Hands-On-Care (San Jose)

Hands-On-Care now has 4 therapists offering services for Neck, shoulder, elbow, wrist, and hand Therapy at 2 different locations in the south bay. Visit

Hands-On-Care And Rehabilitation - Hands-On-Care Hands-On-Care specializes in shoulder, elbow, wrist and hand therapy. We provide specialized upper extremity therapy at our two clinics in San Jose.

Join Advanced Rehab Seminars with its new and updated Hands-On lab- based upper extremity courses.
These courses have been designed for Hand Therapists, Occupational/ Physical Therapists and Athletic trainers who are involved in the rehabilitation of upper extremity injuries

This course will specifically focus on the assessment and management of the often misdiagnosed and overlooked neural component in the recalcitrant patient that presents with sensory symptoms , pain and range of motion deficits of the upper quadrant. The attendees will develop an understanding on how to objectively utilize the prinicples of neurodynamics including the Upper Limb Neurodynamic Tests (ULNT), both as an assessment and treatment technique. We will delve into the subtle application of soft tissue /myofascial mobilization techniques to facilitate neural gliding and reduce symptoms related neural adherence and stretching . We will look at case studies that will focus on the pertinent clinical scenarios and practical clinical pearls.

NEURAL MOBILIZATION OF THE UPPER QUADRANT WITH MYOFASCIAL MOBILIZATION
Date: July 27,28th , 2024
Contact hours: 12
Location: Hands-On-Care, 5598 Entrada Cedros, Ste 10, San Jose Ca

2 Sign up to receive a total of $50 off before early bird ends
Early Bird Ends: June 24,2024
For testimonials visit here

Part of this course was presented at IFSHT in Berlin and EFSHT in Italy and multiple cities in US

Introduction –
Concepts of Neuro-dynamics
Thoracic outlet Syndrome
Median Nerve Anatomy
Ulnar Nerve Anatomy
Radial Nerve Anatomy


Labs include
Assessment of obstruction to Nerve from gliding
ULTT with Nerve Bias - grading them for documentation
Myofascial techniques for specific nerve entrapment
Taping Labs for each nerve entrapment
Prescribing customized HEP for these nerve entrapments
Case Studies / Practice Case Scenarios
Scratch Collapse Test Hierarchical Test
Management of post traumatic tremors - Peripheral nerve injury - Case Studies
How to assess
Treat the affected area to reduce tremors
taping for tremors
Reviews: I just wanted to thank you for your time and sharing such valuable information with us. That was a really great course and I am looking forward to taking more with you guys in the future.
Hope you had a great stay in Tennessee!!
Best, Erin Chaffee

Thank you again for the course this past week. I am already translating what I learned into practice.
Just today I got a patient with a referral for ulnar nerve issues. He did not have his NCV/EMG results with him, but I proceeded with the testing we learned in class. When I got the results later that day after writing my evaluation, I realized all the potential compression points I identified with the ULTT were exactly what the NCV/EMG said! A. Sadasivaiah

It was a pleasure meeting you and absolutely love the course especially the practical training. I hope we can host your course again. Sincerely, M. Recker

I thoroughly enjoyed your course!. I learned so much and am excited to really dig in, look more proximally with greater confidence. Thank you so much. S. Hannemann.

What an excellent and informative course. I have many new things to add to my “tool belt” to help my patients. S. Cook, OTR, CHT
P.S. my new intern who was at the course and I saw a pt that was 3.5 mos post op wrist arthrodesis and pt reported she has had constant dorsal radial wrist pain since the surgery. History didn’t fit, we checked for RSN and did the treatments we learned this weekend and the pt had 0 pain in her wrist when we were done even though we did no direct tx in her wrist. She was so excited (as was the pt).

A letter from our aide as she continues her Occupational Therapy journey

Company Description
Hands-On-Care www.Handsoncaretherapy.com
is a specialized therapy center that provides treatment for shoulder, elbow, wrist, and hand therapy. With two clinics located in San Jose, our dedicated team of Certified Hand Therapists has a wealth of knowledge and expertise.

Role Description
This is a full-time on-site role for an Office Manager. The Office Manager will be responsible for managing the day-to-day operations of the clinic, ensuring that administrative tasks are completed, knowledge of medical billing needed, manager will be responsible for aides and front desk staff, answering the billers querries, and providing excellent customer service. The Office Manager will be expected to be present on-site in San Jose, CA.

