Cascade Hand Therapy

Cascade Hand Therapy Cascade Hand Therapy in Fort Myers offers specialized hand and occupational therapy. Accepting various insurance plans, we ensure accessible care for all.

Welcome to Cascade Hand & Orthopedic Rehab in Fort Myers, where we specialize in comprehensive hand and occupational therapy. Our certified therapists provide expert care for shoulder, elbow, wrist, and hand injuries, offering services like custom splint fabrication, manual therapy, and scar management. We cater to both surgical and non-surgical needs with evidence-based, individualized treatment plans. Visit us for same-day orthosis and post-operative appointments, and experience our professional, patient-focused approach to rehabilitation.

Custom orthosis 1 week after CMC arthroplasty for thumb arthritis!This turned out so sleek and with a great fit 🤩  Black...
08/18/2025

Custom orthosis 1 week after CMC arthroplasty for thumb arthritis!

This turned out so sleek and with a great fit 🤩 Black Multifit 2.4mm

from has been a great resource for us lately! Love collaborating to problem solve unique cases.

It's been a Muenster orthosis party this summer; many wrist surgeries requiring immobilization limiting forearm rotation...
08/10/2025

It's been a Muenster orthosis party this summer; many wrist surgeries requiring immobilization limiting forearm rotation.

Although we prefer a radial forearm Muenster usually, here we had to do an ulnar Muenster to maintain extension of the RF and SF MCP joints too.

Custom splint is lookin' good, don't settle for less!

Mastering dexterity and fine motor skills when auntie is an Occupational Therapist & Certified Hand Therapist. Of course...
08/08/2025

Mastering dexterity and fine motor skills when auntie is an Occupational Therapist & Certified Hand Therapist.

Of course as a client-oriented clinic, we offered some post activity R&R and chores 😉

Muensters just look better in  Atomic Blue I think 🤔No forearm rotation or wrist motion for 6 weeks but she left the cli...
08/05/2025

Muensters just look better in Atomic Blue I think 🤔

No forearm rotation or wrist motion for 6 weeks but she left the clinic so much happier being able to move the elbow and in a lightweight custom orthosis vs the very heavy, bulky, and uncomfortable surgical dressing!

Wrist and Dupuytren's surgery requiring a forearm based digital extension splint to prevent recurrent contracture. Black...
08/01/2025

Wrist and Dupuytren's surgery requiring a forearm based digital extension splint to prevent recurrent contracture.

Black and purple looking good together!

Using adhesive foam on the straps helps increase contact, securing the splint comfortably without having to over tighten the strapping.

Swipe ➡️➡️➡️Here's a follow up to the last video post, showing another version of the PIP immobilization splint followin...
06/23/2025

Swipe ➡️➡️➡️

Here's a follow up to the last video post, showing another version of the PIP immobilization splint following volar approach arthroplasty with the Integra implant and DIP fusion surgery for finger arthritis.

Radial PIP is moderately more swollen contributing to the shape of the orthosis. Patient LOVES this splint providing just enough protection, lightweight, and comfortable.

What style splint do you make for PIP arthroplasties?

Here's an example of what happens when a surgical patient thinks the precautions and wound dressings are optional...Day ...
03/20/2025

Here's an example of what happens when a surgical patient thinks the precautions and wound dressings are optional...

Day 7 pictured at the top...this is how he walked in, bulky dressing should have been intact still. Extensive education to patient and spouse provided regarding wound concerns and risk. Dressed wound. Surgeon notified. Documented compliance concerns.

Day 16 pictured at bottom...again how he walked in, no trace of a dressing. Some wound care, repeated education and discussed risks of delayed wound healing and infection. Surgeon notified. Thorough documentation.

Do we think he possibly left the steri-strips on???? Some additional debridement is in the future.

Check out today's custom Muenster splint! Designed to protect the ulnar wrist and prevent rotation post-surgery, this sp...
01/13/2025

Check out today's custom Muenster splint! Designed to protect the ulnar wrist and prevent rotation post-surgery, this splint was fabricated with Orfilight from —an ultra-lightweight material that is rigid enough to do the job needed.

Why does it matter? Comfort is key for long-term wear (five more weeks!) while promoting optimal healing. History of elbow and shoulder injury and surgery made choosing this material much easier, reducing the weight on the arm. Perfect for when prioritizing patient experience and satisfaction during the immobilization period.

Therapists: Have you worked with Orfilight before? What’s your go-to material for muenster splints?

Using this RMO made from  Orficast to promote increased active PIP extension of the ring finger! It's been a journey for...
10/05/2024

Using this RMO made from Orficast to promote increased active PIP extension of the ring finger!

It's been a journey for this individual and as a result, the extensor mechanism is super weak. We don't want a recurrent contracture after all she's put into this process...and it's working well so far!

By placing the ring finger MP in relative flexion to adjacent fingers, we can get the EDC to provide its more powerful pull, improving extension!

We have had SO MANY sagittal band referrals recently! What orthosis do most of your referring providers prefer for sagit...
09/11/2024

We have had SO MANY sagittal band referrals recently!

What orthosis do most of your referring providers prefer for sagittal band injuries or repair?

This referring doctor prefers a hand-based MP extension splint over a relative motion or yoke splint.

Despite it being beige in color (I always keep some for the patients who prefer), this was a more unique design. It's not often we see index finger sagittal band injuries!

I'm not one to draw patterns often, but I did ahead of time for this one. It was even
inspired! Can you guess the song by just analyzing the splint?

Preferred Beige used here! Rivets used to secure the small straps!

Another unique splint request!We were asked to fabricate a PIP immobilization orthosis to mimic the flexion positioning ...
07/24/2024

Another unique splint request!

We were asked to fabricate a PIP immobilization orthosis to mimic the flexion positioning of a potential fusion so the patient can make a more informed decision regarding surgery.

This is the practice/trial version that seemed to work well. Another great use for OrfiCast!

What type of splint do you prefer or use for trigger thumbs?For most   cases I prefer a figure-8 style orthosis! Quick, ...
07/16/2024

What type of splint do you prefer or use for trigger thumbs?

For most cases I prefer a figure-8 style orthosis! Quick, easy, and effective!

I usually make mine with Orficast!

Address

1910 Park Meadows Drive Ste 101
Fort Myers, FL
33907

Opening Hours

Monday 8am - 5pm
Tuesday 8am - 5pm
Wednesday 8am - 5pm
Thursday 8am - 5pm
Friday 8am - 3pm

Telephone

+12393448404

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