Hand Therapy Academy: Recent Episodes
Miranda Materi
We offer quick tidbits of information relating to all things Hand Therapy. So if you are a hand therapist or an aspiring hand therapist this is the podcast for you. For more great content check our www.handtherapyacademy.com or email info@handtherpyaacademy.com
In this episode, Miranda and Josh discuss the differences between edema and lymphedema, including how they present clinically, why the distinction matters, and common misconceptions surrounding both conditions. They review key assessment findings, treatment considerations, and practical tips to help clinicians identify these conditions.
In this episode, Miranda and Josh discuss practical strategies for managing a busy clinic schedule and making the most of your time throughout the day. They share tips on prioritization, workflow efficiency, patient scheduling, documentation habits, and ways to set yourself up for success before the clinic day even begins. Whether you're a new therapist or an experienced clinician looking to improve productivity, this episode is packed with actionable ideas you can start using right away.
In this episode, Miranda and Josh discuss a few interesting cases that were initially misdiagnosed and explore how the correct diagnosis was eventually identified. They break down the clinical reasoning process, share key examination findings, and discuss lessons learned along the way. This conversation offers practical insights that can help clinicians think critically when a patient's presentation doesn't quite fit the expected diagnosis.
In this episode, Miranda and Josh discuss creative intrinsic exercises, including how to target the intrinsic muscles of the hand and make therapy more functional and engaging for patients.
Casting doesn’t always mean immobilizing—Miranda and Josh explain how to use casting to restore motion.
In this episode, Miranda and Josh compare pregnancy-related carpal tunnel syndrome and De Quervain’s from a treatment perspective, highlighting differences in intervention strategies and progression.
In this episode, Miranda and Josh discuss pain reporting—what it actually means, how to interpret it in context, and whether it should be the primary focus of a treatment session. They explore the limitations of pain scales and how to shift toward function-driven care.
Ulnar-sided wrist pain doesn’t always need to be pain-free before discharge—Miranda and Josh explain when it’s appropriate to move on.
Sugar tong vs Muenster—Miranda and Josh break down what each splint does and when to use them in clinical practice.
Josh and Miranda break down the essentials every hand therapist needs in their clinic. From must-have tools to practical setup tips, this episode covers the foundation for delivering effective and efficient care.
Miranda and Josh break down distal biceps tendon repairs and the rehab that follows—what to protect, when to move, and how to progress without compromising the repair.
This week, Miranda and Josh chat about some fun apps to bring into your hand therapy clinic. From exercises to engagement tools, they share tips to keep patients motivated and smiling.
In this episode, Miranda and Josh talk about a particular case involving return to sport, including how they approached progression, readiness, and the key factors that guide safe decision-making
This week, Megan sits down with Hand Therapy Academy to chat about rheumatoid arthritis management. From splints to exercises, she shares helpful tools that therapists can use right away.
In this episode, Miranda and Josh talk about owning your own practice and how everything shifts when you’re the owner—your role, your mindset, your responsibility, and the way you show up for your team and your patients.
Megan and Miranda sit down on Hand Therapy Academy to discuss splinting strategies for managing hypermobility in Ehlers-Danlos syndrome. Tune in for actionable insights and clinical pearls every hand therapist can use.
In this episode, Miranda and Josh talk about choosing the appropriate splint based on the type of peripheral nerve injury and how to match positioning with the specific nerve involved
Hand Therapy Academy welcomes Megan to discuss a complex patient case. Tune in for her insights, strategies, and clinical pearls that can help therapists navigate challenging cases.
On this episode, Miranda and Josh talk about the ligaments of the TFCC, a few key wrist ligaments, and some practical implications for treatment and clinical reasoning.”
This week, Miranda and Josh chat about clinic supply reimbursement and the dos and don’ts of charging. Tune in for practical advice, real-world examples, and tips you can use right away
In this episode, Miranda and Josh dive into one of our most asked-about tools in CHT prep—the brain dump sheet. We break down what it actually is, what you should (and shouldn’t!) put on it, and how to use it strategically the moment you sit down for the exam. If you’re prepping for the CHT, this is a simple game-changer you don’t want to miss.
Hand Therapy Academy welcomes Megan, who shares a unique patient case. Tune in to hear her practical tips and innovative strategies you can apply in your own practice.
Join Miranda Materi and Josh, both Certified Hand Therapists with over 10 years of experience teaching hand therapy education and more than 50 years of combined clinical expertise. In this session, they discuss how to utilize the Weeks Test to guide clinical decision-making and determine the most appropriate orthosis for treating motion loss.
