Introduction and aim: Wrist injuries by colles’ or fracture of distal radius are the most prominent diagnosis referred to occupational therapy department for work program in India. In this project, a modified therapeutic work program for wrist injuries was evaluated. The objective of the study is to find out whether MTWP addressed to enhance the grip strength so as work skills and its success in the client return to work, level of work satisfaction & self-performance level post injured wrist. Methods: Single group pretest posttest experimental design followed by descriptive analysis.51 patients with dominant hand injured, shared similar demographic background with post-injured from 8 to 40 weeks with mean age of 16 weeks. Results: 94% clients who completed the program returned to work and switched over to different position and different type of work. 56% clients return to competitive employment with same work type, work situation, having work satisfaction and 80-100% work skills in compare to pre MTWP work situation. Discussion: The MTWP addresses the range of needs demonstrated by wrist injuries clients, from traditional therapy to prevocational and vocational intervention. The evaluation of the program indicates that the program was successful with wrist injury working age adult. PROGRAM DESCRIPTION (MTWP) The program is designed to help an individual to make a gradual, progressive transition from a medical setting to work placement and community reentry. MTWP has 6 phases. The client functional status and progress were monitored on an ongoing basis, and transition to new phases was determined by the Occupational Therapist and based on the client needs. Not all clients went through each phase or follow the sequence. Client continues with individual occupational therapy throughout their involvement in the MTWP. KEY WORDS: MTWP, colles fracture, vocation, wrist injuries, grip strength, pinch strength.