades work.

Tendon and ligament injuries — skier’s thumb, mallet finger, climbing finger injuries, trigger finger, and tendon pain on the thumb side of the wrist.

Pinched nerves — see our Carpal Tunnel page; we also treat other pinched nerves in the arm.

Arthritis — thumb-base arthritis and arthritis throughout the hand. A splint and joint-protection habits often cut pain a lot and protect function.

Recovery after surgery — carpal tunnel release, trigger finger release, fracture repair, tendon repair, and joint surgery.

What to Expect at Your First Visit

  1. Comprehensive evaluation (60 minutes) — your history, motion, grip and pinch strength, dexterity, feeling, swelling, and whether a splint would help.
  2. Splinting when appropriate — fitted for your specific injury and hand.
  3. Hands-on treatment that same visit.
  4. Home program — exercises, swelling management, and scar care.
  5. Coordination with your surgeon for post-surgical cases, and re-assessment every few visits.

Next Step: Schedule Your Evaluation Today

Hand and wrist injuries respond best to early, focused care. Request an appointment today — most patients are seen within the same week.

Our Treatment Approach

  • Splinting When Appropriate — Splints and braces to protect a fracture, guard a repair after surgery, support a sprained ligament, or ease arthritis — used when they're the right tool.
  • Manual Therapy — Hands-on work for the wrist and finger joints, soft-tissue release, and scar mobility.
  • Hand Therapy — Gradual motion, dexterity, and strengthening matched to your injury and where it is in healing.
  • Swelling Management — Gentle techniques, light compression, and elevation to settle post-injury or post-surgical swelling.
  • Sensory Retraining — For nerve injury or changes in feeling after surgery — gentle retraining to rebuild sensation.
  • Everyday & Work Strategies — Tools, changes, and tips for work, home, and the activities you enjoy.

How Root Is Different

Not all therapy is created equal. Here's why our patients get better results with Hand & Wrist Injuries.

Conventional PTRoot's Approach Root Therapy
ProviderGeneric PT without a hand focusAn occupational therapist with more than 10 years of hand and upper-extremity experience
ApproachOne standard exercise programInjury-specific care matched to where you are in healing
SplintsOff-the-shelf splintsSplinting matched to your injury, when appropriate
TechniquesBasic mobility and strengtheningManual therapy, sensory retraining, swelling management, dexterity work
FocusGeneral range of motionPrecise hand function for work and daily life

OT-Led Hand Therapy

Hand and wrist care at Root is led by an occupational therapist — the discipline built for fine hand function.

Hands-On Every Visit

Manual therapy, scar work, and skilled hand techniques every session.

Surgeon Coordination

We work routinely with hand surgeons across the Gallatin Valley and beyond.

5.0 out of 5
Everyone is great! I much prefer Roots to the typical physical therapy in a big open room. All of the folks I have worked with have been great!
— N.L. Google review · December 2025
5.0 out of 5
Knowledgeable PT's and very helpful in planning a program to get my balance problems resolved. I definitely recommend them.
— G.H. Google review · April 2026
5.0 out of 5
The staff is amazing and so kind. It's a great experience every time I go in. They're also very knowledgeable and do a great job explaining.
— S.W. Google review · April 2026

Frequently Asked Questions

What's the difference between hand therapy and regular PT?
Hand therapy focuses on the hand, wrist, and forearm — the fine anatomy, how those tissues heal, splinting, and after-surgery routines. Our hand-focused occupational therapy brings these skills to injuries where precision matters, like fractures, tendon repairs, ligament injuries, and post-surgical recovery.
When should I start therapy after a fracture or surgery?
It depends on the procedure and your surgeon’s plan. Many hand and wrist repairs start therapy within a week or two, often with a splint and gentle motion. Some need longer to rest first. We coordinate with your surgeon for the right start.
Do you provide splints?
Yes, when a splint is the right tool. Our occupational therapists recommend and fit splints to protect a fracture, guard a repair after surgery, support a sprained ligament (like skier’s thumb or mallet finger), ease arthritis, or help with carpal tunnel.
How is rehab after hand surgery different?
It follows your surgeon’s specific plan, with careful precautions — loading the wrong tissue at the wrong time can disrupt a repair. We work routinely with hand surgeons across Bozeman Health, OrthoMontana, and out-of-state centers to follow the exact timeline.
I have arthritis at the base of my thumb. Can therapy help?
Yes — a lot. Thumb-base arthritis responds well to a thumb splint, joint-protection habits, hands-on care, and grip and pinch retraining. Many people put off or avoid surgery with this kind of care.
Can you help with skier's thumb or climbing finger injuries?
Yes. Skier’s thumb and rock-climbing finger injuries are common around the Gallatin Valley — we treat both with splinting when needed, gradual loading, and a steady return to what you love.
Do you handle workers' comp hand injuries?
Yes. Many hand and wrist injuries happen on the job — we work routinely with workers’ comp, employers, and case managers for ranching, trades, healthcare, and other work injuries.
How long does hand therapy take?
It varies a lot. Simple sprains settle quickly. Recovery after a fracture or tendon repair usually takes a few months. We set clear goals and timelines at your evaluation.
Do I need a referral for hand therapy in Montana?
For evaluation, no — direct access applies. Most post-surgical and workers’ comp cases need a physician referral for coverage; we coordinate with your surgeon or case manager.

Last updated

Hand or wrist injury holding you back?

Focused, OT-led hand and wrist care in Bozeman, with splinting when appropriate and surgeon coordination. No referral needed for evaluation.

Most insurance, workers' comp, and Medicare accepted · Serving Bozeman, Belgrade, Manhattan, Four Corners & the Gallatin Valley · Mon–Fri 8am–5pm

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