Your hands make your life possible. Let’s get you back to it.
Private, specialized rehabilitation for the hand, wrist and upper extremity with Kate Silverman, Certified Hand Therapist. From complex post-surgical recovery to injury, pain and loss of function, every plan is built around one question: what do you need your hands to do again?
Unhurried care for the part of you that does everything.
Every visit is fifty minutes, one to one, with a Certified Hand Therapist. No assistants and no double booking. Treatment takes place in a private clinic with large windows, or at your home.
Certified Hand TherapistAdvanced, board certified upper limb care
One to oneThe same therapist at every visit
Clinic or in-home351 Hitchcock Way, Suite 220, Santa Barbara, or at your home
Private payDirect pay, no insurance billing
What we treat
Focused rehabilitation for the hand and upper limb
Post-operative and orthopedic care
Intensive rehabilitation for the hand, wrist, elbow and shoulder, including after surgery.
Fractures
Tendon, ligament and nerve injuries
Dupuytren's contracture
Arthritis, burns and scar care
Repetitive strain and sports injuries
Hands-on care for strain and nerve compression in the hand, wrist, forearm and elbow, from computer work, sport or manual labor.
Repetitive strain injuries
Nerve compression injuries
Sports injuries
In-home ergonomic evaluations
Custom splinting and scar care
Splints made to fit your hand, plus swelling and scar management, so each stage of healing is supported.
Custom splints made to fit your hand
Scar management
Swelling management
Education and a home program
Why a hand therapist
Slower to rush, quicker to understand
i.The same therapist throughoutYou see Kate at every session, so nothing is repeated and nothing is missed.
ii.You learn the whyEach exercise and decision is explained, so you can look after your hand between visits.
iii.Modern, evidence-based toolsHands-on therapy combined with measured strength and motion tracking.
Your first visit
What to expect
Your first visit starts with an evaluation and goal setting, so Kate understands your condition and what you want your hand to do again. Care is then planned around you.
Evaluation and goal setting
Manual therapy and mobilization
Therapeutic exercise and neuromuscular retraining
Scar and swelling management
Custom splinting when indicated
Education, a home program and lifestyle guidance
What your visit includes depends on your needs.
Meet your therapist
Kate Silverman
Kate grew up in San Francisco and began her career at the Rehabilitation Institute of Chicago, now the Shirley Ryan AbilityLab, working with patients with spinal cord injury. U.S. News & World Report has ranked it the No. 1 rehabilitation hospital in the country for 36 consecutive years. She moved to Boston to specialize in the hand and upper limb, working with musicians' injuries before widening into orthopedic hand and upper limb care. She later practiced in Santa Monica and now treats patients in Santa Barbara.
When she is not in the clinic she is usually hiking, and she brings the same belief in fitness, wellness and balance to her patients' recovery.
MOT, OTR/L, CHT · Active Release Technique certified
“Working with Kate was truly a life-changing experience. From the moment I walked into the clinic, I felt not just cared for-but understood. She didn’t just treat my injury; she treated me. Her expertise in hand therapy is undeniable, but what really sets her apart is her ability to connect on a personal level. She listened, encouraged, and supported me through every stage of recovery-physically and emotionally. Her kindness, encouragement, and gentle persistence made an incredible difference in my healing process. Thanks to her, I not only regained strength and function, but also confidence and peace of mind. I am endlessly grateful for her dedication, compassion and healing hands.”
Ally G.
“Kate is fantastic! I had wrist surgery six months ago and I credit my excellent recovery to her expertise and care. If you care to have your hands work correctly after injury, Kate is the answer!”
Peter L.
“Kate is an exceptionally skilled upper extremity therapist. I not only send her patients, which always leads to rave reviews, but I have also used her myself for my own injuries, where she helped me make a full recovery. I can’t recommend her enough.”
David P., DO
“A truly amazing hand therapist! I accidentally cut my tendon while woodcarving and I was worried I would never regain full motion of my thumb. But now, from working together, I have regained all of my grip and all of my thumb motion. I couldn’t be happier with this outcome. I enjoyed our conversations each session. Kate is the best hand therapist I could have wished for and I would recommend anyone who needs help to go to her.”
George K.
“After multiple hand surgeries and a few different therapists, Kate was the only one who really made a difference. She took the time to understand what was going on with my hand and wrist and got me on track and back to a normal life very quickly!”
Michael B.
“Kate is an exceptional hand therapist. She is knowledgeable and kind. She took the time to know me and customized her approach to the unique aspects of my injury. With her help, I made significant progress in my recovery, a marked improvement over what I experienced with my previous therapist. I am so grateful to Kate and cannot recommend her highly enough.”
Diane S.
Rates and location
Simple, transparent private pay
Session rates
In clinic, 50 minutes$225
Concierge, in your home, 50 minutes$450
Precision Hand Therapy is a private-pay practice and does not bill insurance. Superbills are available on request to help you seek out-of-network reimbursement from your insurer. Packages of six clinic visits are 10% off and must be used within six months. The package discount does not apply to in-home visits.
