Meet Your Hand Therapists
Alayna Hofeling
Alayna, is a licensed and registered Occupational Therapist and certified Hand Therapist. She received her under graduate degree from Texas Women’s University where she graduated Magna Cum Laude. She received her master’s degree in occupational therapy from Texas Tech Health Science Center in 2010. During graduate school, Alayna was inducted into Pi Theta Epsilon, the Occupational Therapy honors society for those at the top of their class. She did her clinical rotations at Parkland Hospital here in Dallas then went on to work for them under various specialties including neurology, orthopedics, trauma, burns, and even the NICU. She found her passion for hands after working in the burn unit and the outpatient hand clinic. She became a Certified Hand therapist in 2018 but has been working in hands for most of her career. Alayna is a member of the Texas Hand Society. She finds joy in helping people restore function of their hands. In her free time, Alayna spends time with her husband, daughter and their dog. She enjoys outdoor sports and keeping active.
Pamela Mikusek
Pamela Mikusek, is a licensed and registered Occupational Therapist and certified Hand Therapist. She received her undergraduate degree from Baylor University. She received her master’s degree in Occupational Therapy from University of Texas Medical Branch where she graduated Magna Cum Laude in 2020. Pamela was inducted into Pi Theta Epsilon Occupational Therapy Honor Society, for those at the top of their class. She completed her clinical rotations at Baylor University Medical Center in Dallas where she worked in various specialties including cardiopulmonary, neurology and oncology. Pamela is a member of the American Society of Hand Therapist. She became a Certified Hand therapist in 2024. She enjoys encouraging and helping patients reach their functional goals. In her free time, Pamela spends time reading, hiking, and baking.
Alayna, Pam, and Dr. Muzykewicz all share the philosophy that the best outcomes occur with patient education and a personal touch. Both Alayna and Pam treat patients in focused one-on-one appointments without relying on therapy assistants or aids. By enabling the patient to become an active participant in the recovery process, they have experienced patients can do much of their own therapy, and they teach effective and practical individualized therapeutic home exercise programs. With more complex injuries or slower post operative progress, our therapists provide skilled hands-on treatment to supplement the patient’s efforts with their home programs and to maximize recovery outcomes. Our patients experience no more trips to the office than necessary, feel confident in their healing process, and have excellent outcomes.
When necessary, the therapist will also fabricate custom thermoplastic orthoses. They make these to either immobilize or mobilize the appropriate area with the proper angles for healing. This is especially imperative to compliment some of the surgeries that Dr. Muzykewicz performs.
Many of our patients come from quite a distance and when therapy is necessary in these cases, we try to keep trips to Dallas to a minimum. Alayna and/or Pam will personally contact qualified therapists in other areas to maintain continuity of care despite the distance.