Specialized hand and upper-extremity therapy

Arthritis & chronic conditions

Practical care to reduce strain and help you keep doing what matters.

Riviera provides one-on-one mobile therapy for painful, stiff, or changing joints—focused on comfort, mobility, protection, and everyday function.

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Hand and wrist participating in a recreational activity

Conditions we commonly address

Care matched to your joints and daily life

Arthritis can affect people differently. We look beyond the diagnosis to understand which movements and activities are causing the most difficulty.

01

Thumb & hand osteoarthritis

Pain, weakness, or stiffness at the thumb base, fingers, wrist, or other upper-extremity joints.

Including thumb CMC arthritis
02

Inflammatory arthritis

Support for changing joint symptoms, fatigue, swelling, positioning, and functional challenges.

Including rheumatoid arthritis
03

Chronic stiffness & pain

Limited movement or persistent discomfort related to prior injury, surgery, degeneration, or prolonged symptoms.

Individualized functional care

Reasons to seek care

When joint symptoms begin limiting your day.

Pain with pinching, gripping, lifting, or opening containers
Morning stiffness or reduced joint motion
Swelling, tenderness, or fluctuating symptoms
Weakness or fatigue during daily tasks
Difficulty working, cooking, dressing, crafting, or exercising
Questions about braces, tools, or safer ways to use your hands

How we can help

Less strain. More comfortable function.

Your plan is shaped around your symptoms, priorities, and the activities you want to preserve.

01

Joint protection

Learn practical ways to reduce stress on painful joints without giving up important activities.

02

Custom orthoses

Support painful or unstable joints with a custom splint when appropriate.

03

Movement & exercise

Targeted mobility and strengthening selected for your joints and current irritability.

04

Pain & swelling care

Hands-on treatment, education, and home strategies for comfort and symptom management.

05

Adaptive solutions

Tools, task modifications, and ergonomic changes that make everyday activities easier.

06

Long-term self-management

A realistic plan for responding to flare-ups and maintaining strength and function over time.

A realistic approach

Arthritis care is about protecting function.

Therapy does not reverse arthritis, but it can help you manage symptoms, support vulnerable joints, improve useful motion and strength, and approach daily tasks with less strain.

When symptoms suggest that additional medical evaluation may be helpful, we coordinate with or refer you back to the appropriate provider.

Mobile hand therapy in Santa Barbara

Make everyday hand use feel more manageable.

Meet one-on-one with a Certified Hand Therapist in your home and build a plan around the activities that matter to you.

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