Services

  • Participate in a formal, customized therapy plan with a certified hand therapist. Pivot can help you return to the game, work, or whatever is most important to you. Establish a plan of care including weekly therapy, a home exercise program, and communication with your MD.

  • At Pivot, we can make custom thermoplastic orthoses for a variety of conditions including fractures, thumb arthritis, carpal tunnel, and more. In many cases, the custom orthosis is superior to pre-fabricated, store-bought splints, as they are able to be remolded and adjusted to your specific needs. The therapist can obtain perfect anatomical alignment to protect your injury or to rest painful, involved structures.

  • Dry needling is a manual trigger point release technique used to address painful, taut bands of muscle that can restrict movement, decrease strength, and contribute to pain. Skilled used of the needle can release the tissue and be hugely helpful in the therapeutic process. Dry needling services can be performed as a part of your therapy plan of care at a discounted rate, or can be performed “fee for service” if you are not an active therapy client. A referral for dry needling is needed in both scenarios.

  • Graston is a type of instrument assisted soft tissue mobilization instrument that is utilized to address pathological muscle and tendon. These specialized metal tools provide feedback to both the therapist and client about tight structures, increase blood flow to the area, and promote the presence of fibroblasts, a collagen-producing cell, to increase tissue extensibility required for healthy functioning.

  • A free screen performed by the occupational therapist will help determine if you need urgent help, a referral to a doctor, or if you’re likely to benefit from therapy. It’s also a great way to learn more about the unique services that Pivot provides and if we are a good fit for your needs. Contact us to set up a free screen.

Conditions Treated

  • Fractures (including post-operative)

  • Carpal Tunnel

  • Cubital Tunnel

  • Arthritis (Osteo and Rheumatoid)

  • Thumb/CMC Replacement

  • Rotator Cuff Injuries 

  • Labral Tears

  • Little League and Pitcher’s Elbow

  • Shoulder Replacement

  • Tennis/Golfer’s Elbow

  • DeQuervain’s Tenosynovitis

  • Dupuytren’s Contracture

  • Trigger Finger

  • Tendonitis 

  • TFCC Pathology

  • Dislocations

  • Ligament sprains and tears

  • Biceps Repair

  • Flexor Tendon Injuries

  • Extensor Tendon Injuries

  • Sports Injuries

  • Traumatic injuries

  • Work Injuries

  • And more…