Since Graduation she has been providing Occupational Therapy services in a variety of settings including Short Term Rehabilitation, Long term Rehabilitation, Outpatient services and Pediatric services. In addition to these settings Elizabeth also was the owner of "Sense-Ability" which provided Therapeutic Horseback Riding services to Pediatrics. Currently working towards her Certification as a Hand Therapist, Elizabeth hopes to expand her abilities even further providing outpatient services for the orthopedic population.
Elizabeth's certifications include: PAMPCA (Physical Agent Modalities Practitioner Credentialing Agency) services, CPR/First Aide Infant and Adult, PATH Instructor Certification (Professional Association of Therapeutic Horsemanship), and Level 1 Hippo therapy.
Elizabeth also enjoys the NC mountains and all it has to offer, including gardening, hiking and fishing. She is happily married with 2 daughters. Her greatest enjoyment is spending time with her family and helping others.
Working with your hands is not only functionally important, but can enhance your life. The goal of hand surgery is to treat pathology caused by overuse trauma, inflammatory or degenerative processes. Restoration of function and resolution of symptoms, such as pain, are critical goals of our discipline. Most conditions are amenable to initial non-operative management.
Below is a list of a select hand pathologies and treatments including basic information regarding each condition.
Normal Hand Anatomy - The hand is an intricate instrument that is both tough and delicate. Its functions of sensations and motion allow us to experience and control the world around us.
Trigger Finger - The tendons of the thumb and each of the fingers pass through a sheath on the palm side of the hand. Certain diseases and overuse activities can cause a thickening of this sheath. As the tendon passes through a thickened sheath, the tendon eventually becomes irritated and swells. Pain, catching and eventually locking of the finger will occur. Symptoms usually starts with mild discomfort and tenderness at the base of the fingers and thumb. The affected digit will be painful to bend or straighten and will often pop when flexing. Causes are not always clear and can be caused by repetitive use. Some cases can be caused by rheumatoid arthritis, gout and diabetes. Early treatment can be as simple as warm or cold packs, anti-inflammatory meds, and splinting to reduce the repetitive motion of the affected finger. Resting the tendon is the important thing and then strengthening it.
De Quervains Tenosynovitis - Tendonitis on the thumb side of the wrist can be a very painful and disabling condition. Simple pinching and twisting activities can be almost impossible. The tendons to the thumb become inflamed as they pass under a ligament and the slightest motion of the wrist can cause pain. Symptoms localized pain, swelling, and tenderness on the thumb side of the wrist. Gripping and pinching becomes painful. Causes excessive repetitive use, stress and pressure on the affected area. Repeated gripping and pinching which results in inflammation and pain. Previous wrist injuries including fractures and rheumatoid arthritis can also be associated. Treatment Options reducing repetitive motions with your thumb. Elizabeth may design a splint for you to wear at night and help you with self care exercises
Myofascial Release is a form of soft tissue Therapy. Fascia is a structure of connective tissue that surrounds groups of muscles, blood vessels, and nerves. It binds some structures together, while permitting others to slide smoothly over each other.
Fascia can become tight or restricted which can cause your pain and limit your motion. Once these limitations are released, you can experience ease and freedom of motion, comfort at rest, and relaxation.
Some of the reasons why you may seek treatment include: Back pain, neck pain, tennis elbow, TMJ dysfunction, headaches, migraines, after traumatic injury or slips and falls, after surgery, scars, sciatica, carpal tunnel, whiplash, lumbar and cervical injuries, birth trauma, chronic pain, and chronic fatigue.
Our occupational therapist is a specialist who can help you with your arthritis and to help you to maximize your ability to participate in activities safely and enhance your quality of life. The sooner you start working with an occupational therapist, the more you can benefit.
Right after your arthritis diagnosis is a good time to see an occupational therapist, your primary care physician can refer you.
Our OT wants to know about your everyday activities such as school, homemaking, work, things like laundry or anything that might become challenging, no matter how large or small. Then she will make an appropriate plan to address all those issues. Her goal is to teach you self-management skills. The plan could include a custom-fitting for splints or supports that can ease stress on painful joints and help prevent deformity. Elizabeth can teach you how to protect your joints by performing tasks in different ways than you may be used to, such as using both hands or using an assistive device.
Occupational Therapy is vital to your recovery and rehabilitation of musculoskeletal injuries or conditions where proper movement has been affected. We work close with your Orthopedic surgeon to achieve your treatment goals. Our Occupational Therapist is responsible for providing ongoing rehabilitation and care to you. By assessing, planning, implementing and evaluating the management of your injury or condition
our Occupational Therapist Elizabeth Ference aims to improve the balance and function of your musculoskeletal system.
There are stages to the rehabilitation according to your injury or condition, and it is often seen as the second stage of the recovery process. This type of rehabilitation will generally follow Orthopedic surgery. Rehabilitation becomes something that must be co-manage with close monitoring and guidance by our Occupational Therapist. During this stage you are encouraged to learn new skills, begin to re-build physical strength as well as your mental stamina and in many cases address the realities that many orthopedic conditions such as spinal injuries, trauma accidents and joint replacements require.
The role of our Occupational Therapist in Orthopedics is to assist you and help you to overcome some of the limitations due to your condition or injury. By helping you to work and live independently, as well as helping you to improve your well being. The Therapist will assess your abilities and lifestyle prior to your surgery or illness, as well as your expectations of your lifestyle post surgery.
Our Therapist will consult with you and the Orthopedic surgeon in charge of the surgery to develop a program that will best suit your expectations. After major orthopedic surgery it is imperative that your able to become independent and able to manage your lifestyle choices.
Orthopedic Hand and Elbow for
Orthotics for hands, fingers, wrist and elbow
Spinal Cord Injury
Simple Wound Care:
cleaning of wounds, monitoring and bandaging.
Does not include debridement, staples or stitch removal.
Other services to include:
Iontophoresis / Phonophoresis
is used for a variety of conditions.
Pro Motion Rehab & Wellness Center
1787 US Hwy 64 W. # 3
Murphy, NC 28906
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