Lori Algar OTD, OTR/L, CHT

Recent Posts

Lateral Epicondylitis: Treatment Options for an Aggravating Diagnosis

Posted by Lori Algar OTD, OTR/L, CHT on Thu, Jun 25,2020 @ 11:51 AM

Clients with lateral epicondylitis (also known as tennis elbow) consistently appear on my schedule. As therapists, we know that swinging the tennis racket is not the only possible cause of this diagnosis. Lateral epicondylitis is due to a degenerative process at the poorly vascularized origin of the wrist extensors on the boney prominence at the lateral elbow. It is often contributed to over use of the wrist extensors. Individuals with this diagnosis often describe pain at the lateral elbow that is persistent, very uncomfortable and limiting.

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The Osteoarthritic Thumb - Zigzag Deformity

Posted by Lori Algar OTD, OTR/L, CHT on Tue, Jun 09,2020 @ 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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Medial Epicondylitis - Diagnosis & Treatment

Posted by Lori Algar OTD, OTR/L, CHT on Wed, May 13,2020 @ 02:57 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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Splint Immobilization For Treatment of a Scapholunate Ligament Injury

Posted by Lori Algar OTD, OTR/L, CHT on Fri, Apr 10,2020 @ 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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How to Manage a Thumb Deformity from Rheumatoid Arthritis

Posted by Lori Algar OTD, OTR/L, CHT on Fri, Mar 27,2020 @ 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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Assessing Ulnar Sided Carpal Instability

Posted by Lori Algar OTD, OTR/L, CHT on Fri, Feb 14,2020 @ 12:20 PM

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.

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Skier’s Thumb: A Hazard of Hitting the Slopes

Posted by Lori Algar OTD, OTR/L, CHT on Tue, Feb 04,2020 @ 03:30 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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Scaphoid Fractures - Treatment and Rehabilitation

Posted by Lori Algar OTD, OTR/L, CHT on Fri, Jan 17,2020 @ 03:57 PM

Scaphoid fractures most often occur in males between the ages of 15 to 30 years old and usually are sustained with wrist hyperextension and radial deviation as a consequence of a fall onto an outstretched hand. Individuals with a scaphoid fracture often present with pain, swelling, decreased range of motion, and tenderness in the anatomic snuffbox.

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How to Treat Gamekeeper's Thumb or Skier's Thumb

Posted by Lori Algar OTD, OTR/L, CHT on Tue, Jan 07,2020 @ 12:30 PM

The term Gamekeeper’s Thumb is used when referring to an ulnar collateral injury caused by repetitive stress on the thumb during such activities as using a wrench, twisting electrical cords or wringing out heavy cloths. The term Skier’s Thumb is commonly used when there is an acute, forceful abduction of the thumb as when a skier falls without letting go of the ski pole. The injury may also be the result of falling on an outstretched thumb or catching a ball with an outstretched thumb.

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Comfort Cool or Design Line - A Comparison of Thumb Arthritis Splints

Posted by Lori Algar OTD, OTR/L, CHT on Mon, Dec 09,2019 @ 03:20 PM

Osteoarthritis (OA) at the base of the thumb is a common diagnosis among older individuals.  Research suggests that 26.2% of women and 13.4 % of men age 71-100 years old have symptoms of this diagnosis and that approximately 70% of community dwelling individuals with hand pain have OA at the base of the thumb as well.

Studies have consistently found that using an orthosis helps to decrease pain and improve function for individuals with arthritis at the base of the thumb. There is no consistent evidence to suggest that one orthosis is more effective than another, however, research does suggest that individuals prefer pre-fabricated designed orthoses. Read More
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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