Miranda and Josh break down the test’s interpretation, how to track progress, and how to match orthotic selection—whether static progressive, dynamic, or serial casting—to the underlying limitation. This practical, evidence-informed approach helps therapists apply the Weeks framework confidently in daily practice to improve outcomes for patients with joint stiffness and limited range of motion.
Hand Therapy Academy has Delaney on the show, where she shares her clinical pearls about treating patients with spinal cord injuries (SCI). She highlights practical strategies and considerations to optimize patient outcomes.
Join Miranda Materi and Josh, both Certified Hand Therapists with over 10 years of experience teaching hand therapy education and more than 50 years of combined clinical expertise. In this session, they explore the key question every therapist faces: what’s really limiting motion?
Is the restriction capsular, musculotendinous, neural, or kinesiophobic in nature? Miranda and Josh break down how to differentiate these causes through clinical reasoning, assessment strategies, and treatment planning—helping therapists identify the true limiter and choose the most effective interventions for restoring motion and function.
This week, Delaney chats with Miranda on Hand Therapy Academy about what sets bony and soft tissue malrotation apart. Their discussion is full of real-world advice and clinical pearls for hand therapists.
Join Miranda Materi and Josh, both Certified Hand Therapists with more than 10 years of experience teaching hand therapy concepts and over 50 years of combined clinical expertise, as they unpack some of the most commonly conflicting topics in the literature. This session explores the debated order of radial nerve muscle innervation, expected outcomes following wrist salvage procedures, and other frequently misunderstood areas of upper extremity rehabilitation.
Through evidence-based discussion and practical clinical insights, Miranda and Josh bridge the gap between research and real-world application—helping therapists make informed, confident treatment decisions for complex upper extremity cases.
On this episode of the podcast, Miranda and Josh discuss non-custom splinting options and when to utilize them. They break down practical applications and clinical considerations to help therapists make informed choices in patient care.
In this episode, Miranda and Josh briefly talk about skin grafts — highlighting the different types, key considerations for healing, and basic immobilization protocols. Tune in for a quick, practical discussion that connects clinical reasoning with real-world hand therapy practice.
Delaney sits down with Miranda on the Hand Therapy Academy podcast to talk through her experience with a one-of-a-kind patient living with CRPS. Their discussion is packed with real-world takeaways that therapists can bring into their own sessions.
On this episode of Hand Therapy Academy, Delany joins the conversation with a compelling case of exercise-induced compartment syndrome. Tune in to hear the clinical pearls and strategies she used along the way.
In this episode, Miranda and Josh dive into the topic of post-operative nerve repair immobilization. They discuss key principles, variations in protocols, and practical tips for optimizing outcomes following nerve repair. Tune in to learn how to apply evidence-based reasoning to your post-op management approach.
Miranda and Josh share the story behind creating Capsular — their new microlearning app designed for hand therapists. Tune in as they talk about the inspiration, challenges, and goals that shaped the app, and how it has the potential to change the way clinicians learn and grow in their practice.
Hand Therapy Academy welcomes Allison to the show! Miranda and Allison dive into their favorite strategies for managing PIP joint contractures. They break down both tried-and-true methods and creative approaches that therapists can bring into practice.
Miranda and Josh discuss the microlearning hand therapy app, Capsular, and how it compares to their membership platform designed for hand therapists. Take a listen to learn more about each and discover which one might be the best fit for you.
In this episode of Hand Therapy Academy, Miranda and Josh dive into the challenges of managing flexor tendon scarring. They discuss practical strategies, clinical insights, and evidence-based approaches to help therapists optimize outcomes in these complex cases.
Hand Therapy Academy welcomes Allison as she shares a compelling case of median nerve compression. In this discussion, she and Miranda explore why the typical carpal tunnel release wasn’t resolving the issue — and what therapists can learn from the unexpected outcome.
Hand Therapy Academy welcomes Allison to the show, where she and Miranda dive into a unique and intriguing case involving the sesamoid bone. From unexpected challenges to surprising insights, this conversation sheds light on a rarely discussed topic in hand therapy.
Hand Therapy Academy welcomes Allison to the show as she and Miranda discuss the process of successfully discharging a patient. They share tips, strategies, and insights on how to ensure patients leave therapy confident and prepared.
