The US Open might be over for this tennis season but the individuals with lateral epicondylitis are still consistently appearing on my schedule. Swinging the tennis racket is not the only possible cause of this diagnosis (also known as tennis elbow). As we know, lateral epicondylitis is due to a degenerative process at the poorly vascularized origin of the wrist extensors on the boney prominence at the lateral elbow.
Lori Algar OTD, OTR/L, CHT on Tue, Sep 27,2016 @ 03:53 PM
Tags: lateral epicondylitis
Lori Algar OTD, OTR/L, CHT on Fri, Sep 16,2016 @ 11:59 AM
Scaphoid fractures most often occur in males between the ages of 15 to 30 years old and usually are sustained with wrist hyperextension and radial deviation as a consequence of a fall onto an outstretched hand. Individuals with a scaphoid fracture often present with pain, swelling, decreased range of motion, and tenderness in the anatomic snuffbox.
Tags: Scaphoid Fracture
Nick Koscielniak on Mon, Sep 12,2016 @ 10:39 AM
3-Point Products is heading to our nation’s capital from September 15 - 17 to exhibit at the American Society of Hand Therapists (ASHT) 39th Annual Meeting. We lucked out this year as Washington, DC is just a short drive up US Route 50 for us.
Lori Algar OTD, OTR/L, CHT on Wed, Aug 17,2016 @ 01:06 PM
What is it and What Are the Characteristics?
Ehlers-Danlos Syndrome (‟EDS”) is a collection of connective tissue disorders, of which the hypermobile type is the most common. Individuals with EDS of the hypermobile type classically present with hyperextensible joints and skin.
People with hypermobile EDS can often extend their fingers back greater than 90 degrees, place the thumb on the volar forearm, hyperextend the knees and elbows greater than 10 degrees, and place their palms flat on the floor with the knees fully extended.
Lori Algar OTD, OTR/L, CHT on Tue, Jul 26,2016 @ 12:10 PM
In clinical practice as a certified hand therapist, I often recommend use of a compression glove for individuals presenting with the appropriate symptoms. Anecdotally, these individuals report improvement in symptoms (often pain, swelling, and stiffness), but it is important to understand the mechanism of the compression glove and the evidence on appropriate candidates for this treatment intervention.
Tags: Compression Gloves
Proximal interphalangeal (PIP) joint flexion contractures, or loss of extension at the middle joint of the finger, can occur after injury, disease and surgery and can interfere with the functional use of the hand. Loss of extension at the PIP joint can cause difficulty reaching into your pocket or may interfere with opening your hand to grab a glass of water.
Tags: PIP Joint Contractures
Hand surgeons carefully plan their incisions for surgery and recommend therapy protocols following surgical interventions to prevent abundant scar formation. While some scarring is a necessity for closure of a surgical wound, too much scarring or thick, hypertrophic scarring may cause loss of motion and sensitivity.
For example, a trigger finger release procedure allows the tendon to glide more easily through the A1 pulley area, however adherent scarring at this surgical site can impede the glide of the flexor tendon.
Tags: Scar Treatment
Lori Algar OTD, OTR/L, CHT on Wed, Jun 08,2016 @ 04:02 PM
If you ask 10 different hand therapist how they treat mallet finger injuries, you may just get 10 variations on an answer that is ultimately some form of immobilization of the involved distal interphalangeal (DIP) joint. Systematic review of the studies on conservatively treated mallet finger injuries is not able to identify which orthosis is most optimal and what the most appropriate wear time is, and therefore recommends that the orthotic material choice should be based on the treatment provider’s comfort and the patient’s lifestyle and concerns.
Tags: Mallet finger
For those with Raynaud’s Phenomenon, warm summer temperatures can provide relief for many. Despite rising summer temperatures, air conditioning and cool evenings can cause 5-30% of people to still have to consider the cold.
Raynaud’s phenomenon is characterized by an excessive temporary vasoconstriction that commonly occurs in the fingers and is often triggered by cold temperatures or a stressful situation. The symptoms of Raynaud’s include pain in the affected region, discoloration, and the sensation of cold and/or numbness.
Tags: raynaud's phenomenon
Lori Algar OTD, OTR/L, CHT on Wed, May 11,2016 @ 03:58 PM
Rheumatoid arthritis (RA) is a chronic autoimmune disease that affects more than 1.3 million Americans and 1%-3% of women in their lifetime. The wrist and fingers are involved in approximately 75% of cases. With RA, the immune system mistakenly attacks the body’s own tissues affecting the lining of the joints and causing swelling that may eventually result in bone erosion and joint Rheumatoid arthritis (RA) is a chronic autoimmune disease that affects more than 1.3 million Americans and 1%-3% of women in their lifetime. The wrist and fingers are involved in approximately 75% of cases.
Tags: rheumatoid arthritis
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