Inclusion Criteria:  Clinical diagnosis of Distal Radius Fracture, requiring open reduction internal fixation Clinical diagnosis of flexor tendon of the hand laceration Clinical diagnosis of CMC arthritis, electing to undergo CMC arthroplasty Receiving care from Cape Fear Orthopedics & Sports Medicine English Speaking  Exclusion Criteria:  Less than 18 years old Previously sustained one of the inclusion criteria diagnoses Elect not to receive therapeutic services at Cape Fear Orthopedics & Sports Medicine.