Qualifications
Strong communication skills, both verbal and written
Previous administrative assistant experience
Knowledge or familiarity with office equipment and software, such as Microsoft Office
Excellent customer service skills
Experience in office administration

It would also be beneficial for applicants to have experience in healthcare, knowledge of medical terminology and HIPAA regulations, and a degree in business administration or a related field.
Email us your resume [email protected]

Hands-On-Care - Shoulder, Elbow, Wrist and Hand Therapy Clinic. - Hands-On-Care Hands-On-Care specializes in shoulder, elbow, wrist and hand therapy. We provide specialized upper extremity therapy at our two clinics in San Jose.

It was so nice of Dr. Apard to give a shout out about my talk at the FESSH/FESHT In Rimini Italy

So glad we never stopped

It's time to wear a mask again, health experts say
This time, masks are not just for COVID-19. A "tripledemic" of the coronavirus, influenza and respiratory syncytial virus (known as RSV) is sweeping through the U.S.

COVID case rates have spiked by 56% »

Learn the ergonomic way to stamp and make your own cards without getting repetitive stress injury.

My brain and
heart divorced

a decade ago

over who was
to blame about
how big of a mess
I have become

eventually,
they couldn't be
in the same room
with each other

now my head and heart
share custody of me

I stay with my brain
during the week

and my heart
gets me on weekends

they never speak to one another

- instead, they give me
the same note to pass
to each other every week

and their notes they
send to one another always
says the same thing:

"This is all your fault"

on Sundays
my heart complains
about how my
head has let me down
in the past

and on Wednesday
my head lists all
of the times my
heart has screwed
things up for me
in the future

they blame each
other for the
state of my life

there's been a lot
of yelling - and crying

so,

lately, I've been
spending a lot of
time with my gut

who serves as my
unofficial therapist

most nights, I sneak out of the
window in my ribcage

and slide down my spine
and collapse on my
gut's plush leather chair
that's always open for me

~ and I just sit sit sit sit
until the sun comes up

last evening,
my gut asked me
if I was having a hard
time being caught
between my heart
and my head

I nodded

I said I didn't know
if I could live with
either of them anymore

"my heart is always sad about
something that happened yesterday
while my head is always worried
about something that may happen tomorrow,"
I lamented

my gut squeezed my hand

"I just can't live with
my mistakes of the past
or my anxiety about the future,"
I sighed

my gut smiled and said:

"in that case,
you should
go stay with your
lungs for a while,"

I was confused
- the look on my face gave it away

"if you are exhausted about
your heart's obsession with
the fixed past and your mind's focus
on the uncertain future

your lungs are the perfect place for you

there is no yesterday in your lungs
there is no tomorrow there either

there is only now
there is only inhale
there is only exhale
there is only this moment

there is only breath

and in that breath
you can rest while your
heart and head work
their relationship out."

this morning,
while my brain
was busy reading
tea leaves

and while my
heart was staring
at old photographs

I packed a little
bag and walked
to the door of
my lungs

before I could even knock
she opened the door
with a smile and as
a gust of air embraced me
she said

"what took you so long?"

~ john roedel

Have a Mindful Sunday 🙏

Chronic Inflammation is a frequent cause of hand pain and wrist pain after 40. It is a systemic problem that needs a systemic approach for management. You got it, nutrition. This is a recipe of anti-inflammatory green juice I recommend to my patients before and after hand surgery, for CTS, osteo arthritis, trigger fingers for example. Lots of variations possible. In addition, stay away from dairy products, reduce sugar consumption and alcohol.

1 cup spinach
1 cup arugula
1 cup kale
a few cubes of pineapple (or apple) , chopped
2 tablespoons ginger, sliced
½ teaspoon turmeric
pinch of black pepper or cayenne pepper
1 sq**rt of lemon juice
Water as needed
Blender or Juicer.

Food is Medicine.

“Years ago, anthropologist Margaret Mead was asked by a student what she considered to be the first sign of civilization in a culture. The student expected Mead to talk about fishhooks or clay pots or grinding stones.

But no. Mead said that the first sign of civilization in an ancient culture was a femur (thighbone) that had been broken and then healed. Mead explained that in the animal kingdom, if you break your leg, you die. You cannot run from danger, get to the river for a drink or hunt for food. You are meat for prowling beasts. No animal survives a broken leg long enough for the bone to heal.

