About Us

The Hand & Upper Extremity Center

Welcome to Hand Rehabilitation Specialists (HRS) — a therapist-owned private practice with over 45 years of experience specializing in the treatment of conditions affecting the hand, wrist, elbow, shoulder, and upper extremities.

At HRS, we are dedicated to providing personalized care and comprehensive rehabilitation to help you regain strength, mobility, and function—so you can get back to the activities that matter most.

Our collaborative team of Occupational Therapists and Physical Therapists shares a passion for improving lives through expert, compassionate care. We are proud to have Certified Hand Therapists (CHTs) on staff—clinicians with advanced training and expertise in upper limb rehabilitation. With over 100 years of combined experience, our team works closely together to develop individualized treatment plans tailored to your unique needs and goals.

As a therapist-owned practice, we offer a level of personal commitment and continuity of care that larger organizations often can’t match. Whether you’re recovering from an acute injury or managing a chronic condition, you can count on us to guide and support you every step of the way.

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Our Legacy

Founded in 1977 by Anne England, HRS was one of the first private practice hand therapy clinics in California. In the same year, the American Society of Hand Therapists was founded, marking the beginning of a transformative era for the field of hand therapy. Since then, HRS has continued to grow, with a history rich in innovation and achievement.

Our practice has been a pioneer in the field, with several of our therapists being among the first to earn the prestigious Certified Hand Therapist (CHT) designation in 1991. As the years went by, our team expanded and took on new challenges, growing our clinic to include multiple locations, and establishing a reputation as a leader in hand and upper extremity rehabilitation.

In 2004, after the passing of our founder, Anne England, HRS continued to thrive under the leadership of Laurie Roundtree and Heidi Bowers-Dutra. Their dedication to patient care, combined with their clinical expertise, ensured that HRS remained a trusted name in the field. Today, under the leadership of Dr. Adrienne Hofmann, PT, DPT, CHT, we continue our commitment to providing expert care and carrying on the legacy of our founders.

What We Do

We offer a range of specialized services designed to treat pain, stiffness, swelling, and dysfunction in the hand, wrist, elbow, shoulder, and upper extremities. Whether you’re recovering from an injury, managing a chronic condition, or seeking to improve your functional abilities, our team is here to guide you through your recovery journey.

We treat a wide range of conditions, including but not limited to:

Why Choose us?

Our ultimate goal is to help you regain your independence and get back to doing the things you love. From the moment you enter our clinic, we will provide the information, guidance, and support you need to fully understand your condition and treatment options.

47 Years

Practice was established in 1977.

Highly Skilled

Six certified hand therapists (CHT's).

Therapist Owned

100 years of combined services.

Privately Owned

We can accept you with any referrals.

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New Patients

Did you know that it is your choice where you attend therapy? You may independently choose your therapy facility even if your MD refers you elsewhere.

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Client Testimonials

Our users are Happy & Pain Free

Hand Rehabilitation Specialists

4.9

Casey Reinhardt

Highly recommend!! I worked with a few different therapists - mainly Adrienne, Jenny, and Agnes - and they were all so friendly, knowledgeable, creative and warm. They made my visits truly enjoyable and most importantly helped my wrist feel normal again after dealing with some pretty debilitating tendinitis. Will definitely be back for any future hand PT needs and recommending them to everyone 🙂

Michelle B

I've been a patient at Hand Rehabilitation Specialists in Thousand Oaks twice—first in 2016 for a traumatic arm injury, and again in 2024 after breaking my wrist. Both times, the care was outstanding. Adrienne was especially amazing. After my first injury, I wasn’t sure how much movement I’d regain, but with her help, I recovered strength and mobility far beyond what I expected. She’s incredibly knowledgeable, patient, and genuinely cares about your recovery. When I returned years later for a different injury, I knew I was in great hands again. The whole team is professional, supportive, and focused on helping you heal. Highly recommend them if you’re looking for expert hand and upper extremity rehab!

Jim Powers

Staffed with highly professional therapists and very kind and understanding front office personnel, Hand Rehabilitation Specialist was the perfect fit for me to rehab and recover from hand surgery. All of the staff was very encouraging and upbeat as they carefully guided me though my recovery. I truly looked forward to each appointment, not only for the hands-on therapy, but also to spend quality time with the staff, who focus on the physical and emotional recovery of each patient that walked through the door. Thank you so much.

Elizabeth Aiken

The whole team here is quite exceptional. From the front desk with Julie & all the occupational therapists & physical therapists, you will get the help you need with great results! Adrienne not only helped me reach my goals to get movement back in my finger & hand , she did it with such joy & attention to my well being. It is a happy place!

Steve Day

I was referred to Hand Rehabilitation Specialists for tennis elbow in both elbows. Using my arms to lift anything was incredibly painful. it took a few months but my tendons are now healed. The quality of care at HRS is five star. They take time with you and teach you how to do the same rehabilitation exercises at home. great people!