andrew@dynamichand.com

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(360) 309-0176

Occupational and Certified Hand Therapy in Vancouver, WA

Precision Care for a Dynamic Life

Specialized occupational and hand therapy on restoring hand and upper extremity function so you can get back to what matters most.

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Unlock Your True Potential

Expert Hand & Upper Extremity Therapy

At Dynamic Arm & Hand Therapy, we specialize in treating conditions of the hand, wrist, elbow, and upper extremity. Whether you’re recovering from surgery, managing persistent pain, or navigating a complex injury, our care is precise, personalized, and outcome-driven.

We also provide objective, comprehensive Functional Capacity Evaluations (FCEs) for medical and legal cases.

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What We Treat

Our Hand Therapy Treatments

CONDITIONS WE TREAT

Arthritis

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Chronic Pain

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Nerve Pain

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Tendon Injuries

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Our Proven 4-Phase Recovery Program

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Pain

Struggling with hand or arm pain? Our specialists pinpoint the cause and design a targeted recovery plan built for lasting results.

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Prevent

Concerned about re-injury?
We equip you with the strength, mobility, and movement strategies needed to protect your hands and arms long-term.

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Prime

Pain relief is just the beginning.
We help you rebuild mobility, flexibility, and strength so your recovery is complete — not temporary.

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Perform

Ready to return to work, sport, or daily life? Our focused upper extremity rehab plans are designed to get you back to doing what you love — safely and confidently.

Personal Attention. Real Progress.

Care That Goes Beyond the Diagnosis

We don’t believe in one-size-fits-all therapy. Every treatment plan is built around you—your goals, your lifestyle, and your recovery timeline.

One-on-one, Individualized Care

Advanced Clinical Expertise

Clear Communication Every Step Of The Way

Measurable Progress From Day One

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Certified Therapists

Meet Your Therapist

At Dynamic Arm & Hand Therapy, we deliver expert, personalized care for hand and upper extremity conditions. From recovery to evaluation, our team blends precision, compassion, and collaboration to guide every milestone.

Andrew Peaker

MOTR/L, CHT, CFCE, CMOT, CEAS

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Reach Your Full Potential

Functional Capacity Evaluations (FCEs)

Objective, defensible evaluations for:

  • Return-to-work decisions
  • Legal cases
  • Disability determinations
  • Occupational performance

 

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Feel Better. Live Better. Future Better.

Therapy is more than exercises and splints—it’s about helping you move forward when pain or limitation disrupts your life.

Our care is built on four principles:

Dignity: You are treated as a whole person, not just an injury

Curiosity: We continually refine and customize your care

Relief: We focus on reducing pain and restoring function

Hope: Progress is always possible, even in complex cases

Services & Programs

Our Therapy Programs

From daily aches to peak performance, our hand and arm therapy blends precise treatment and targeted rehab to reduce pain, restore movement, and rebuild strength — so you’re ready for what’s next.

Hand Therapy

Are you struggling with pain, stiffness, or limited mobility in your hands, wrists, or upper extremities..

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IASTM

Are pain and restricted movement holding you back? If lingering discomfort from old injuries, overuse..

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Occupational Therapy

Has an injury, illness, or disability made everyday tasks feel overwhelming? Are challenges..

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Built for Your Comeback

Back to Pain-Free in Vancouver

You want to move comfortably and confidently — whether at work, in sport, or in everyday life. But hand or arm pain, injury, or weakness can make even simple tasks frustrating.

We believe you deserve full, reliable function in your hands and arms. Our experienced team has helped thousands of people recover strength, restore mobility, and return to the activities they love — without limitations.

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The Foundation of Your Recovery

Our Arm & Hand Therapy Programs

Our hand and arm therapy programs follow a clear, progressive path. We first calm pain and restore mobility, then rebuild strength through precise, corrective exercise. From there, we advance your rehabilitation into functional and preventative training, ensuring your recovery is not only complete — but durable. The result is structured care designed to deliver lasting strength and confidence.

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Start Your Recovery Today

Get expert care focused on restoring function, reducing pain, and helping you return to what matters most.

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Frequently Asked Questions

What should I expect during occupational therapy sessions?

Occupational therapy sessions typically involve an assessment of your condition, manual techniques to improve mobility and flexibility, individualized exercises and activities to help you reach your goals, education on how to prevent further injury or pain, and instruction on proper posture, body mechanics and other lifestyle changes.

Do I need a referral from my doctor before attending Occupational Therapy?

OTs are licensed to evaluate and treat patients without requiring a physician referral as a matter of state practice act unless the insurer specifically requires it for payment.

However, insurance plans often have their own payment/referral rules that dictate whether the patient must see a primary care provider (PCP) or get a referral before the insurer will reimburse OT services.

What do I need to wear or bring with me?

You should dress in comfortable, loose clothing that allows you to move easily and doesn’t restrict circulation. Depending on your condition, your occupational therapist may also recommend special shoes or a brace. You should also bring any paperwork related to your medical history, including x-rays, ultrasounds, and doctor’s notes.
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Is there anything I can do before my appointment to prepare?

Yes! Make sure you arrive for your session well-rested so that you can give it your full attention and energy. It is also helpful if you keep track of how much pain medication (if any) you take prior to the appointment so that the occupational therapist can adjust the intensity of treatment accordingly.

How long will my occupational therapy sessions last?

Sessions typically last 30-60 minutes depending on your condition and the types of techniques used. Your occupational therapist will give you an estimate when you first arrive for your appointment.

Are there any exercises I can do at home between appointments to help improve my condition?

Yes! Your occupational therapist may provide specific exercise recommendations for you to try in between visits, which will help speed up your recovery and progress faster toward reaching your goals. It’s important to follow these carefully and always check with your PT before starting a new exercise program if you have any questions or concerns.

What if I have questions after my occupational therapy session?

Your occupational therapist should be available to answer any questions or concerns you may have about your treatment plan before and after each visit. You can also contact the clinic directly for further assistance. We want you to get the most out of every session!

Will insurance cover my occupational therapy?

It depends on your insurance plan. Most plans cover some or all of the costs associated with occupational therapy, but you should check with your provider to determine coverage and any associated fees.

How often will I need to attend occupational therapy sessions?

The frequency of visits will depend on your individual goals and condition, but typically it is recommended that patients attend 2-3 times per week for a minimum of 4-6 weeks in order to maximize results. Your therapist will provide more details during your initial appointment.

How long will it take for me to see results?

Every person’s situation is unique; therefore the amount of time needed to reach goals varies. With commitment and dedication from both you and your occupational therapist, you can expect to start seeing results within a few weeks. The more positive lifestyle changes you make, the faster your progress will be!

Will my occupational therapist be able to answer any questions I have about my condition?

Yes! Your occupational therapist should be available to discuss any concerns or questions you have regarding your condition or treatment plan. Don’t hesitate to bring up any issues that may arise during the course of therapy.

What if I feel too much pain during a session?

If at any time during your occupational therapy session you experience increased pain, it’s important to let your therapist know so they can adjust the intensity or technique as necessary. Your therapist will work with you to make sure that treatment is comfortable and effective for you.

How will I know when I no longer need occupational therapy?

Your occupational therapist should be able to provide guidance on when it is appropriate to stop attending occupational therapy sessions based on your progress, goals, and overall health status. It’s important to listen to your therapist and continue with treatment until they feel you are ready to move on.