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Occupational Therapy

Occupational therapy works to improve the life skills or vocational path of their clients/patients.

The occupation therapy team at Greater Regional Health is highly skilled in evaluating, treating, and rehabilitating many different types of hand and upper extremity conditions such as:

  • Amputations of fingers, hands, and upper extremities

  • Arthritis

  • Burns

  • Bursitis

  • Carpal Tunnel Syndrome

  • Crush Injuries

  • Cubital Tunnel Syndrome

  • De Quervain's Tenosynovitis

  • Dislocations

  • Duputren's Contracture

  • Fractures

  • Ganglions

  • Golfer's Elbow

  • Infections

  • Joint Replacements

  • Ligament injuries

  • Edema (swelling)

  • Sprains/strains

  • Tendon and nerve repair

  • Tennis elbow

  • Trigger finger

  • Work-Comp injuries

Interventions Provided

  • Some of the areas and interventions our team may provide include:

  • Exercise, myofascial massage, taping, and compression for management of edema

  • Joint and soft tissue mobilization to improve flexibility

  • Custom static and dynamic splinting for appropriate positioning, protection or to improve movement

  • Programs to improve strength, endurance, and functionTreatment to encourage wound healing

  • Scar management to improve mobility, function and appearance

  • Desensitization and sensory re-education

  • Education to prevent re-injury, avoid complications, minimize stiffness, and reduce treatment time

  • Lymphedema management

  • Ergonomic assessments

Breast Cancer Rehabilitation

Occupational Therapist, Andrea Skellenger, will work closely with your physician to ensure the best outcomes pre and post-surgery. Our comprehensive Breast Cancer Rehabiliation program offers, individualized, evidence-based treatment to address the variety of symptoms that can accompany cancer treatment, including:

  • Cancer related fatigue

  • Limitations in range of motion or strength

  • Postural changes

  • Scar tissue restrictions

  • Lymphedema

  • Pain

  • Decreased ability to perform daily activities

Pre-Operative Therapy

With a preventative goal, our occupational therapist will begin treatment before your surgery to:

  • Conduct a baseline evaluation to determine your current functional ability and arm circumference.

  • Provide you with information on how to prevent shoulder limitations through exercise and stretching following surgery.

  • Provide information on self-care, leisure activities, use of adaptive equipment and/or environmental modification you may wish to make following surgery.

  • Skincare/scar management

  • Manual lymphatic drainage (massage)

Post-Operative Therapy

Our skilled and professional occupational therapists will assess your upper extremity range of motion and strength, limb volume, and functional limitations to develop an individualized post-operative treatment plan. This plan may include exercise programs to restore motion and strength, posture and breathing exercises, pain and scar management and/or lymphedema management.

Request Information

Our Providers

Andrea Skellenger, OTD, OTR/L, CLT, CEAS

Alannah Olson, OTD, OTR-L, CEIM

Contact Us

Rehabilitation Center

Main Campus

1700 W. Townline St

Creston, IA 50801

(641) 782-3510



8 a.m.- 5 p.m.


Urgent Care
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