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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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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Conservative Treatment of Scapholunate Ligament Injury

Posted by Lori Algar OTD, OTR/L, CHT on Fri, Jan 18,2019 @ 07:00 AM

The scapholunate (SL) ligament runs between the scaphoid and the lunate and provides crucial support to allow appropriate carpal mechanics at the wrist during motion and use of the hand. Injury and tearing of this ligament can occur with trauma or as a progressive degenerative weakening of the ligament. The extent of the injury ranges from a partial tear or attenuation to a full rupture of the ligament and from dynamic instability

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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. Read More

Oval-8 Finger Splints – We’ve Made the Best Even Better!

Posted by Ginny Wolfe on Fri, Sep 21,2018 @ 10:52 AM

It’s no secret that Oval-8 Finger Splints are the preferred finger orthosis to treat your patient’s mallet finger, swan neck and boutonniere deformities, trigger finger and trigger thumb, lateral deviation, fractures, arthritis, and hypermobility (EDS).

We are excited to announce improvements to the Oval-8 that make it easier on your eyes and even more comfortable on your patient’s fingers!

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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. Read More

Orthotic Management Of The Distal Radioulnar Joint (DRUJ)

Posted by Julie Belkin on Fri, May 04,2018 @ 12:55 PM

The Problem

How to restore the rhythm of the radius and ulnar without constraining motion:

Loss of TFC integrity leads to instability of the DRUJ disrupting the rhythm of the radius as it travels around the ulnar styloid. This blog describes how a properly designed orthosis can be employed to restore stability without disrupting the rhythm of the rotating radius.

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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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Treating CMC Joint Arthritis - Collapse Deformities of the Thumb

Posted by Julie Belkin on Fri, Dec 08,2017 @ 06:58 AM

Collapse deformities of the thumb are all too common in the presence of CMC joint arthritis. The Nalebuff Type III or “intrinsic minus” thumb deformity evidenced by CMC flexion, MP extension or hyperextension and IP flexion is the most common deformity.

This becomes a highly dysfunctional posture over time due to the loss of MCP flexion, web space shortening and thenar muscle atrophy - making moving the thumb away from the palm all but impossible.

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Ulnar Sided Wrist Pain: Comparison of 4 Splints

Posted by Lori Algar OTD, OTR/L, CHT on Thu, Sep 07,2017 @ 12:39 PM

With improved imaging techniques and diagnostics, ulnar sided wrist pain has become a better understood and diagnosed disorder. There are several products on the market to assist with decreasing symptoms from ulnar sided wrist pain. The following is information on four splints that are  clinically useful for individuals presenting with an ulnar sided wrist pain diagnosis. Due to the complexity of this diagnosis, trying more than one splint may be necessary to achieve optimal support and comfort. 

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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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