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Hand Reaching Out

Upper Extremity Clinic

Our Upper Extremity Clinic offers a holistic, non-surgical approach to rehabilitation for patients experiencing conditions/injuries affecting the upper limbs such as peripheral nerve disorders, central nervous system disorders, and musculoskeletal conditions.

Patients accessing our Upper Extremity Clinic will benefit from assessment, treatment, and customized splinting (if required) by Occupational Therapist Jennifer Kulick, who holds a Masters degree in Upper Extremity Rehabilitation. Jennifer’s approach to upper extremity rehabilitation is based on current best practice evidence in functional restoration as well as in the theoretical foundations of kinematics, exercise physiology, and neurodynamics.


Treatments offered by Jennifer include exercise prescription, mobilization, scar management, neuromuscular re-education, sensory retraining, graded motor imagery, ergonomic analysis, pain management and orthosis fabrication.

Patients will also benefit from triage as needed to the rest of our interdisciplinary team which includes access to injections by our Sports Medicine physicians, and/or manual therapy and acupuncture by our Physiotherapists and Chiropractors. 

Conditions/injuries treated include: 

Peripheral nerve disorders

  • Peripheral Entrapment/compression neuropathies (e.g. Carpal tunnel syndrome)

  • Nerve injuries with functional deficits requiring bracing/compensation strategies.

Central nervous system disorders

  • Central nociplastic UE pain 

  • Upper motor neuron lesions

  • Sensory-motor disintegration

  • Contractures

  • Complex regional pain syndrome (CRPS)

Musculoskeletal conditions

  • Tendinopathies

  • Post-Dislocation/instability

  • Sprain/strain

  • Osteoarthritis & rheumatoid arthritis

  • De Quervain's tenosynovitis

  • Intersection syndrome

  • Scapular dyskinesis

  • Frozen shoulder

  • Fractures

  • Mallet finger

  • Deformities (e.g. boutonniere, swan-neck)

We are currently accepting patient referrals from health professionals via fax at 613-747-2766 or patients are welcome to self-refer by contacting us at 613-745-2766 or


Please note that these services are NOT funded through OHIP but may be covered through extended health care benefits plans.

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