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Tendinitis
Reaching overhead or gripping flares a tendon in your shoulder or arm that will not calm down.
Learn MoreHand & Arm Therapy · Vancouver, WA
Get back to Gripping.
You’ve worked around it for months: the jar you hand to someone else, the tasks you now do one-handed, the ‘maybe it’ll settle on its own.’ One cause-first evaluation with a Certified Hand Therapist is how you start taking it all back.
Next openings this week
Certified Hand Therapist
Most Major PPO Plans
No Referral Needed
Medicare Accepted
5.0 on Google
Most Insurances Accepted
Workers’ Comp Accepted
Same-Week Appointments
What We Treat
Sound familiar?
Point to where it hurts. We’ll show you how we fix it.
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Tennis & Golf Elbow
That sharp catch on the inside or outside of your elbow every time you grip or lift.
Learn More3
Loss of Strength or Mobility
A grip or motion in your hand or arm that quietly faded, and never came back on its own.
Learn More4
Carpal Tunnel Syndrome
Numbness, tingling, and a grip that fades: the pins and needles that wake your hand up at night.
Learn More5
Elbow, Wrist & Hand Pain
Grip, typing, and lifting that used to be automatic and now make you wince.
Learn More6
Arthritis
Stiffness and ache in the joints that makes the jar lid, the doorknob, the little things harder.
Learn MoreThe 30-Second Pain Check
Not sure where to start?
Three taps. No forms. Most pain like yours is fixable. See for yourself.
Where does it hurt?
How long has it been going on?
What’s it costing you?
Pain that’s hung around for months still responds to the right plan: the cause-first evaluation is how we find yours.
Services
Care for every kind of comeback.
Whether you’re fresh out of surgery, fighting an old injury, or just tired of hurting, there’s a plan for your hands and arms here.
Hand Therapy
Hand, wrist, elbow, and upper-extremity rehab, led start to finish by a Certified Hand Therapist.
Occupational Therapy
Get back the everyday tasks your injury took, from buttoning a shirt to gripping the wheel.
Manual Therapy
Hands-on work for stiff joints, tight muscle, and irritated nerves.
Functional Capacity Evaluation
Objective, thorough Functional Capacity Evaluations, performed since 2016.
Active Release Technique
Break up scar tissue and restore glide after an injury.
IASTM
Instrument-assisted soft-tissue work for stubborn scar tissue.
The Recovery Journey
A plan you can see. Progress you can feel.
You’ll never wonder if it’s working. Four phases, each with a job, a timeline, and a way to know you’ve earned the next one.
Phase 1 of 4
Weeks 1–2
Pain
Calm the pain down.
- Hands-on treatment starting your very first visit
- Pain education so you understand what’s really going on
- Quick wins early so you trust the plan
Weeks 2–6
Prime
Get your motion back.
- Targeted mobility work for the joints and tissue holding you back
- Exercise dosed to your body, not a generic sheet
- Movement retraining so old habits stop reloading the problem
Weeks 6–10
Perform
Make it strong enough to trust.
- Progressive loading that builds real capacity, not just tolerance
- Strength standards you have to hit before moving on
- Confidence under load, so you stop bracing for pain
Weeks 10+
Prevent
Make sure it never comes back.
- Work- and life-specific testing before you’re cleared
- A simple keep-it-gone program built for your real schedule
- Clear graduation criteria: you’ll know exactly when you’re done
Not sure which phase you’re in? That’s exactly what the evaluation is for.
Get My PlanReal Comebacks
Week 1: couldn’t bend my surgically repaired finger at all
Months later: full movement and strength back, and it has held for years
Tendon repair
Several months
Week 1: so much wrist pain I couldn’t do a single pushup
Within days: full range of motion and back to pushups
Wrist pain
Days
Week 1: multiple fractures in my hand, bracing for major loss of function
Recovery: back to 100 percent
Hand fractures
Full recovery
Week 1: broke my arm, unsure I could return to work as a nurse
Recovery: confident and cleared to get back to work
Work-related injury
Return to work
Week 1: dislocated my index finger playing basketball
Recovery: full mobility back, with follow-up long after
Sports injury
Full mobility
Week 1: broke my thumb and a cumbersome brace made everything harder
Weeks later: a custom brace and back to working out
Thumb injury
Back to lifting
The Numbers
Proof, in numbers.
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5-Star Reviews
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Conditions Treated
5.0 on Google 19 verified reviews No referral needed Most insurances accepted
Why Dynamic Arm & Hand Therapy
You’ve maybe tried therapy before. Not like this.
Plenty of our patients came from somewhere that handed them a printout and a heat pack. Here’s what’s different when a Certified Hand Therapist owns your whole visit.
One-on-one
Every visit
One-on-one, every visit
You’ll never be handed off to a tech or share your therapist with three other patients.
A Certified Hand Therapist, every time
Every session is with Andrew, a Certified Hand Therapist, never an aide or a rotating tech.
No referral needed
In WA you can often start hand and occupational therapy without a doctor’s visit first. If your insurance needs a referral, we help you track it down.
We handle the insurance maze
We verify your benefits before your first visit, so there are no surprise bills.
Your First Visit
Know exactly what to expect.
No mystery, no surprises: here’s your first hour with us, minute by minute.
0:00
You’re greeted by name.
Paperwork’s already done: you did it at home. Straight back, no waiting room purgatory.
0:05
We watch how you move.
A full movement assessment, not just where it hurts, but why it hurts.
0:25
Treatment starts today.
Hands-on work in the very first visit. You’ll feel the difference before you leave.
