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Your Trusted Hand Therapy Specialists in NYC
HandTherapy57 has been dedicated to providing exceptional care for upper extremity injuries since 2014, building on a legacy of excellence established over 35 years ago. Our team of six Certified Hand Therapists brings more than 40 years of combined experience to personalized treatment plans tailored to each patient's unique needs. We emphasize hands-on therapy in a supportive environment, ensuring individualized attention for every client. Our therapists actively pursue continuing education to stay at the forefront of hand and upper extremity rehabilitation advancements. We play a vital role in training future occupational therapists through academic affiliations and clinical supervision.

Our commitment extends beyond the clinic through international volunteer work, including medical outreach programs in Port-au-Prince, Haiti. Located in Midtown East New York, we serve patients with convenient access to our specialized care. Our practice maintains partnerships with major insurance providers to facilitate treatment accessibility. We maintain active involvement in both academic and professional organizations within our field. Our facility combines clinical expertise with a compassionate approach to patient recovery and rehabilitation.
Services
Fracture Treatment Tendon Injury Therapy Nerve Injury Rehabilitation Arthritis Management Custom Orthotic Fabrication Sports Injury Recovery Workplace Injury Treatment Ergonomic Assessment Therapeutic Exercise Kinesiotaping
Highlights and features
  • We offer over 40 years of combined experience in upper extremity rehabilitation
  • Our team includes six Certified Hand Therapists with academic affiliations
  • We provide individualized treatment plans tailored to each patient's specific needs
  • Our therapists maintain active involvement in training future occupational therapy professionals
  • We combine clinical excellence with convenient access to major transportation
Services
Fracture Treatment
Specialized care for upper extremity fractures including elbow, wrist, and hand injuries. Our Certified Hand Therapists develop customized rehabilitation plans combining soft tissue mobilization, therapeutic exercise, and orthotic support to restore function and mobility following bone trauma.
Tendon Injury Therapy
Comprehensive treatment for flexor and extensor tendon injuries using evidence-based techniques. Our approach combines serial casting, kinesiotaping, and Graston Technique to restore optimal tendon function and prevent re-injury through progressive strengthening protocols.
Nerve Injury Rehabilitation
Specialized care for peripheral nerve and brachial plexus injuries. Our therapists implement symptom management strategies, ergonomic modifications, and targeted exercises to improve nerve function and reduce sensory deficits in upper extremity nerve damage cases.
Arthritis Management
Customized treatment plans for inflammatory joint conditions affecting the upper extremities. Our approach combines orthotic support, joint mobilization techniques, and activity modification strategies to reduce pain and maintain functional independence in arthritis patients.
Custom Orthotic Fabrication
Precision-crafted orthotic solutions for upper extremity conditions using static and dynamic designs. Our Certified Hand Therapists create personalized splints to support healing, prevent deformities, and improve functional outcomes through biomechanically sound orthotic interventions.
People
Madge Dargan
Certified Hand Therapist
Occupational therapist with over 20 years specializing in hand rehabilitation. Adjunct faculty at NYU and former partner of Anita Simons. Member of American Society of Hand Therapists and volunteer with Global Therapy Group in Haiti.
Ruth Metzger
Certified Hand Therapist
Experienced occupational therapist since 2009 with private practice expertise since 2017. Adjunct faculty member at NYU and active participant in clinical fieldwork supervision. Specializes in comprehensive upper extremity rehabilitation and patient education.
James DeCarlo
Certified Hand Therapist
Dedicated hand therapy specialist with 25+ years of experience. Former senior occupational therapist at NYU Medical Center and clinical hand specialist at Mount Sinai Hospital. Experienced lecturer and splinting lab instructor at multiple academic institutions.
Marianne Hedl
Certified Hand Therapist
Recognized expert with 40+ years in orthopedic hand rehabilitation. Former department chief at Hospital for Joint Diseases and experienced clinical supervisor. Educator at multiple universities teaching kinesiology and orthotic fabrication techniques.
Chris Fasanella
Certified Hand Therapist
Dual-state licensed therapist practicing in NY and NJ with specialized experience in acute and outpatient upper extremity care. Affiliated with HandTherapy57 since 2022 after serving at Jersey City Medical Center and Hospital for Special Surgery.
Questions
What types of hand injuries do you treat?
We treat all upper extremity conditions including fractures, tendon injuries, nerve damage, arthritis, sports injuries, and work-related injuries affecting the elbow, wrist, and hand.
Do you accept insurance?
We participate in most major insurance plans including Medicare, United Healthcare, Cigna, Aetna, Blue Cross Blue Shield, Empire, Oxford, No Fault, and Worker's Compensation.
How do I schedule an appointment?
Call us at 212-371-2996 to schedule your appointment. Our staff will help verify your insurance coverage and prepare you for your initial visit.
What should I bring to my first appointment?
Download and complete new patient forms before arrival. Bring your insurance information, medical records, and any relevant diagnostic imaging related to your condition.
What makes your therapy approach unique?
We provide individualized, hands-on treatment with six Certified Hand Therapists who combine over 40 years of experience with personalized care in a dedicated rehabilitation setting.
Are your therapists specially trained?
All our therapists are Certified Hand Therapists with advanced training in upper extremity rehabilitation. They maintain active roles in academic teaching and professional development programs.
Reviews (1)
Nick Muscara
Dec 12, 2020 Report
After going through such a traumatic injury, I couldn't imagine having gone through rehab/therapy anywhere else. Ruth (and Madge) are incredible therapists and healers and are genuinely invested in their patients, their well-being, and their progress. I look forward to going multiple times a week and seeing this team. For a moment I was convinced I would not fully heal after my injury, but Ruth and Madge didn't let that be an option for me and both of them became personally invested in healing me. They celebrated the successes and showed true interest in making progress. Thanks to both of them