Lori Algar OTD, OTR/L, CHT

Recent Posts

TFCC Ulnar Sided Wrist Pain - Anatomy, Diagnosis & Treatment

Posted by Lori Algar OTD, OTR/L, CHT on Fri, Oct 11,2019 @ 12:36 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.
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Tags: TFCC

Jersey Finger: Treatment For a Common Contact Sport Injury

Posted by Lori Algar OTD, OTR/L, CHT on Tue, Sep 17,2019 @ 10:45 AM

With the NFL season off to a strong start, it's highly likely that many players are starting to sustain injuries not only to their knees, shoulders and ankles but also to their hands. Jersey Finger is an injury that primarily occurs in football and other contact sports. As we roll into the football season, this may be a good time to review what jersey finger is and how it's treated.     

What is Jersey Finger?

Jersey finger injury is a traumatic rupture of the flexor digitorum profundus (FDP) tendon from its point of attachment at the base of the distal phalanx.

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Tags: Jersey Finger

De Quervain’s Tenosynovitis - What’s New About An Old Condition?

Posted by Lori Algar OTD, OTR/L, CHT on Thu, Aug 29,2019 @ 03:30 PM

Testing for de Quervain's Tenosynovitis

You may have heard about a newer way to test for de Quervain’s Tenosynovitis. This test applies stress to the abductor pollicis longus (APL) and extensor pollicis brevis (EPB) tendons without stressing the thumb and wrist joints.

Along with this testing standard for de Quervain’s, the terminology used to describe the condition has also changed over the years.
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Tags: de quervains tenosynovitis

Rheumatoid Arthritis and Night Time Orthosis Use

Posted by Lori Algar OTD, OTR/L, CHT on Tue, Aug 20,2019 @ 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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Tags: rheumatoid arthritis

Ulnar Collateral Ligament Injury of the Thumb

Posted by Lori Algar OTD, OTR/L, CHT on Fri, Jul 12,2019 @ 10:15 AM

Treatment for Gamekeeper's and Skier's Thumb

The 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
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Tags: Gamekeepers thumb, Skiers thumb

Ulnar-Sided Wrist Pain: Lunotriquetral Dissociation

Posted by Lori Algar OTD, OTR/L, CHT on Mon, Jun 10,2019 @ 11:15 AM

Anatomy of the Wrist

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

Comparison of Braces for Lateral and Medial Epicondylitis

Posted by Lori Algar OTD, OTR/L, CHT on Mon, Apr 22,2019 @ 12:06 PM

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 information provides a 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

Orthoses to Treat PIP Joint Contractures

Posted by Lori Algar OTD, OTR/L, CHT on Thu, Mar 21,2019 @ 10:12 AM

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

Addressing Wounds from a Snow Blower Injury

Posted by Lori Algar OTD, OTR/L, CHT on Fri, Feb 15,2019 @ 02:50 PM

It's that time of year where many states across the country are dealing with major snow storms with multiple inches of snow. Cleanup of snow in this amount often occurs by using snow blowers. Unfortunately, snow blowers can be the cause of many devastating hand injuries.

With the possibility of new clients with snow blower injuries, it is a good time to review care of wounds. Snow blower injuries can be very complex and certainly the most critical component of the injury guides the care in therapy, i.e. flexor tendon involvement, but most often snow blower injuries present with wounds requiring immediate care.

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Tags: Wound Healing

Using a Finger Splint For the Treatment of Trigger Finger

Posted by Lori Algar OTD, OTR/L, CHT on Thu, Jan 31,2019 @ 12:25 PM

As hand therapists, 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.

Are you a patient or consumer? Click Here to learn more about
treating Trigger Finger on our consumer site

While most are familiar with management of the symptoms of trigger finger employing or using surgery and injection, what about the use of a splint for treatment?
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Tags: Trigger finger

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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