Lori Algar OTD, OTR/L, CHT

Recent Posts

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

Posted by Lori Algar OTD, OTR/L, CHT on Wed, Jan 06,2021 @ 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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TFCC Ulnar Sided Wrist Pain - Anatomy, Diagnosis & Treatment

Posted by Lori Algar OTD, OTR/L, CHT on Fri, Dec 04,2020 @ 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

PT & OT Treatment for Ehlers Danlos Syndrome – Hypermobile Type

Posted by Lori Algar OTD, OTR/L, CHT on Thu, Aug 06,2020 @ 01:40 PM

What is Ehlers Danlos Syndrome 

Ehlers Danlos Syndrome (EDS) is an inherited condition of a collection of connective tissue disorders, of which the hypermobile type is the most common. Individuals with Hypermobile EDS classically present with hyperextensible joints and skin. 

Research statistics on EDS suggest the prevalence of the disorder is 1 in 2,500 to 1 in 5,000, but due to difficulty recognizing and accurately diagnosing the Hypermobility Type, the incidence is suspected to be much greater.

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What’s New with an Old Diagnosis? Exercises for TMC Arthritis

Posted by Lori Algar OTD, OTR/L, CHT on Wed, Jul 08,2020 @ 02:25 PM

Summer is here and working in the gardens and flower beds and pulling up the weeds is in full swing. This work may help the landscaping look beautiful, but for those with osteoarthritis at the base of the thumb, the force from pinching and pulling at the weeds can leave thumbs hurting. While textbooks and older research studies discuss using an orthosis, paraffin, gentle AROM, and joint protection techniques to address the pain and limited function associated with trapeziometacarpal arthritis (TMC), more recent studies highlight the potential benefit of stabilization and proprioceptive exercises for this diagnosis.

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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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A Comparison of Thumb Arthritis Splints

Posted by Lori Algar OTD, OTR/L, CHT on Fri, Jun 19,2020 @ 03:11 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.

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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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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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