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Hand Therapy Secrets | Helping Occupational Therapist Become Experts

Hoang Tran OT/L, CHT

Hand Therapy Secrets helps Occupation Therapists and Physical Therapists master their clinical skills in hand therapy to become the expert Certified Hand Therapist in their area.

We teach real world applications for therapists to become experts through developing critical thinking, problem solving, and decision making skills.

Subscribe to my YouTube Channel for weekly videos here:
https://www.youtube.com/c/HandTherapySecrets0

For weekly tips and advice, join my community: this is the current link. https://handtherapysecrets.com/community/

Thank you!
Hoang :)

Disclaimer: This information is used to educate and inform OT's and PT's who provide therapy services. If you are looking for a certified hand therapist/specialist to help you with your injury, check out our therapy clinic located in Miami, FL - https://handsots.com/

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30 episodes
weekly
Avg 18 min
English

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Saturday · 16 min
How to Treat Thumb CMC Arthritis: What Works and What Doesn't
How should your treatment approach change depending on the severity of thumb CMC arthritis? In this episode, I go through how I evaluate mild, moderate, and severe cases, including treatment options, managing patient expectations, and why looking beyond the thumb can help guide clinical decisions.
October 24 · 12 min
Ganglion Cyst Case Discussion What If Your Patient Doesn't Want Surgery
What do you do when your patient has a painful ganglion cyst but doesn't want surgery? In this episode, let's walk through a real patient case, discussing how to evaluate symptoms, looking beyond the wrist, and determining what hand therapy can realistically do to improve function.
October 17 · 15 min
Conservative vs. Surgery for Trigger Thumb: What You Need to Know
Treating trigger thumb involves more than just choosing a splint or treatment technique. In this episode, let's breaks down how to evaluate trigger thumb, understand the anatomy behind the symptoms, and determine when conservative therapy, injections, or surgery may be appropriate.
October 10 · 11 min
Thumb Stiffness After a Fracture? Here’s What You Need to Look At
Post-fracture thumb stiffness can be challenging, especially when you’re not sure what’s limiting your patient’s motion. In this episode, let's breaks down what therapists should look at, including scarring, joint mobility, thumb and wrist positioning, and how to approach improving motion.
October 3 · 31 min
Case Discussion | Persistent Hand Pain, Numbness & Weakness
What would you look at if your patient had persistent hand pain, numbness, and weakness after a fall? In this case discussion, I walk through how I would approach the patient using clinical reasoning—not just focusing on where they feel their symptoms.
September 26 · 11 min
How to Know If You’re Ready for the CHT Exam
Want to become a CHT but keep wondering if you’re ready? Don’t rule yourself out before you even start. Start with your qualifications, get clear on WHY you want those letters behind your name, and choose the exam date you’re working toward.
September 19 · 19 min
You Don't Need to Fear Treating Flexor Tendon Repairs (Here's Where to Start)
You don’t need to be scared of treating flexor tendons. It’s easy to worry about moving too much, causing a rupture, or doing something wrong—especially when you’ve heard all the horror stories. But that fear can also make you too conservative with your treatment.
September 12 · 14 min
Don't Let Flexor Tendon Protocols Confuse You (Simplified for Hand Therapists)
Flexor tendon rehab can feel complicated—but it doesn’t have to be. Instead of getting overwhelmed by every protocol, start by simplifying the process.
September 5 · 16 min
The 3 Mistakes Hand Therapists Make with Finger Fractures
Too many therapists think treating a finger fracture means following the prescription exactly as it's written. The prescription tells you what's allowed—it doesn't tell you how to treat the patient. As hand therapists, our job is to use clinical reasoning, educate our patients with confidence, and apply the right techniques—not just follow a script.
August 29 · 16 min
Treating Ulnar Sided Wrist Pain | What Most Hand Therapists Get Wrong
Persistent ulnar-sided wrist pain after a distal radius fracture isn't always a TFCC problem. In this episode, let's break down the anatomy and clinical reasoning that helps you identify the true source of pain and choose more effective treatment strategies.
August 22 · 13 min
Don't Let Flexor Tendon Questions Ruin Your CHT Exam Score
Anatomy doesn’t change—but protocols do. Flexor tendons are one area where what you’re doing in the clinic may not always match what you’re expected to know for the CHT exam. If you’re studying based only on the protocols you use at work, you could be missing an important part of the picture.
August 15 · 14 min
Distal Radius Rehab: What They Don't Teach You in School
I recently consulted with a patient who had a nondisplaced radial styloid fracture—but as she told me how she had been immobilized, I immediately started asking questions.
August 8 · 21 min
SL Ligament Injury | The Clinical Reasoning Behind Evaluation and Treatment
What if the MRI isn't telling the whole story? Let's talk about a real patient case as we break down the critical thinking behind persistent wrist pain and why looking beyond the wrist can change your treatment approach.
August 1 · 15 min
Distal Radius Fractures | The Healing Timeline Every Therapist Needs to Know
Distal radius fracture rehab isn't just about waiting for the bone to heal. It's about knowing when to progress motion, how to teach exercises correctly, and recognizing that the elbow and shoulder can limit wrist recovery.
July 25 · 14 min
Phalanx Fracture with Pins | What Every Therapist Needs to Know Before Treating
What do you do when a patient comes in just days after surgery for a finger fracture? I take you through my entire thought process—from deciding what orthosis to fabricate to determining when it's appropriate to begin gentle range of motion. Understanding why you're making each decision is just as important as knowing what to do.
July 18 · 13 min
3 Things Every Therapist Should Address After Dupuytren's Release
What are the first things you should assess after a Dupuytren's release? Let's walk through the 3 things every therapist should address when it comes to evaluating and treating patients after a Dupuytren's release.
July 8 · 45 min
Treating Distal Radius Fractures | Anatomy, Stiffness & Recovery
A patient came in with a distal radius fracture and an ulna styloid fracture. One of the first questions they asked was: "Why did they only fix one of the bones?" Questions like these come up all the time in hand therapy, and when you understand the anatomy and the reasoning behind the injury, you're able to educate your patients, build trust, and make better treatment decisions.
July 1 · 16 min
The Step-By-Step Plan I'd Follow to Get Into Hand Therapy
If I had to start over and break into hand therapy today, here's exactly what I'd do. Learn the three steps that can help you stand out to employers and build confidence faster.
June 27 · 17 min
Here's How to Study Wrist Fractures on the CHT Exam
If distal radius fractures overwhelm you, you're not alone. In this episode, I’ll tell you how to break wrist fractures into manageable concepts so you can think critically, make better clinical decisions, and feel more confident on the CHT exam.
June 24 · 17 min
The Real Reason You Don't Feel Confident as a Hand Therapist
Memorizing protocols might help you pass a test, but it won't help you think through real patient cases. I'll explain why true confidence in hand therapy comes from understanding principles and developing strong clinical reasoning—not just following a protocol.

Showing 1–20 of 30 episodes