Osteoarthritis (OA), or the degeneration of a joint, commonly occurs at the base of the thumb. OA at this joint is diagnosed with conventional radiographs (x-rays), but often can be recognized based on symptoms. Symptoms occur predominantly with pain at the base of the thumb, especially when performing tasks that require a pinch (i.e. pulling on socks).
Lori Algar OTD, OTR/L, CHT on Wed, Jan 10,2018 @ 01:16 PM
Julie Belkin on Fri, Dec 08,2017 @ 06:58 AM
Collapse deformities of the thumb are all too common in the presence of CMC joint arthritis. The Nalebuff Type III or “intrinsic minus” thumb deformity evidenced by CMC flexion, MP extension or hyperextension and IP flexion is the most common deformity.
This becomes a highly dysfunctional posture over time due to the loss of MCP flexion, web space shortening and thenar muscle atrophy - making moving the thumb away from the palm all but impossible.
Tags: CMC joint arthritis
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.
Lori Algar OTD, OTR/L, CHT on Thu, Sep 14,2017 @ 12:08 PM
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.
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.
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
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.
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
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.
Tags: medial epicondylitis
Lori Algar OTD, OTR/L, CHT on Thu, Jun 22,2017 @ 10:26 AM
AnatomyThe 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.
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.