Miranda and Josh address the sensitive topic of what happens when a patient goes missing from treatment. They discuss the importance of follow-up, including how often to reach out and the best practices for re-engaging patients.
Miranda and Josh talk about managing post-operative edema. They offer some of their favorite tips and tricks.
Miranda and Josh talk about idiopathic wrist pain including evaluating and treatment this complex issue.
In this engaging podcast episode, Miranda and Josh delve into the journey of obtaining the Certified Hand Therapist (CHT) credential as an older therapist. They discuss the unique challenges and advantages that come with pursuing this certification later in one's career. Listeners will gain insights into the preparation process, the importance of continuing education.
In this episode, Josh and Miranda discuss effective strategies for managing stiff elbows. They explore common causes of elbow stiffness, share personal experiences, and provide practical tips for improving mobility and reducing discomfort.
Emily and Josh dive into the challenges of flexor tendon adhesions, discussing why they occur and how to effectively manage them. They explore early intervention strategies like place-and-hold exercises, differential tendon gliding, and scar mobilization techniques.
Josh and Emily discuss the treatment of radial nerve injuries, exploring rehabilitation strategies and expected outcomes. They share insights on recovery timelines, therapy techniques, and factors that influence patient progress.
Josh and Emily talk about hiring new therapists, discussing the key qualities to look for and the challenges of finding the right fit. They also share insights on onboarding, mentorship, and building a strong team culture.
Miranda and Josh talk about if you should or shouldn't get into the field of Hand Therapy
In this episode, Miranda and Josh dive into the challenges and strategies of treating pediatric patients with flexor tendon injuries. They share their insights on assessment, treatment approaches, and the unique considerations when working with younger patients. Tune in for valuable tips on managing these complex injuries in pediatric hand therapy.
Josh and Miranda talk about evidence-based practice and some tips for how they obtain their articles.
Miranda and Josh dive into the challenges of elbow stiffness, discussing common pitfalls and effective treatment strategies.
Miranda and Josh talk about the last 7 years, since the inception of Hand Therapy Academy.
Miranda and Josh discuss key thumb measurements used to track progress, including calipers, goniometers, and the Kapandji score for thumb opposition.
Join hosts Josh as he discusses the fascinating world of upper extremity prosthetics with Tristany. In this episode the they discuss the fundamentals of prosthetic technology, exploring different types of devices and their function.
In this podcast episode, Josh and new grad occupational therapist Tristany discuss imposter syndrome, a common challenge for new professionals. They explore the feelings of self-doubt that often arise when starting a new career and share strategies to build confidence and overcome these challenges in the workplace.
In this episode, Josh talks with new grad occupational therapist Tristany about the challenges of wound care. Tristany shares her experience of how intimidating it can be for new OTs, while they discuss tips to build confidence and improve skills in wound management.
Miranda and Josh delve into the topic of ulnar nerve compression at the wrist. They explain what ulnar nerve compression is, its causes, symptoms, and the impact it can have on hand function. Join us as they share their expert insights on diagnosing this condition, effective treatment options, and practical exercises to alleviate symptoms.
Welcome to the final episode of our series! In this episode, Miranda and Shannon share helpful tips for treating hand patients and thriving in the therapy setting. They cover essential strategies for effective patient care.
In this episode, Miranda and Josh discuss functional exercises that can be prescribed for home use to improve range of motion, strength, and overall hand function. They share practical, easy-to-follow exercises that you can recommend to your patients.
In this session, Miranda and Shannon share their best pieces of advice for aspiring hand therapists. Shannon, a new grad entering the field, and Miranda, an experienced therapist, discuss essential tips for success, overcoming challenges, and providing top-notch patient care.
Miranda and Josh focus on the Distal Radioulnar Joint (DRUJ). They explain what the DRUJ is, its importance in wrist function, and how to evaluate it effectively. Dive into their discussion on assessment techniques and common issues.
Miranda sits down with Shannon, a recent graduate stepping into the world of hand therapy. Join us as they discuss the challenges and rewards of entering this specialized field, and valuable advice for new therapists
Miranda and Josh delve into the topic of Pillar Pain, a common issue after carpal tunnel surgery. They discuss what it is, its causes, and their go-to treatments. Tune in for practical advice and expert tips from seasoned hand therapists!
Miranda and Shannon talk about being a new grad and tips for getting through you first year of clinical practice.
Miranda and Josh talk about saddle syndrome based on an article that Josh had written and published
Josh and Miranda talk about the the critics in hand therapy and how to handle situations when others prefer to do it a different way.