0:55
You leave with the plan.
What’s going on, how long it’ll take, and exactly what happens next.
One hour. You walk out knowing what’s wrong, how long it takes, and what happens next.
Book My First VisitMeet Your Therapist
The hands behind your recovery.
One Certified Hand Therapist, one-on-one, every single visit. No rotating techs, no guessing who is treating you.
Andrew Peaker
Occupational Therapist & Certified Hand Therapist
- MOTR/L
- CHT
- CFCE
- CMOT
- CEAS
“Your hands do everything. When they stop working, everything stops. My job is to give them back to you.”
Ask me about
Complex post-op hands, nerve pain nobody can explain, and work-related injuries
Patient Stories
Real people. Real comebacks.
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Carli S.
So much wrist pain. Andy knew exactly what was wrong, did some manipulations, and within days the pain was gone and I had full range of motion again.
via Google
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Dennis V.
Extremely knowledgeable when it comes to upper extremity injuries. You can tell he has been doing this a long time. I recommend him without reservations.
via Google
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Marisa H.
I injured the tip of my finger and Andrew gave me exercises that got the feeling back, tailored to my life as a mom always on the go.
via Google
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Andrew P.
Andrew helped me recover mobility in my index finger after I dislocated it playing basketball. He followed up long after the initial visits.
via Google
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Lauren M.
I broke my arm and needed therapy. As an RN, regaining strength for work mattered. Andrew’s knowledge helped me immensely, and I am confident I will return with no issues.
via Google
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Sarah S.
He was very thorough explaining everything I needed to do to fix my pain the fastest, and took the time to answer all of my questions. Highly recommend.
via Google
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Bryce P.
Andy was amazing making a splint for our daughter. Thorough, informative, prompt scheduling, streamlined paperwork. Highly recommend him for any upper extremity injury.
via Google
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Ben S.
Amazing care, compassion, and professionalism. Thank you, Andy, for the helping hand.
via Google
Live From Google
Don’t take our word for it.
Every review below is pulled live from Google. We can’t edit them. That’s the point.
Reviews are loading. If they don’t appear, read them directly on Google.
The Honest Truth
Pain rarely waits with you.
Here’s what actually happens in the next 90 days, on both paths.
If you keep waiting
- Your body compensates: other joints quietly pick up the slack
- Simple problems layer into complicated ones
- The workouts, walks, and weekends keep shrinking
- Painkillers manage the noise, not the cause
If you start this week
- A Certified Hand Therapist finds the actual cause: visit one
- Hands-on treatment starts the same day
- A phase-by-phase plan with an endpoint, not endless visits
- Most patients feel meaningful change in 4–6 visits
Nobody regrets starting too early. Every week, someone in our clinic says they regret waiting.
Start My ComebackThe Boring Stuff, Handled
Insurance and paperwork, without the headache.
Most insurances accepted
We verify your benefits before your first visit: you’ll know your cost up front. No surprise bills.
- Most major PPO plans
- Medicare
- Workers' compensation
- Don’t see yours? We’ll verify it for you
Don’t see your plan? Call us. We’ll check for you: (360) 309-0176
Free benefits check
Send us your insurance details and we’ll verify your exact coverage and cost, then call you with the answer. No guessing at the front desk.
Request received.
We’re on it. You’ll hear from us within one business day with your exact coverage and cost, before you ever book a visit.
Questions, Answered
Everything you’re wondering before you book.
Straight answers: no medical jargon, no runaround.
In WA you can often start hand and occupational therapy without a doctor’s referral. If your insurance does require one, we help you track down the paperwork so it doesn’t hold up your care.
We verify your benefits before your first visit, so you’ll know your exact copay before you ever walk in: no surprise bills later. If you’re without insurance or prefer to skip it, we also offer self-pay rates.
Wear something comfortable with sleeves you can push up. We need to see your hand, wrist, elbow, and arm move, so short sleeves or a loose top work best.
Your first visit, the evaluation, runs about 60 minutes. Afterward you’ll leave with a phase-based plan with an endpoint, not a guess, and not an open-ended string of visits. Most patients feel meaningful change within 4–6 visits.
Yes. Custom splint and brace fabrication is a core part of hand therapy here, molded to your hand and your injury. Many people heal faster and stay more comfortable with a splint built for them, not an off-the-shelf one.
No. Every visit is one-on-one, hands-on care with a Certified Hand Therapist, never a tech handing you a printout. Your exercises are dosed specifically for you and progressed live as you improve.
That’s a fair question, and it’s usually the model, not you. A lot of clinics rotate you through techs and hand you generic sheets. Here, you get one-on-one time with a Certified Hand Therapist every single visit, a cause-first evaluation instead of a cookie-cutter protocol, and a phase-based plan with clear graduation criteria, so you always know why you’re doing what you’re doing, and when you’re done.
Book Your Visit
Ready when you are.
Request a time and a real person calls you back, usually within two business hours. No phone tree. No ‘someone will reach out.’ Just a plan.
- Hours Mon - Fri: 8am - 5pm
- (360) 309-0176 Prefer to talk now? Call us.
- Same-week appointments available
5.0 · 19 Google reviews
Typical response: under 2 business hours
Step 1 of 5
Request sent.
That’s the hard part done. We’ll call during business hours to lock in your time. Most people are on the schedule same week.
Visit Us
Care this good, this close.
Dynamic Arm & Hand Therapy
- 3205 NE 78th Street, Suite 102, Vancouver, WA 98665
- (360) 309-0176
- andrew@dynamichand.com
- Mon - Fri: 8am - 5pm