Hand Therapy Academy

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.

Miranda and Josh talk about off the shelf splints 

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.

Josh and Emily talk about common pitfall in small business. 

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 common reasons why people fail the CHT.