Lori Algar OTD, OTR/L, CHT

Recent Posts

Prevention and Treatment of Adherent Scars

Posted by Lori Algar OTD, OTR/L, CHT on Sun, Aug 09,2020 @ 12:56 PM

Scarring is a normal response to soft tissue injury in which fibrous collagen tissue replaces pre-injury skin and surrounding tissue. Scar tissue begins as weak crosslinks across a wound, but remodels and strengthens especially with tension from neighboring skin.  At times the scarring process is uneventful, but scarring can also work like a type of glue causing adherence of structures under the superficial scar that results in

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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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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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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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Thumb Deformity: Treating Thenar Wasting With a Splint

Posted by Lori Algar OTD, OTR/L, CHT on Fri, Nov 22,2019 @ 02:09 PM

Along with a more common thumb deformity caused by osteoarthritis and rheumatoid arthritis, thumb deformities can also be a result of thenar wasting, caused by median nerve injury or compression.

What causes the deformity?

The median nerve innervates the opponens pollicis (OP) and abductor pollicis brevis (APB). These two muscles make up most of the bulk of the thenar eminence and allow the thumb to perform palmar abduction (thumb opening away from the palm) and rotation for pad to pad prehension.

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Carpal Tunnel Release Surgery - Endoscopic vs Mini Open

Posted by Lori Algar OTD, OTR/L, CHT on Wed, Nov 06,2019 @ 11:00 AM

Types of Carpal Tunnel Release Surgery

Carpal tunnel syndrome is the most common nerve compression and at any one point in time it impacts 3% of the population.  Surgery for a carpal tunnel release is considered a gold standard in treatment and is performed when symptoms are severe enough to warrant surgical intervention. There are two main categories for types of carpal tunnel releases at this point in time.

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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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