A broken femur that has healed is evidence that someone has taken time to stay with the one who fell, has bound up the wound, has carried the person to safety and has tended the person through recovery. Helping someone else through difficulty is where civilization starts, Mead said.

We are at our best when we serve others.”

Credit: Ira Byock

At Hands-On-Care we strive to serve your hand and upper extremity therapy needs

Why at-home tests are coming up negative despite COVID-19 infection
https://www.msn.com/en-us/health/medical/why-at-home-tests-are-coming-up-negative-despite-covid-19-infection/ar-AAYsvLc?cvid=c61775a4ec5649e894934b94337918b1&ocid=winp2sv1plustaskbarhover

Celebrating Hand Therapy Week 6–10th
Give a shout out to your therapist.

Paper from Imperial College London published in December 2021 found that Omicron was five times more likely to reinfect people than the previously dominant Delta variant. https://apple.news/Aj365dZULSPeVaIUXaptQnQ

Welcome to the Great Reinfection — WIRED A repeat encounter with Covid used to be a rarity. But now that Omicron has changed the game, expect reinfections to be the new normal.

I was scheduled to go to England for the international hand therapy conference to moderate a session
However early morning at 4:30 am my son woke up with a seizure that lasted 20 mins
My daughter was already sick so I was up all night with her when I realized my son was warming up
I started doing cold compress on him
The reason I am telling you all this is because they are 13 months old
They cannot have vaccinations
Not wearing masks indoor is resulting in these number to skyrocket and the vulnerable people pay the price
If you are vaccinated you can still be a carrier
You will not get sick
We were negative but the kids where positive
And if u get exposed enough even the vaccination can’t protect you and it breaks through the barrier and infect you
Currently I am running a fever
My worry who will take care of my 13 month olds
So I beg please get vaccinated and wear a mask coz u just don’t know who you will be affecting and when u do wear it put it on properly or ear there is no point in wearing
Thank you

Happy Occupational Therapy Month to my Staff and colleagues

https://apple.news/AgfhiT63ZQGmNTQZlJXLcQA

https://www.facebook.com/100064839126715/posts/321906919980610/?d=n

Santa Clara County nearly meets the metrics required to transition from its indoor masking mandate to a strong recommendation for masking indoors. Effective once the 7-day rolling average of cases is 550 or fewer for 7 consecutive days.

View progress at https://direc.to/dsay

The State also requires universal indoor masking regardless of vaccination status in many settings, including all K-12 schools, childcare facilities, public transit, healthcare
facilities, shelters, jails, and long-term care facilities.

More info: https://www.cdph.ca.gov/.../guidance-for-face-coverings.aspx

Protect yourself from the new variant

Our satellite location has moved to a new address 3395 S. Bascom Ave
Campbell Ca 95008

Here is my proof
I am caring and sensitive :))

Halloween at HOC

Stella’s last day today
She will be missed
We wish her all the luck

Stella Wang turning I think 21 today

Thanks to delta airline to help keep us all safe and keep our taxes low
People who get sick and hospitalized, we end up paying for it in taxes as government is covering the covid costs and will come out of our pockets. This way make people responsible for their decisions

https://www-cnbc-com.cdn.ampproject.org/c/s/www.cnbc.com/amp/2021/08/25/delta-air-lines-unvaccinated-employees-will-face-200-fees-if-they-dont-get-covid-vaccine.html

Delta Air Lines is raising health insurance premiums for unvaccinated employees by $200 a month to cover higher Covid costs Delta is the latest company to issue new rules for employee vaccinations, but stopped short of an outright mandate.

https://www.mobilitydesigned.com/

Mobility+Designed | Faster recovery & less pain with M+D Crutch & Combo Stix The M+D Crutch and Combo Stix by Mobility Designed offer an elegant, ergonomic design that provides faster recovery and less pain.

https://www.yahoo.com/news/vaccinated-people-still-covid-most-183035089.html

Vaccinated people can still get COVID. Here are the most common symptoms, study says While breakthrough infections aren’t common, vaccinated people should still watch for these possible symptoms.

Back to work with my helpers

Keep wearing the mask as you could contact it though the vaccine will protect you and you will only develop mild symptoms but you can still transmit

https://apple.news/AmYL_263xRZi4nTc0WvYiHg

The Highly Contagious Delta Variant Is On The Rise In the U.S. — NPR The variant accounts for more than 6% of all infections in the U.S. and in some Western states is responsible for more than 18% of cases.