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.
Tags: PIP Joint Contractures
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.
Tags: Wound Healing
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.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?
Tags: Trigger finger
Lori Algar OTD, OTR/L, CHT on Fri, Jan 11,2019 @ 11:32 AM
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.
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.
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.
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.
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.
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.
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.