About Virtual Hand to Shoulder Institute, LLC

Bridging Access, Innovation, & Rehabilitation
Evidence-based Upper Extremity & Hand Rehabilitation

For the last 22 years, I have been fortunate to work for excellent organizations with exceptional surgeons.  I've also worked alongside many talented and committed clinicians. My passion has always been ensuring that therapy maximizes the opportunity for recovery because as a patient, this is what I would want, the opportunity and the tools to achieve the best possible outcome.

For this reason, I've invested a great deal of time and energy to develop my knowledge and skills. I want to ensure that I provide evidence-based interventions that are grounded in best practices. I believe in science and I couple that knowledge with consideration of the whole person so that interventions are patient-centered.  It's all about you; your goals, your needs, and providing you with the resources that allow you to achieve the best possible outcome.  If telerehabilitation will not best serve your needs, we will direct you to an in-person clinic, with the right specialist. 

However, we believe teletherapy can effectively serve most rehab needs for upper extremity and hand conditions because the aspects of therapy that have the strongest and best evidence are related to the timing of movement, the right types of movement, and progression of movement and ultimately function.  Teletherapy hones in on what matters most and it eliminates the use of interventions that lack strong evidence, and that makes patients dependent on going to a clinic several times a week. Teletherapy provides 1:1 attention adding the most value for your time and enabling you with the knowledge and tools to achieve your best outcome. 

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


Doctor of Occupational Therapy

Certified Hand Therapist


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