Monthly Archives: Apr 2019

Casts and Splints Hand Therapy Orthosis

What is a Custom Orthosis?

After an injury, surgery, or onset of certain conditions, your doctor may ask you to see a hand therapist.  Your prescription for therapy might include the need for a custom orthosis, commonly referred to as a brace or splint.  A custom orthosis is a device that is molded to and worn on a specific body part.  The device can help to protect and support bones, tendons, ligaments, nerves and keep these structures in safe and healthy positions.  It can also be used to fix deformities or help people function better.  It will be custom made specifically for you by your hand therapist.

Some of the reasons your doctor might prescribe a custom orthosis include:

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Arthritis Gout Joint Pain

Gout: Disease of the Kings

Hand surgeon John M. Erickson, MD answers your questions about the disease called Gout.

Gout is a common type of inflammatory arthritis typically presenting with a red, hot, swollen, extremely painful joint. Gout frequently affects joints in the big toe, ankle or knee but can happen elsewhere. Gout can also involve the fingers, wrist and elbow. A “gout attack” usually starts suddenly and the pain increases rapidly.  Because of the skin redness, warmth, and pain intensity, gout attacks can be difficult to distinguish from infection.

What is gout?

A gout attack is caused when uric acid normally circulating in the blood deposits in joints or soft tissues and forms crystals.  When the body reacts to the crystals it creates a painful inflammatory reaction. Uric acid is naturally produced in the body. It is a normal breakdown product of a chemical in many foods called purines. Our bodies remove uric acid through the urine. Gout occurs when there is either too much uric acid produced in the body or too little being removed by the kidneys. Gout attacks can cause joint damage over time. Bumps or nodules of uric acid can develop around the joints in long-term gout; these nodules are called tophi.

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Exercise Shoulder Pain Wrist Pain

Tips and stretches to reduce wrist and shoulder pain when working out

from NBC News

Whether it’s a shooting pain or a dull ache, wrist and shoulder discomfort is a common complaint among my clients.

Pain in these areas can present itself in a variety of ways: In a plank position, you may feel a pulling on your wrists or tightness in your shoulders. While lifting dumbbells, you may feel a tingling in your wrists, or hear a clicking or popping sound in your shoulders. Or maybe during a push-up you feel a twinge in your shoulder with every rep. These are just a few examples of the type of pain that can creep up when we are putting strain on the joints.

According to Dr. Stephen O’Connell, chairman at Eisenhower Desert Orthopedic Surgery and director of Hand and Wrist Surgery, approximately 25 percent of all athletic injuries involve the wrist and hand. “The human hand consists of 29 bones, 29 joints, 123 ligaments, 34 muscles and 48 nerves. Combine this fact with an active lifestyle and it’s easy to understand why fractures of the wrist and hand bones are relatively common,” he says. Fractures make up a smaller percentage of athletic injuries; “more ubiquitous are problems we attribute to overuse, which typically involve tendons and ligaments,” Dr. O’Connell explains.

Read the full story.

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Hand Shoulder Shoulder Arthritis

How to treat shoulder arthritis

Shoulder arthritis is a condition that can cause pain in the shoulder that typically worsens with activity. This can include something as simple as reaching the arm over the head. The pain can be in the back of the shoulder (as with arthritis of the G-H joint) or the top of the shoulder (as with A-C arthritis). Shoulder arthritis can also cause loss of motion or a grinding feeling when you move.

How can this be treated? Shoulder arthritis is treated similarly to other arthritis conditions. Options may include:

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