Lori Algar OTD, OTR/L, CHT

Recent Posts

How to Manage a Thumb Deformity from Rheumatoid Arthritis

Posted by Lori Algar OTD, OTR/L, CHT on Thu, Sep 08,2022 @ 02:50 PM

Causes of Deformity in the Rheumatoid Thumb

Rheumatoid arthritis (RA) is a destructive inflammatory disease that impacts soft tissue. This disease commonly involves the thumb and causes deformities to the thumb through tendon rupture or tendon subluxation and the abnormal stretching of ligaments and other joint structures.

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The Osteoarthritic Thumb - Zigzag Deformity

Posted by Lori Algar OTD, OTR/L, CHT on Tue, Jun 07,2022 @ 12:39 PM

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).

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TFCC Ulnar Sided Wrist Pain - Anatomy, Diagnosis & Treatment

Posted by Lori Algar OTD, OTR/L, CHT on Tue, May 31,2022 @ 04:00 PM

Anatomy of the Wrist

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. Read More

Splint Immobilization For Treatment of a Scapholunate Ligament Injury

Posted by Lori Algar OTD, OTR/L, CHT on Tue, Mar 01,2022 @ 02:15 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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Mallet Finger - A Clinical Protocol

Posted by Lori Algar OTD, OTR/L, CHT on Wed, Feb 02,2022 @ 01:43 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,

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Wrist Pain after a Fall on an Outstretched Hand (FOOSH)

Posted by Lori Algar OTD, OTR/L, CHT on Mon, Jan 03,2022 @ 02:02 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 a health care professional, 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.

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Skier’s Thumb: A Hazard of Hitting the Slopes

Posted by Lori Algar OTD, OTR/L, CHT on Sun, Jan 02,2022 @ 02:33 PM

As skiing enthusiasts hit the slopes this time of the year, the likelihood of the number of thumb injuries increases. An ulnar collateral ligament injury of the thumb called Skier’s Thumb represents 5-10% of all skiing injuries and has been described as the most frequent injury to the upper extremity experienced by skiers.

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Rheumatoid Arthritis and Night Time Orthosis Use

Posted by Lori Algar OTD, OTR/L, CHT on Sat, Nov 20,2021 @ 11:25 AM

With Rheumatoid Arthritis, 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 deformity. The wrist and fingers are involved in approximately 75% of cases.

The early stages of RA include pain, swelling, and stiffness upon waking, while the later stages include progression to significant deformity and instability. A common treatment in the early stages is the use of a resting orthosis at night during sleep.

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Scar Massage Following Hand Surgery

Posted by Lori Algar OTD, OTR/L, CHT on Wed, Sep 16,2020 @ 09:22 PM

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.

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Prevention and Treatment of Adherent Scars

Posted by Lori Algar OTD, OTR/L, CHT on Sun, Aug 09,2020 @ 12:56 PM

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

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This blog is presented for informational purposes for health care professionals. We will gladly answer questions pertaining to products, however, we are unable to provide specific patient diagnoses or treatment recommendations.

 


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