Lori Algar OTD, OTR/L, CHT

Recent Posts

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 by the pole during a fall. Gamekeeper's thumb is differentiated from Skier’
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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.

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Tags: Trigger finger

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

Posted by 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.

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Tags: scapholunate ligament injury, Wrist Injuries, FOOSH, Scaphoid Fracture, triangular fibrocartilage complex injuries

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. Ulnar Sided 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

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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Tags: rheumatoid arthritis, thumb deformity, orthotic managment

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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