AnatomyThe carpal bones of the wrist make 2 rows of bones, the proximal and distal carpal row. Midcarpal instability (MCI) is related to lack of ligament support between the proximal carpal row and the midcarpal joint (between the 2 rows of bones). Midcarpal instability is most often of palmar type, but can also be considered dorsal or extrinsic depending on the specific ligament(s) involved in causing the instability.
Lori Algar OTD, OTR/L, CHT on Tue, May 09,2017 @ 12:32 PM
Tags: Ulnar Sided Wrist Pain
Lori Algar OTD, OTR/L, CHT on Mon, May 01,2017 @ 12:22 PM
Carpal tunnel syndrome is the most common nerve compression and at any one point in time it impacts 3% of the population. Surgery for a carpal tunnel release is considered a gold standard in treatment and is performed when symptoms are severe enough to warrant surgical intervention. There are two main categories for types of carpal tunnel releases at this point in time.
Tags: carpal tunnel syndrome
Instability in the ulnar carpal wrist may present with pain, swelling, and tenderness in the ulnar aspect of the wrist. Instability due to weakened or rupture ligaments, can occur between the ulna and the carpus, the lunate-triquetral joint, and/or the triquetrohamate joint. The following describes a few important assessments to assist clinical evaluation of ulnar sided wrist pain when the symptoms are suspected to be related to ulnar carpal instability.
Tags: Ulnar Carpal Instability
Lori Algar OTD, OTR/L, CHT on Fri, Mar 24,2017 @ 03:02 PM
This year the Philly Hand Show was once again packed with educational sessions, a variety of vendors with many helpful products and most importantly, great hand therapy wisdom allowing all attendees to leave with some valuable clinical techniques. The following are just a few of the take home messages gained from the meeting.The Ulnar Wrist
Dr. Sanjeev Kakar did an informative presentation in which he seemed to be able to simplify the ever complicated ulnar side wrist pain.
Jennifer Curtis on Fri, Mar 10,2017 @ 01:28 PM
Oval-8 Finger Splints provide a highly effective finger orthosis that stabilizes or limits finger joint motion to treat several conditions with a simple turn of the splint. The Oval-8 is uncomplicated, inexpensive and often provides immediate relief for your patients. Oval-8's come in a variety of sizes, and may be worn differently, to ease pain and correct problems associated with many conditions including, but not limited to:
What is low level laser therapy?
Low level laser therapy is a form of alternative medicine that uses laser light at low levels or near-infrared light. The light is applied to the surface skin of the body with the intentions of decreasing pain or inflammation, promoting healing of wounds, tissues, and nerves, or for preventing tissue damage. This is much different than the high level lasers that we know for surgical procedures to cut and destroy unhealthy tissue.
Nick Koscielniak on Thu, Feb 09,2017 @ 07:40 AM
With a total of 28 sizes, it's rare not to find the perfect fit for your patient's Oval-8 finger splints.While each of the 14 Oval-8 splints fits two sizes with a simple turn of the splint, occasionally they may need to be adjusted to fine tune the size or alter the angle or length. For those times when the length may not be just right or you want to hold the joint at a slight angle, custom fitting an Oval-8 takes only seconds.
Lori Algar OTD, OTR/L, CHT on Fri, Jan 27,2017 @ 07:06 AM
Treatment for Gamekeeper's and Skier's ThumbThe thumb metacarpal phalangeal (MP) joint has a collateral ligament at the radial and ulnar aspect of the joint which provides stability for static lateral pinch. The ulnar collateral ligament (UCL) is susceptible to injury when radial deviation and hyperextension force is applied to the MP joint. The “classic” acute Skier’s thumb occurs when the thumb is forcefully abducted and hyperextended by the pole during a fall. Gamekeeper's thumb is differentiated from Skier’s Thumb as a chronic, repetitive stress condition caused by resistive grasping and twisting activities that stretch or tear the UCL over time.
Lori Algar OTD, OTR/L, CHT on Mon, Jan 09,2017 @ 02:09 PM
There are a variety of wrist injuries that can occur from a traumatic fall on an outstretched hand. These injuries are termed FOOSH (fall on an outstretched hand) injuries. Probably the most well-known FOOSH is a distal radius fracture, which is identified and treated first by a physician. As you may be seeing an increase in referrals for wrist pain from falls this time of year, now may be a good time to review the clinical signs used to find other FOOSH injuries.
Jennifer Curtis on Tue, Dec 20,2016 @ 04:51 PM
In most cases, de Quervain’s is caused by overuse or repetitive stress, although the condition may develop for unknown reasons.
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