What We Treat

Chronic hand and arm pain treatment in Vancouver.

You’ve had this hand or arm pain for months, and you’ve been told it’s just aging. It usually isn’t, and it starts with a cause-first evaluation, not a guess.

Long-standing pain Told it’s just aging Old hand injuries Talk to a Specialist

Sound Familiar?

Does this sound like you?

  • Hand or arm pain that has hung around for months or years
  • Being told it’s just aging and to live with it
  • An old injury that never quite came all the way back
  • Pain that quietly shrinks what you’ll pick up or carry
  • Good days and bad days with no reason you can name
  • Giving up on it because nothing so far has really helped

Two or more? Keep reading.

Why It Happens

Long-standing pain still has a cause.

Pain that has lasted months rarely means you’re just getting old. Something is still driving it: a joint that never regained motion, a muscle left weak after an old injury, a nerve that stays irritated, or a way of moving that keeps reloading the sore spot. Time alone doesn’t sort that out.

The problem is that quick appointments skip the digging. A cause-first evaluation, one-on-one with a Certified Hand Therapist, takes the careful look others skipped and finds what’s actually keeping the pain going. Then a graded plan rebuilds from there. Keep waiting, and you keep shrinking your life around a problem that can be solved.

Person wincing while holding their own wrist in pain

The Honest Truth

Old pain doesn’t fade on its own.

If you keep waiting

  • You keep trimming activities, and your world gets smaller
  • Muscles weaken from months of guarding, adding new problems
  • You start to believe this is just how it is now

If you start this week

  • You finally learn what is actually driving the pain, by visit one
  • A graded plan that meets you where you are and builds up
  • You get a plan with an endpoint: a real one, not an open tab of visits

Nobody regrets starting too early. Every week, someone in our clinic says they regret waiting.

How We Fix It

The same four phases. Built for your case.

Every plan has an endpoint. Here’s what the four phases look like for long-standing pain.

Weeks 1–2

Pain

Turn the pain down.

Hands-on techniques and smart load changes take the edge off pain you’ve carried for months, starting your very first visit.

Weeks 2–6

Prime

Restore what got stiff.

Targeted mobility work gives back the motion an old injury quietly locked away.

Weeks 6–10

Perform

Rebuild real strength.

A graded strengthening plan rebuilds the capacity months of guarding took from you.

Weeks 10+

Prevent

Get your life back.

The tasks you gave up get tested under real load before you return to them: that’s the endpoint, not just another appointment.

Andy is incredibly knowledgeable and helpful. He was patient and spot on with exactly what I needed during my recovery. I had multiple fractures in my hand. Without his assistance I wouldn’t have regained function as quickly and as perfectly. I expected way more loss of function long term, but with his therapy sessions I’m back to 100%.

Shared by Dmitriy I. · Multiple hand fractures

Expected: major loss of function for the long term

Result: back to full function, better than hoped

Multiple hand fractures Back to 100%

Related Conditions

Pain rarely stays in one place.

Compensation patterns often show up nearby. Here’s what else we treat.

1

Carpal Tunnel Syndrome

Numbness, tingling, and a grip that fades right when you need it.

Learn More 2

Tendinitis

Reaching overhead or gripping flares a tendon that will not calm down.

Learn More 3

Nerve Pain

Burning, tingling, or numbness down your arm that no one has explained.

Learn More

Questions, Answered

What people ask before booking for chronic pain.

It’s the most common thing people are told, and it’s usually wrong. Age can be part of the picture, but long-standing pain almost always has a driver you can actually change: lost motion, weakness, or an irritated nerve. A cause-first evaluation takes the careful look quick visits skip. Most people find the pain was never just their age.

Because most of what people try treats the symptom, not the cause. When the real driver is never found, the pain keeps coming back, and that’s exhausting. Hand therapy starts with a cause-first evaluation to find what was missed, then a graded plan built one-on-one with a Certified Hand Therapist. Different starting point, different result.

It depends on how long the pain has been around, and you get a plan with an endpoint from the start. A graded plan moves through all four phases, Pain, Prime, Perform, and Prevent, at a pace your body can handle. You will always know which phase you are in and what is left, not an open-ended string of appointments.

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

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So we know who to look for when you walk in.

Visit Us

Care this good, this close.

Dynamic Arm & Hand Therapy

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