About Virtual Hand to Shoulder Institute, LLC

Continuous Improvement in Hand Therapy

Bridging Access, Innovation, & Education

For the last 21 years, I have been fortunate to work for excellent organizations with exceptional surgeons.  I've also worked alongside many talented and committed clinicians. 


I have learned a tremendous amount from the various professionals I've worked with, and from the many patients I've been privileged to treat.  I've also had the opportunity to learn as a patient myself, and through the years, my passion has become passing along the knowledge I've gained to patients working to achieve a full recovery, and to clinicians working to achieve mastery in the specialty of upper extremity & hand therapy.


 Virtual Hand to Shoulder Institute, LLC has been established to provide access to specialized and evidence-based care for patients, and our unique expertise lies in educating and coaching to enable them to take a lead role in achieving their best outcomes through continuous improvement.

Our passion is enabling patients to be active participants in their care by providing them with the knowledge and tools to achieve their rehab goals on their terms. We are interested in interventions that are evidence-based and that patients can carry out independently. We are not interested in interventions that lack evidence and require patients to come to a therapy clinic in order to receive them.  

This is why I love tele tele-therapy; it removes all the aspects of therapy that make patients feel dependent on going to a clinic 2-3 times a week to have just a few minutes of a therapist's 1:1 attention and it brings therapy down to what matters most, enabling you with the knowledge and tools to help yourself. No one can do rehab for you. Tele-therapy gets to what matters most from the start which is YOU.

 Dr. Mirella Deisher, OTD, MS, OTR/L, CHT


Doctor of Occupational Therapy

Certified Hand Therapist