Scarring is a normal response to soft tissue injury in which fibrous collagen tissue replaces pre-injury skin and surrounding tissue. Scar tissue begins as weak crosslinks across a wound, but remodels and strengthens especially with tension from neighboring skin. At times the scarring process is uneventful, but scarring can also work like a type of glue causing adherence of structures under the superficial scar that results in
Lori Algar OTD, OTR/L, CHT on Thu, Aug 20,2015 @ 12:56 PM
Tags: Scar Treatment
Lori Algar OTD, OTR/L, CHT on Wed, Jul 29,2015 @ 12:21 PM
The distal interphalangeal (DIP) joint is actually the most common location in the body for osteoarthritis (OA). In fact, according to a study evaluating the frequency of hand arthritis, OA at the DIP joint occurs in approximately 58% of individuals age 60 years and older. Family history, age, a history of heavy manual labor, joint laxity, smoking, and increased weight are all identified as contributors to this disease.
Tags: DIP Joint Osteoarthritis
From professional athletes to homemakers, mallet finger, also known as “baseball finger” is a common injury of the finger. A mallet finger injury often occurs from a direct trauma to the tip of an extended finger which causes a disruption of the tendon responsible for extending the distal phalangeal joint (DIPJ). A mallet finger can occur with or without a fracture or bony avulsion
Tags: Mallet finger
Lori Algar OTD, OTR/L, CHT on Thu, Jun 25,2015 @ 04:14 PM
Wrist instability is a common injury treated by many hand therapists. The anatomy of the wrist includes eight carpal bones that, with the combined efforts of the intercarpal ligaments, allow for circumduction of the wrist joint while imparting stability anywhere within the range of motion. An injury to one or several of the ligaments can lead to wrist instability.
Lori Algar OTD, OTR/L, CHT on Wed, Jun 17,2015 @ 01:14 PM
As we know, trigger finger is a common hand issue that occurs with the locking or triggering of a finger, pain in the middle joint, and tenderness with palpation at the base of the finger. Trigger Finger commonly occurs between the ages of 55 and 60 years old and is said to occur 2-6 times more frequently in women than in men.
Tags: Trigger finger
Your patient caught the tip of his finger in a drawer and now his fingertip is drooping because the extensor tendon has stretched, pulled away, or torn. The finger can be pushed into extension, but cannot stay straight without support. Mallet Finger, also called Baseball Finger, affects a small area but can become a big problem if left untreated.
Tags: Mallet finger
The primary cause of Ulnar Deviation of the Metacarpal Phalangeal joints (MP) of the fingers, a chronic, irreversible condition, is Rheumatoid Arthritis (RA). The MP joints are a primary site of rheumatoid deformities due to several anatomical and biomechanical factors. Chief amongst the factors are:
- The shape of the metacarpal head allows for a certain degree of motion in an ulnar direction which contributes to the hands ability to create a strong grip.
Tags: Ulnar Deviation
Jennifer Curtis on Fri, May 15,2015 @ 10:13 AM
In most cases, de Quervain’s is caused by overuse or repetitive stress, although the condition may develop for unknown reasons.
- Radial-sided wrist pain with or without inflammation at the base of the thumb
- Pain with thumb abduction or flexion
Jennifer Curtis on Fri, May 08,2015 @ 10:33 AM
Hypermobility, hypereleasticity, fragile skin, and poor healing are the hallmark of a rare group of genetic disorders collectively called Ehlers-Danlos Syndrome (EDS). There are six major forms of EDS, all of which affect the joints and skin. The most common form of EDS is the hypermobility type (previously called Type III). These patients may have been incorrectly deemed “double-jointed;” however, the condition is far from benign as patients are plagued by excessive joint mobility, instability and dislocation, and chronic pain.
To date, there is no specific gene test for the hypermobility type (as there is for type 1 or Classical EDS). There is no cure for EDS but it can be managed with lifestyle changes, physical and occupational therapy, NSAIDs, and splinting.
Jennifer Curtis on Thu, Apr 23,2015 @ 09:42 AM
Trigger Finger and Trigger Thumb are common causes of hand pain and disability. Enlargement, thickening, or inflammation of the flexor tendon along the distal aspect of the palm, inhibit normal tendon gliding within the tendon sheath, causing the finger to “stick” when flexed and “trigger” when pulled into extension.
Triggering is frequently experienced after prolonged gripping or in the morning after sleeping with the hand in a fisted position for a long period. There may be tenderness when pressure is applied in the palm over the A1 pulley at the level of the MP joint.
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