Hand Therapist (Certified Hand Therapist – CHT) Average Salaries

Jan 29, 2024

8 Min Read

1. What is a Certified Hand Therapist (CHT)?


A Certified Hand Therapist (CHT) is a healthcare professional who specializes in the treatment of hand and upper extremity injuries and conditions. They have advanced training, knowledge, and experience in evaluating, diagnosing, and treating disorders and injuries of the hand, wrist, elbow, and shoulder. CHTs are typically occupational therapists or physical therapists who have obtained additional education and passed a rigorous certification exam to become certified by the Hand Therapy Certification Commission.

2. What qualifications are necessary to become a CHT?


To become a CHT, one must have a Bachelor’s degree in a related field, such as occupational therapy or physical therapy. They must also have at least 5 years of experience in hand therapy and pass the Certified Hand Therapist (CHT) exam administered by the Hand Therapy Certification Commission. Additionally, applicants must fulfill continuing education requirements to maintain their certification.

3. How do salaries for CHTs compare to other physical therapy specialties?


Salaries for CHTs, or Certified Hand Therapists, may vary depending on factors such as location, experience, and specific job requirements. However, in general, they tend to be comparable to other physical therapy specialties. According to the Bureau of Labor Statistics, the median annual wage for physical therapists was $89,440 in May 2019, which is higher than the median wage for all occupations. Additionally, CHTs may also have the opportunity to earn a higher salary by obtaining additional certifications and specializing in areas such as orthopedics or sports therapy. Overall, while salaries for CHTs may not necessarily be significantly higher than other physical therapy specialties, they are still considered a well-paying and in-demand occupation within the field of healthcare.

4. Can a physical therapist specialize in hand therapy without obtaining the CHT certification?


Yes, a physical therapist can specialize in hand therapy without obtaining the CHT certification. The certification is not a requirement to practice as a hand therapist, but it does demonstrate a level of advanced knowledge and skills in this specialized area.

5. What types of patients do hand therapists typically work with?


Hand therapists typically work with patients who have experienced hand or upper extremity injuries, conditions, or surgeries. This can include individuals with fractures, sprains, tendonitis, nerve injuries, arthritis, burns, amputations, or genetic disorders affecting the hands and arms. Hand therapists also work with patients who have neurological conditions such as stroke or cerebral palsy that affect hand and arm function.

6. Are there any specific skills or techniques that CHTs use in their practice?

Yes, there are a variety of skills and techniques that CHTs (Certified Hand Therapists) use in their practice. These may include splinting, manual therapy, therapeutic exercise, wound care, edema management, soft tissue mobilization, joint mobilization, nerve mobilization, and custom orthotics. They may also use modalities such as ultrasound and electrical stimulation to help with pain management and promote healing. Additionally, CHTs may incorporate education on ergonomics and lifestyle modifications to prevent future injuries or improve function.

7. Do hand therapists work primarily in hospitals or do they have their own private practices as well?


Hand therapists can work in a variety of settings, including hospitals, outpatient clinics, and private practices. Some may also work in schools or rehabilitation centers. Their work is largely focused on helping individuals recover from hand injuries or conditions through therapeutic techniques such as exercises and splinting.

8. How does geographic location impact the average salary for a CHT?


Geographic location can impact the average salary for a CHT (Certified Hand Therapist) in several ways. Certain regions or cities may have higher demand for hand therapists, leading to higher salaries due to competition and cost of living. Areas with larger populations or higher median incomes may also have higher salaries for hand therapists. Additionally, different states or countries may have varying levels of reimbursement rates for hand therapy services, which can affect the overall average salary for CHTs working in those areas.

9. What is the job outlook for certified hand therapists in the U.S.?


According to the Bureau of Labor Statistics, the job outlook for certified hand therapists in the U.S. is projected to grow 21% from 2019 to 2029, which is much faster than the average for all occupations. This growth can be attributed to an aging population and increased awareness of the benefits of hand therapy for injuries and conditions such as arthritis.

10. Do CHTs typically work with patients on an ongoing basis, or are their treatments more short-term?

CHTs typically work with patients on an ongoing basis, tailoring their treatments and therapy plans to address the specific needs and progress of each individual.

11. Are there opportunities for career advancement or specialized training within the field of hand therapy?


Yes, there are opportunities for career advancement and specialized training within the field of hand therapy. Hand therapy is a specialized area of occupational or physical therapy that focuses on treating injuries and conditions affecting the hands, wrists, and arms. As such, there are several advanced certifications and training programs available for hand therapists, including becoming a Certified Hand Therapist (CHT) through the Hand Therapy Certification Commission. Additionally, many hospitals and clinics offer career advancement opportunities for experienced hand therapists, such as managerial positions or teaching roles in medical education programs. Continuing education courses also allow hand therapists to stay up-to-date with the latest advancements in their field and further specialize in specific areas of hand therapy.

