🟢 Accepting New Hand & Wrist Patients ⭐ 5.0 Google Rating 📍 601 Hamburg Tpke, Suite 103, Wayne, NJ 📞 (973) 689-7123
spectrum therapeutics

Hand & Wrist Physical Therapy in Wayne, NJ

Restore Your Grip, Strength, and Precision.

Numbness in your fingers? Sharp pain when typing or opening jars? Whether it's Carpal Tunnel, Trigger Finger, or Thumb Arthritis, hand pain can stop your life. At Spectrum Therapeutics, we treat the mechanical cause of wrist and hand dysfunction.

Led by Dr. Rob Letizia, Orthopedic Manual Physical Therapist, our 1-on-1 care uses advanced manual therapy and nerve gliding to restore function without surgery.

Last Medically Reviewed: February 2026 by Dr. Rob Letizia, DPT

Schedule Your Hand Evaluation →
25+
Years Experience
Manual
Therapy Specialist
1-on-1
Doctor Care Only
5.0 ★
Google Rating

Is This You?

If you are experiencing any of these symptoms, your hand or wrist may need professional evaluation:

  • Tingling or numbness in the thumb, index, and middle fingers
  • Fingers 'locking' or 'clicking' when trying to straighten them
  • Aching at the base of the thumb when gripping or pinching
  • Dropping objects due to sudden hand weakness
  • Wrist pain when pushing up from a chair or typing

What is Hand Physical Therapy?

Hand & Wrist Rehabilitation is a specialized field targeting the 27 bones and dozens of tendons in the hand. Physical therapy actively reduces nerve compression (like carpal tunnel) and restores the 'glide' of tendons to stop trigger finger. We focus on precision and durability so you can return to work and hobbies pain-free.

At Spectrum Therapeutics in Wayne, we treat the cause of the strain, ensuring your wrist and hand work in perfect rhythm.

Conditions We Treat

Carpal Tunnel Syndrome

Nerve compression at the wrist. 我们使用神经滑动和骨动员来缓解麻木并防止手术。

Trigger Finger

Stenosing Tenosynovitis. We restore the smooth slide of the finger tendon through its sheath using manual techniques and loading.

De Quervain’s Tendonitis

Pain at the base of the thumb. We treat the mechanical pull on the thumb tendons to stop the sharp pain when gripping.

Wrist Sprains & Tears

Including TFCC tears. We focus on joint stability and safe loading to return you to sports and heavy lifting.

Arthritis & Joint Stiffness

Manual joint mobilization keeps the hand bones moving correctly, reducing inflammation and morning stiffness.

Post-Fracture Rehab

Recovery after a wrist or hand break. We safely restore the range of motion and grip strength lost during immobilization.

Why Choose Physical Therapy First?

Hand surgery is delicate. PT is the logical first step.

VS. Surgery

Surgery for Carpal Tunnel or Trigger Finger carries risks of scarring or nerve damage. Studies show PT is highly effective for moderate cases, allowing many to cancel their surgeries.

VS. Bracing Alone

Braces limit pain by stopping movement, but they don't fix the problem. We use bracing as a tool, but combine it with exercises to fix the underlying mechanics.

VS. Steroid Shots

Injections reduce swelling fast but can weaken tendon health with repeated use. Physical therapy addresses the cause of the swelling, providing a long-term, drug-free solution.

Your Path to Pain-Free Hands

01

Exam

We perform nerve conduction tests and grip strength analysis.

02

Gliding

Specialized nerve and tendon gliding to restore smooth movement.

03

Strengthening

Rebuilding grip and fine motor control for daily tasks.

04

Precision

Return to typing, crafting, or sports with full control.

Dr Rob Letizia physical therapist Spectrum Wayne NJ

Meet Dr. Rob Letizia, PT, DPT

Orthopedic Manual Physical Therapist

Dr. Rob Letizia is a Doctor of Physical Therapy and Orthopedic Manual Physical Therapist. He specializes in treating delicate wrist and hand conditions where precision is everything.

Qualifications:
🎓 Doctor of Physical Therapy (DPT)
🏆 Advanced Certification in Orthopedic Manual Therapy
⚕️ 25+ Years of Clinical Practice in Wayne, NJ

The hand is a tool of precision. You need a specialist who understands the minute mechanics required to restore your full dexterity.

Book with Dr. Rob →

✓ Insurance We Accept

• Medicare• BCBS • Horizon BCBS• Aetna • Cigna• United Healthcare • Oxford• Humana • Workers' Comp• Auto (PIP)

Don't see yours? Call — we verify benefits free.

🕐 Hours

Monday8:30 AM – 7:00 PM
Tuesday8:30 AM – 2:00 PM
Wednesday8:30 AM – 7:00 PM
Thursday8:30 AM – 2:00 PM
Friday8:30 AM – 2:00 PM

See Our Approach in Action

Hand and Wrist Physical Therapy — Wayne, NJ

What Our Patients Say

Common Questions About Hand & Wrist Therapy

Can physical therapy fix Carpal Tunnel without surgery?

