Arthrosis at the base of the thumb, from pain especially when we have to take small objects or unscrew a bottle. A brace to stabilize the joint along with specific strengthening and proprioception exercises are the first choice. to eliminate pain and restore functionality.
Compression of the median nerve at the wrist, Causes tingling and lack of sensitivity on the first 3 and half of the 4 fingers especially at night; over time also loss of strength. In the early stages it is treated with physiotherapy, in severe cases surgery is indicated.
Or disease of new mothers, refers to inflammation of the Abductor long and Extensor short tendons of the thumb. Occupational therapy, a night brace to unload the tendons, a functional brace for the day's activities are the first choices.
Unless we are in the first phase, epicondylitis has more degenerative than inflammatory characteristics. Occupational therapy to find harmful activities and strengthening exercises (eccentric or isometric) are the therapies with the most scientific evidence.
Rehabilitation is key and must be started as early as possible to avoid stiffness. Absolutely not recommended to use the tennis ball, the exercises to do are specific. We speak instead of mobilization, reinforcement, proprioception, eliminating edema and pain.
One of my favorite pathologies to rehabilitate, complex but stimulating as the causes and types can be different. Depending on the origin, the reinforcement and rehabilitation work varies so we need to know exactly which therapies to work on and which not.
The same rules apply in both conservative and post-surgical treatment: pain reduction, restoration of mobility and stability, specific reinforcement and a lot of proprioception.
Or injury of the extensor tendon to the distal phalanx. If subcutaneous lesion can also be treated conservatively. It should be immobilized in a custom-made brace that holds the joint in the right position for about 6-8 weeks in order to heal
If conservative treatment is indicated, a custom-made brace to be kept at night is used, the activities or postures that may have caused the pathology are evaluated and the method of their execution is changed. Combined neurodynamic exercises.
Heberden (IFD) and Bouchard (IFP) nodules are typical. Joint economics, mobilization, modifications of the tools of daily life and tailor-made braces to reduce pain and prevent further deterioration.
Complex regional pain syndrome. The treatment must be painless and carried out to recover mobility, reduce edema, restore the correct sensitivity and functionality of the hand. 100% personalized to the patient.
It is not a ganglion cyst as many people think. We only intervene if it causes pain (in a limited number of cases). The mass is located in one of the joints between the carpus and metacarpal of the hand.
Systemic scleroderma doesn't just affect the hands as many people think. it is a rare autoimmune disease; involves skin, lungs, circulatory system, autonomic nervous system. Raynauld's phenomenon is typical.
A very important ligament for the proprioception and stability of the wrist, located between the scaphoid bone and the lunate, often the site of pain in the wrist during flexion, extension or when we lean.
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