12. Is the demand for CHTs increasing due to an aging population and higher incidence of hand injuries and conditions?

Yes, the demand for CHTs (Certified Hand Therapists) is increasing due to an aging population and higher incidence of hand injuries and conditions.

13. Do employers typically offer additional benefits, such as healthcare and retirement plans, to certified hand therapists?


Yes, employers may offer additional benefits such as healthcare and retirement plans to certified hand therapists. However, this ultimately depends on the specific policies and offerings of each individual employer. Some may provide comprehensive benefits packages while others may offer more limited options. It is important for certified hand therapists to research and negotiate their benefit options with potential employers before accepting a job offer.

14. Are there any notable differences in salary between male and female CHTs?


Yes, there may be notable differences in salary between male and female CHTs (Certified Hand Therapists). This can vary depending on factors such as their years of experience, location, employer, job responsibilities, and negotiation skills. However, research has shown that there is a gender pay gap in various allied health professions, including occupational therapy which includes CHTs. For example, a 2019 survey by the American Occupational Therapy Association found that male occupational therapists had higher median yearly incomes than females across all levels of experience. This disparity can also be seen within the subfield of hand therapy. While there may be individual differences based on personal qualifications and circumstances, it is important to acknowledge and address any systemic discrepancies in pay between male and female CHTs.

15. Is it common for certified hand therapists to work with other members of a multidisciplinary healthcare team, such as physicians and occupational therapists?


Yes, it is common for certified hand therapists to work with other members of a multidisciplinary healthcare team, including physicians and occupational therapists. This collaboration ensures comprehensive care for patients with hand injuries or conditions, as each member brings unique expertise and techniques to the treatment plan. Hand therapists often work closely with physicians to develop a treatment plan based on medical diagnosis and intervention, while also collaborating with occupational therapists to address functional limitations and activities of daily living. Additionally, hand therapists may also communicate with other healthcare professionals such as physical therapists, nurses, and orthopedic specialists to ensure coordinated care for the patient’s overall well-being.

16. Are there opportunities for travel or working abroad as a certified hand therapist?


Yes, there are opportunities for travel or working abroad as a certified hand therapist. Hand therapy is a specialized field that is in demand globally, particularly in areas with high incidences of hand injuries and conditions such as developing countries or regions with aging populations. Many hand therapists also have the option to work in international hospitals, clinics, and rehabilitation centers through job placement agencies or by directly applying to positions. Additionally, there are volunteer opportunities available for certified hand therapists to provide services in underprivileged communities abroad.

17.Aside from rehabilitation services, what other tasks or services might a CHT provide?

A CHT (Certified Hand Therapist) may also provide patient education, custom splinting or bracing, wound care, joint mobilization and strengthening exercises, pain management techniques, ergonomic assessments and recommendations, and coordination with other healthcare professionals for comprehensive treatment plans. They may also assist with adaptive equipment and home modifications to support daily tasks and independent living.

18.What sets certified hand therapists apart from general physical therapists who may also treat hand injuries?


Certified hand therapists have specialized training and experience specifically focused on treating hand injuries and conditions. They have undergone additional education and certification to develop advanced skills in evaluating and treating hand injuries, including post-operative rehabilitation, wound management, splinting techniques, and customized exercise programs. They also have a thorough understanding of the complex anatomy and biomechanics of the hand, as well as the specific needs of different hand injuries or conditions. This specialized training sets certified hand therapists apart from general physical therapists who may treat a wider range of injuries or conditions but may not have the same level of expertise in treating hand-specific issues.

19.Are there any specific populations, such as athletes or musicians, who may benefit more from seeing a certified hand therapist rather than a general PT?


Yes, both athletes and musicians may benefit from seeing a certified hand therapist rather than a general PT. This is because these individuals often use their hands extensively in their professions and require specialized rehabilitation for injuries or conditions specific to their hand and wrist function. Certified hand therapists have advanced training and expertise in treating hand, wrist, and elbow injuries, allowing them to provide more targeted care for athletes and musicians.

20.How does one become recertified as a CHT after initially obtaining the certification?


One can become recertified as a CHT (Certified Hand Therapist) by completing the necessary continuing education hours and obtaining a passing score on the corresponding exam. The number of required continuing education hours may vary depending on the certifying organization, and the exam may cover updated information and advancements in hand therapy. Additionally, some organizations may require evidence of ongoing practice in the field.

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