Yes. Physical therapy is highly effective for mild to moderate carpal tunnel syndrome. We use manual mobilization of the carpal bones and nerve gliding exercises to create space in the tunnel, relieving the pressure on the median nerve without invasive surgery.

What is the best treatment for Trigger Finger?

We use specialized soft tissue mobilization and tendon gliding protocols to reduce the inflammation of the tendon sheath. This allows the finger to move smoothly without catching or locking, often avoiding the need for steroid injections.

Why do my hands feel stiff in the morning?

Morning stiffness is often a sign of osteoarthritis or repetitive strain. Physical therapy restores the lubrication of the small joints in the hand and improves blood flow to the tendons to reduce that 'locked' feeling.

PT vs. Chiropractor: What's better for wrist pain?

Wrist pain is usually a soft tissue or alignment issue within the 8 small carpal bones. Physical Therapists are trained specifically in these extremity mechanics. We combine joint mobilization with muscle retraining to ensure long-term stability.

What is De Quervain’s Tendonitis?

It is inflammation of the tendons on the thumb side of the wrist. It's common in new parents ('Mommy Thumb') and office workers. We treat the mechanical friction causing the inflammation to provide rapid relief.

How long does it take to fix wrist pain?

Most patients feel relief within 2-3 sessions. Full recovery for tendon issues typically takes 4-8 weeks. Early intervention is vital for the hand, as we use our hands for everything and delay can lead to chronic nerve issues.

Do I need a referral?

No. New Jersey is a Direct Access state. You can schedule directly with Dr. Rob immediately without waiting for a physician's prescription.

Do you treat post-surgical hands and wrists?

Yes. We regularly rehab patients after Carpal Tunnel Release, Tendon Repairs, and Fracture ORIF (surgery). We follow your surgeon's protocol to safely restore your grip and dexterity.

Does insurance cover this?

Yes. We accept Medicare, BCBS, Aetna, Cigna, United, and most major plans. We will verify your exact coverage for you before you arrive.

Should I wear a wrist brace?

Braces are helpful for resting a joint at night, but wearing them all day can cause muscle weakness. We teach you how to use a brace as a tool while simultaneously strengthening the muscles so you can eventually get out of the brace.

  • treating frozen shoulder in winter

    What's Behind Frozen Shoulder in Cold Months?

    Dr. Rob Letizia PT, DPT

    Frozen shoulder causes progressive pain and stiffness that can make everyday tasks extremely difficult. Cold weather often highlights these limitations by increasing muscle tightness and daily strain. Understanding the stages...

    What's Behind Frozen Shoulder in Cold Months?

    Dr. Rob Letizia PT, DPT

    Frozen shoulder causes progressive pain and stiffness that can make everyday tasks extremely difficult. Cold weather often highlights these limitations by increasing muscle tightness and daily strain. Understanding the stages...

  • upper back mobility and strengthening exercises

    What's Missing in Your Upper Back Pain Treatment?

    Dr. Rob Letizia PT, DPT

    Upper back pain is not always caused by tight muscles. For many people, the real issue is an imbalance between spinal mobility and strength. Identifying whether your spine needs more...

    What's Missing in Your Upper Back Pain Treatment?

    Dr. Rob Letizia PT, DPT

    Upper back pain is not always caused by tight muscles. For many people, the real issue is an imbalance between spinal mobility and strength. Identifying whether your spine needs more...

  • “how to progress exercises after physical therapy

    How to Keep Getting Stronger Post-PT

    Dr. Rob Letizia PT, DPT

    Finishing physical therapy is a major milestone, but it is also where many people lose momentum or get hurt again. This guide explains how to safely progress your home exercise...

    How to Keep Getting Stronger Post-PT

    Dr. Rob Letizia PT, DPT

    Finishing physical therapy is a major milestone, but it is also where many people lose momentum or get hurt again. This guide explains how to safely progress your home exercise...

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Dr. Rob Letizia with patient in Wayne

Ready to Fix Your Wrist & Hand Pain?

Don't let hand pain slow you down. Schedule your consultation with Dr. Rob today and start your path to lasting relief.

✓ Same-Day Appointments Available
✓ No Referrals Needed
✓ Most Insurance Accepted

📞 (973) 689-7123

📧 spectrum@spectrumtherapynj.com
📍 601 Hamburg Turnpike, Suite 103, Wayne, NJ 07470

Book Your Appointment Online →

📍 Visit Our Wayne, NJ Clinic

Hand & Wrist Therapy Serving Wayne & Northern New Jersey

Passaic County

Wayne • Totowa • Little Falls • Woodland Park • Paterson • Pompton Lakes • Haledon • North Haledon • Hawthorne • Clifton

Morris County

Lincoln Park • Montville • Pequannock • Butler • Kinnelon • Riverdale • Boonton • Parsippany

Bergen County

Fairfield • Fair Lawn • Glen Rock • Ridgewood • Wyckoff • Franklin Lakes • Oakland

Can't find your town? If you're in Northern NJ and struggling with wrist pain, we can help. Call (973) 689-7123

Medical Disclaimer: The information on this page is for educational purposes only and does not constitute medical advice or diagnosis. Always consult with a licensed healthcare provider for your specific condition. If you are experiencing a medical emergency, dial 911 immediately.

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