Comparison of Braces for Lateral and Medial Epicondylitis

Posted by Lori Algar OTD, OTR/L, CHT on Thu, Sep 21,2017 @ 07:03 AM

Pain associated with lateral or medial epicondylitis (also known as tennis and golfer’s elbow respectively) is common and can interfere with functional use of the involved extremity. According to research study, an elbow brace or wrist orthosis can assist with decreasing pain and increasing function for this diagnosis. The following table provides information for comparison of commonly used braces and splints to treat the symptoms associated with lateral or medial epicondylitis.

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Tags: lateral epicondylitis, medial epicondylitis

Ulnar-Sided Wrist Pain: Lunotriquetral Dissociation

Posted by Lori Algar OTD, OTR/L, CHT on Thu, Sep 14,2017 @ 12:08 PM

Anatomy

The lunate and the triquetrum make up the ulnar side of the proximal carpal row at the wrist. Ligaments, particularly the lunotriquetral (LT) ligament, provide support to this joint. This ligament is horse-shoe or c-shaped and contains a volar, dorsal and proximal component.

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Tags: Ulnar Sided Wrist Pain, Lunotriquetral Dissociation, LT Dissociation

Ulnar Sided Wrist Pain: Comparison of 4 Splints

Posted by Lori Algar OTD, OTR/L, CHT on Thu, Sep 07,2017 @ 12:39 PM

With improved imaging techniques and diagnostics, ulnar sided wrist pain has become a better understood and diagnosed disorder. There are several products on the market to assist with decreasing symptoms from ulnar sided wrist pain. The following is information on four splints that are  clinically useful for individuals presenting with an ulnar sided wrist pain diagnosis. Due to the complexity of this diagnosis, trying more than one splint may be necessary to achieve optimal support and comfort. 

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Tags: Ulnar Sided Wrist Pain, Splints for ulnar sided wrist pain

Orthoses to Treat PIP Joint Contractures

Posted by Lori Algar OTD, OTR/L, CHT on Thu, Aug 10,2017 @ 03:12 PM

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.

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Tags: PIP Joint Contractures

Splint Immobilization For Treatment of a Scapholunate Ligament Injury

Posted by Lori Algar OTD, OTR/L, CHT on Thu, Jul 27,2017 @ 03:07 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.

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Tags: scapholunate ligament injury

3 Hand Splints For Ulnar Deviation

Posted by Jennifer Curtis on Thu, Jul 20,2017 @ 02:40 PM

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
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Tags: Ulnar Deviation

Medial Epicondylitis - Diagnosis & Treatment

Posted by Lori Algar OTD, OTR/L, CHT on Thu, Jul 06,2017 @ 12:29 PM

Medial epicondylitis or golfer's elbow as it is commonly termed, is characterized by pain at or around the boney prominence at the medial aspect of the elbow where the wrist flexors and one of the forearm pronators (pronator teres) originate. This diagnosis is associated with degenerative changes of the musculotendinous origins at the medial elbow and most often involves the pronator teres, flexor carpi radialis or palmaris longus.

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Tags: medial epicondylitis

TFCC Ulnar Sided Wrist Pain - Anatomy, Diagnosis & Treatment

Posted by Lori Algar OTD, OTR/L, CHT on Thu, Jun 22,2017 @ 10:26 AM

Anatomy

The triangular fibrocartilage complex (TFCC) is a complicated component of the wrist comprised of several ligaments, an articular disc, a meniscus homolog and the sheath for one of the extensor tendons that crosses the ulnar wrist.
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Tags: TFCC

Treating Inflammation In Your Patients’ Hands

Posted by Jennifer Curtis on Thu, Jun 15,2017 @ 01:30 PM

You can’t open up a professional journal without seeing clinical evidence of the effects of inflammation on the human body:

  • Brain inflammation has been linked to clinical depression
  • New evidence links inflammation with hypertension
  • Inflammation resulting from obesity is likely the root cause of diabetes
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Tags: Inflammation

Ulnar-Sided Wrist Pain: Midcarpal Instability

Posted by Lori Algar OTD, OTR/L, CHT on Tue, May 09,2017 @ 12:32 PM

Anatomy

The 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.
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Tags: Ulnar Sided Wrist Pain

This blog is presented for informational purposes. We will gladly answer questions pertaining to products, however, we cannot provide specific patient diagnoses or treatment recommendations.