Therapy Center

GW5A5656 (1)The purpose of The Miami Hand and Upper Extremity Institute Therapy Department is to promote health, healing and well being for hand and upper extremity conditions through a comprehensive approach. The Miami Hand and Upper Extremity Institute Therapy Department provides personalized and individualized hands on treatment of all injuries, acute, chronic and degenerative illnesses.


We are dedicated to creating an atmosphere of wellness and professional hospitality in the specialty of upper extremity rehabilitation. We evaluate and assess our patients and their presenting conditions, develop treatment programs and deliver comprehensive care so they can lead fully functioning, healthy lives. The highly qualified hand therapists and professional staff is there to assist in optimal patient recovery and physician communication.We start by conducting a thorough evaluation often within days of the injury or surgery and then develop a recovery plan tailored to the patient’s specific needs. Our focus is on providing a continuum of care throughout the recovery process while valuing the importance of one-on-one time with each patient. Our experienced hand therapists can offer patients help to return them to a productive lifestyle

Some of the treatment services Hand Therapy provides:Therapy Action 2

  • Evaluations and assessment
  • Customized Splint fabrication
  • Post operative care for traumatic and elective procedures
  • Preventative, Non-operative treatment
  • Manual Therapy
  • Wound Care management
  • Pain management
  • Scar management
  • Desensitization and sensory re-education
  • Patient Education and Home Exercise Program
  • Training for daily living activities
  • Therapeutic Exercises
  • Functional Activities and Daily Living Skills, including assessment for adapted equipment to improve hand use.

Therapy Center Team Members

Charleen Stennett, OTR/L, CHT

The director of the rehabilitation department at the Miami Hand and Upper Extremity Institute…

Rodovaldo Macias, COTA

A certified Occupational Therapy Assistant focused on traumatic and cumulative injuries…

Brian C. Gwin, OTR/L, CHT

An Occupational Therapist & Hand Therapist at the Miami Hand and Upper Extremity Institute…

Janet Sierra, MS, OTR/L

Janet Sierra is a board certified occupational therapist on staff at the Miami Hand and Upper…

Iliana Garriga, OTR/L, CHT

Iliana Garriga has been an Occupational Therapist since 1987. After graduating from Florida

Therapy Action 3At the Hand Institute Therapy Department, we feel a positive, healing environment is necessary in the recovery process and essential for achieving your personal goals. That’s why our team is comprised of certified hand therapists/occupational therapists and a certified occupational therapist assistant with over 20+ years in practice with hand and upper extremity conditions. The team has specialized knowledge of upper extremity functions to work together to continually assess your progress and design the most effective treatment to decrease your pain level, and restore range of motion, strength and function of the upper extremity. Our Hand Therapists are certified by the Hand Therapy Certification Commission (HTCC) which requires five years of experience as a physical/occupational therapist, 4,000 hours of direct patient experience in Hand Therapy and the successful completion of the Hand Therapy Certification Exam.

Within our practice, you will find a team of friendly, informative and knowledgeable staff, all whom are here to make your experience with us as comfortable, reassuring and efficient as possible.

Therapy Center Contact Information

Direct: 305-595-0855
Fax: 305-412-2356

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