Upper Extremity Physical Therapy

Shoulder, Elbow, Wrist & Hand Physical Therapy

Every day much of what we do requires the use of our upper extremities, which includes everything from the shoulder to the hands. Therefore, an injury to the shoulder, elbow, wrist or hand can be not only painful, but it directly impacting our daily activities. Our goal at Step and Spine Physical Therapy is to assist you in getting back to the things you need to be doing and the activities you enjoy.

Don’t put off treatment for your upper extremity pain.

It is important to seek treatment as soon as you begin recognizing pain or difficulty using your upper extremity. Immediately after an injury, the body enters an inflammatory phase which is a necessary step in the healing process. Often, during the acute stage of healing, a physical therapist can be most impactful.  Ignoring pain bypasses this vital stage of recovery and pushes you into the danger zone of degeneration and potentially prolonging recovery times. 


“We can help patients achieve a faster and more complete recovery when physical therapy is started early. It is a much longer recovery process when treatment is initiated after the injury has progressed.” – Mathew Henninger, PT, DPT, OCS

Whether your pain is caused by a sports-related injury, overuse or trauma the experts at Step & Spine Physical Therapy are here to help you return to, or exceed, your previous level of function. Treatment begins by first identifying the origin of the pain or dysfunction, with that knowledge we will develop an individualized program for you.  Our mission is to address your underlying impairments such as strength, mobility and stability to not only promote a full return to your life, work and hobbies but also to prevent recurrence and reinjury. 

Call today to schedule an evaluation with one of our physical therapists.  Most insurances are accepted and there is no referral required. 

Shoulder Pain and Injury

The shoulder is prone to injury due to its vast range of motion and unstable osteokinematic design combined with the repetitive, demanding tasks we place upon it all day long. Posture greatly impacts the position and function of the shoulder joint therefore poor posture can be the precursor to many shoulder issues. Shoulder overuse injuries are often caused by sports-related movements such as swimming, playing ball or working repetitively overhead. Other shoulder injuries can be caused by sudden trauma such as a motor vehicle accident. Whatever the cause, the experts at Step & Spine Physical Therapy are here to help. Our treatment modalities include both physical and manual therapy techniques to help patients feel better and return to activities safely. 

Some of the shoulder injuries we treat include:

  • Rotator cuff tears, tendonitis, and injuries
  • Impingement
  • Shoulder Instability and dislocations
  • Labral tears
  • Fractures
  • Tendinitis
  • Post-surgical physical therapy
  • Arthritis
  • AC joint sprains
  • Frozen shoulder (adhesive capsulitis)

Elbow, Forearm, and Wrist & Hand Pain and Injury

There are many reasons why pain in the elbow, wrist, hand, and forearm occur. Repetitive stress injuries affect the muscles, tendons, nerves and other soft tissues and are one of the most common reasons for pain in the upper extremity. Carpal tunnel syndrome is one of the well known repetitive stress injuries. 

Elbow pain is often caused by sports-related overuse injuries such as tennis, golf and pickleball. While typically self-limiting, elbow injuries can either sideline your ability to play for many months or negatively impact your game. If recovery is not complete or if the dysfunction is not properly addressed from the onset and play is continued there is a high risk of recurrence and prolonged recovery times. 

Some of the elbow, forearm, wrist, and hand problems we treat include:

  • Carpal tunnel syndrome
  • Tennis/pickleball elbow
  • Arthritis
  • Sprains, strains, and fractures
  • Tendinitis
  • Post-surgical physical therapy
  • Golfer’s elbow
  • Nerve Impingement

Want to learn more? Check out these articles relating to upper extremity physical therapy:

Physical Therapy or Surgery? Choosing the Best Treatment for Rotator Cuff Tears

Bad posture can ‘sneak up’ as shoulder pain as you age


Don’t let pain keep you from your livelihood.

Call us at one of our five Central Oregon locations to schedule an evaluation with a Step & Spine Physical Therapist.


Contact Us

If you are ready to find out how we can help you get back to doing the things you love, give us a call.


(541) 728-0713

Eagle Crest

(541) 527-4353


(541) 475-1218


(541) 504-5363



(541) 588-6848


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