Lori Algar OTD, OTR/L, CHT

Recent Posts

How to Treat Gamekeepers or Skier's Thumb

Posted by Lori Algar OTD, OTR/L, CHT on Wed, Dec 12,2018 @ 06:28 AM

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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Tags: Gamekeepers thumb, Skiers thumb

Ulnar-Sided Wrist Pain: Midcarpal Instability

Posted by Lori Algar OTD, OTR/L, CHT on Fri, Nov 30,2018 @ 09:57 AM

Anatomy of the Wrist

The carpal bones of the wrist make 2 rows of bones, the proximal and distal carpal row. Midcarpal instability (MCI) is related to lack of ligament support between the proximal carpal row and the midcarpal joint (between the 2 rows of bones). Midcarpal instability is most often of palmar type, but can also be considered dorsal or extrinsic depending on the specific ligament(s) involved in causing the instability.
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Tags: Ulnar Sided Wrist Pain, midcarpal instability

How to Manage a Thumb Deformity from Rheumatoid Arthritis

Posted by Lori Algar OTD, OTR/L, CHT on Thu, Oct 18,2018 @ 01:45 PM

What causes 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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Tags: rheumatoid arthritis, thumb deformity, orthotic managment

DIP Joint Osteoarthritis: How to Treat this Common Form of Arthritis

Posted by Lori Algar OTD, OTR/L, CHT on Tue, Jul 24,2018 @ 12:38 PM

The distal interphalangeal (DIP) joint is actually the most common location on the body for osteoarthritis (OA). In fact, according to a study evaluating the frequency of hand arthritis, OA at the DIP joint occurs in approximately 58% of individuals age 60 years and older.

Family history, age, a history of heavy manual labor, joint laxity, smoking, and increased weight are all identified as contributors to this disease.The symptoms of OA at the DIP joint commonly include pain and changes to the size and shape of the joint.
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Tags: DIP Joint Osteoarthritis, Oval-8 finger splint

PT & OT Treatment for Ehlers-Danlos Syndrome – Hypermobile Type

Posted by Lori Algar OTD, OTR/L, CHT on Fri, Jun 01,2018 @ 12:30 PM

What is it and What Are the Characteristics?

Ehlers-Danlos Syndrome (EDS) is 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.

They can often extend their fingers back greater than 90 degrees, place the thumb on the volar forearm, hyperextend the knees and elbows greater than 10 degrees, and place their palms flat on the floor with the knees fully extended.

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Tags: Ehlers-danlos syndrome, hypermobility, eds

Lateral Epicondylitis: Treatment Options for an Aggravating Diagnosis

Posted by Lori Algar OTD, OTR/L, CHT on Fri, Apr 13,2018 @ 06:37 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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Tags: tennis elbow, lateral epicondylitis

Distal Radius Wrist Fractures: Tips for Rehabilitation

Posted by Lori Algar OTD, OTR/L, CHT on Fri, Mar 09,2018 @ 10:25 AM

Even though Spring is officially around the corner, many parts of the country are still experiencing winter storms. Snowy and icy conditions often lead to wrist fractures caused by a fall on an outstretched hand (FOOSH). There are a few tricks to the trade to effectively rehab these mishaps.

The 3pp Wrist Wrap  and the 3pp Wrist POP are examples of supports that can help individuals recover from wrist pain related to strains and sprains, post-operative, or post casting after a FOOSH.

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Tags: Distal Radius Fractures

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

Posted by Lori Algar OTD, OTR/L, CHT on Wed, Feb 07,2018 @ 11:33 AM

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.

An orthosis is a common intervention used in hand therapy to treat symptoms of this diagnosis. 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.
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Tags: Thumb Arthritis Splints

The Osteoarthritic Thumb - Zigzag Deformity

Posted by Lori Algar OTD, OTR/L, CHT on Wed, Jan 10,2018 @ 01:16 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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Tags: zigzag thumb deformity, Osteoarthritic Thumb

Comparison of Braces for Lateral and Medial Epicondylitis

Posted by 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.

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Tags: lateral epicondylitis, medial epicondylitis

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.

 


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