Miranda and Josh talk about differentiating the various types of palmar nodules in the hand
Josh and Miranda talk about their favorite splint materials to use in the Hand Therapy Clinic
Miranda and Josh discuss types of distal radius fractures and potential fracture implications for Hand Therapy
Josh and Miranda explore some of their favorite adaptive equipment to give out in hand thearpy.
Miranda and Josh talk about FW student expectations. We also discuss common assignments given and the rationale behind these assignments.
Miranda and Josh talk about some of our favorite splints to make along with some of our least favorite.
Josh and Miranda cover all the special tests for DeQeurvain's and bring clarification to the special tests used for diagnosis.
Josh and Miranda talk about what is new for 2024! Check out to learn what courses are coming and a few freebies!
Josh and Miranda discuss best ways to treat PIP joint dislocations and what position they should be splinted in.
Josh and Miranda cover some simple prep tips for mastering the Certified Hand Therapy exam.
Miranda and Josh talk about the grind of starting a private practice and getting the referrals needed.
Miranda and Josh cover myoelectric prosthetics. This of course is not an indepth overview but covers some of the basics and how to find more support if needed.
Miranda and Josh talk about complications that can occur after a flexor tendon repair, including some of the more common complications but also some infrequent complications, which include lumbrical plus and the quadriga effect.
Josh and Miranda talk about errors made in hand therapy practice. From treating the wrong side to more significant errors.
Miranda and Josh discuss radial sided wrist pain and what are some common pathologies on the radial side of the wrist.
There are so many problems that can occur at the ulnar side of the wrist. Josh and Miranda dive into identifying some of the more common pathologies in this region of the wrist.
Josh and Miranda share some tidbits and pearls they have learned from many amazing mentors.
In this episode Josh and Miranda cover conferences to attend both a a new grad and as a more experienced therapist.
Josh and Miranda cover the Progression of Force for Flexor Tendon Repairs based on the work of Gale Groth.
Josh and Miranda talk through a complicated patient not only from a physiological stand point but from a psychosocial.
Zone 3 Extensor Tendon Closed Injury. How do you manage these conservatively? Josh and Miranda cover treatment and splinting options for these patients.
Can hand therapy help to manage CMC arthritis conservatively? Learn some quick tips and exercises you can give your patient to mange this common hand problem.
This episode covers post operative carpal tunnel release. What you need to know as a therapist and what are some common pitfalls.
Josh and Miranda cover some of their favorite interventions for managing a stiff finger.
Miranda and Josh talk about early active range of motion for Flexor Tendon Rehabilitation.
Josh and Miranda talk about nontraditional manual therapies including cupping, needling, and IASTM.
Joh and Miranda talk about what they would want in their clinic beyond the traditional therapy items.
Josh highlights what are some important aspects of documentation as it relates to hand therapy,
Josh and Miranda cover Dupuytren's from a hand therapists perspective. From surgical intervention to the rehab following.
Trigger finger is typicaly a tenosynovitis of the flexor tendon sheah that causes pain around the a1 pulley. This can lead to a locking or clicking. Josh and Miranda cover therapy treatment for this diagnosis.
Volar PIP joint dislocations can cause damage to the central slip. Josh and Mirand cover the quick facts about this type of injury form splnting to therapy.
Josh and Miranda talk briefly about nontraditional manual therapy techniques. These include cupping, dry needling, and IASTM.
Josh and Miranda talk about what they would like in their clinic in addition to the traditional hand therapy equipment if they were given a small sum of money.
Dorsal joint dislocations account for 80% of PIP joint dislocations. This typically causes an injury to the volar plate which needs protection from a dorsal blocking orthosis.
Hand Therapists, Josh and Miranda cover mallet finger injuries. From boney to soft tissues injuries, we cover splinting and post splint therapy.
Does it matter if it is a tendinitis vs a tendinosis? Josh and Miranda discuss this topic.
Josh and Miranda discuss what muscles contribute to carpal friendly movements and unfriendly movements based on the type of instability pattern of the wrist.
Covering VISI and DISI. DISI injuries occur due to SL injuries vs VISI occur due to a VISI injury. .
Intro to Hand Therapy Academy's Podcast. We are going to be covering hand therapy topics in a brief 10 minutes format.
What are some things you wish you knew as a new therapist! Josh and Miranda converse back and forth about things we wish we knew when we first started our careers.