Auto Injury Rehabilitation, Certified Hand Therapist, Hand Therapy, Physical Therapy

Injuries Around the Elbow

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Our elbow joint is made up of bone, cartilage, ligaments and fluid. Muscles and tendons help the elbow joint move. When any of these structures is hurt or diseased, you have elbow problems.Our elbow joint is made up of bone, cartilage, ligaments and fluid. Muscles and tendons help the elbow joint move. When any of these structures is hurt or diseased, you have elbow problems.

Many things can make your elbow hurt. A common cause is tendinitis, an inflammation or injury to the tendons that attach muscle to bone. Tendinitis of the elbow is a sports injury, often from playing tennis or golf. You may also get tendinitis from overuse of the elbow

The injuries around the elbow will be described under the following heads:

  • Fractures of the distal end of the humerus
  • Dislocation of the elbow
  • Fractures of the proximal ends of the radius and ulna.
Fractures of the distal end of humorous:
  • Supracondylar fracture
  • Intercondylar fracture
  • Fracture of the lateral epicondyle
  • Fracture of the medial epicondyle
  • Fracture of the capitellum.

Supracondylar Fracture Of The Humerus

Supracondylar fracture of the humerus is one of the most common fractures in the children, and occurs in the age group of 3-13 years.

Mode of Injury

This fracture is caused by a fall on the outstretched hand.

Displacements

The fracture line runs transversely just above the condyles of the humerus. On the basis of the displacements, fracture is classified into two types:

  • Extension type: In this type the distal fragment is displaced posteriorly.This is the most common type and discussed here.
  • Flexion type: In this rare type, the fragment is displaced anteriorly. Most of the fractures are displaced fractures. In an extension type the distal fragment is:

(i) Displaced posteriorly

(ii) Tilted posteriorly

(iii) Titled medially

(iv) Internally rotated.

 Clinical Features

The child complains of severe pain and swelling in the elbow following a history of fall. The child holds the elbow in a flexed position and resists any movement to the elbow. When brought early, the swelling is less and the following signs can be elicited:

  • There is tenderness over the distal end of humerus,
  • Crepitus can be elicited, although it causes pain and therefore should be avoided,
  • Since the fracture line is above the condyles, and the whole of the distal end of humerus carrying the elbow joint is displaced backwards, normal three bony point relationships is maintained.

When presented late, gross, tense swelling sets in which fills up the hollows around the elbow and obscures the bony landmarks. Sometimes even blisters develop over the elbow. In such a situation the fracture signs cannot be elicited. At the time of injury the distal fragment is displaced posteriorly there by pulling the brachial artery and the median nerve against the sharp distal end of the proximal fragment. This may cause injury to the brachial artery and/or the median nerve. It is therefore important to feel the radial pulse and test the nerve functions at the time of initial examination and make a record of it.

If the distal circulation is affected due to an arterial injury, the following features (5 Ps) may be seen:

  • Pain- severe
  • Pallor
  • Pulselessness
  • Paraesthesia, and
  • Paralysis.

Investigations

Anteroposterior (AP) and lateral view radiographs of the elbow are essential. The AP view shows the fracture line which runs transversely just above the condyles. The distal fragment is displaced and rotated. The lateral view shows the posterior displacement of the distal fragment.

Treatment

An undisplaced fracture is treated above-elbow PoP slab for 3 weeks. A displaced fracture can be treated by one of the following methods:

  • Closed reduction: The fracture is reduced by closed manipulation under general anesthesia. The reduction is obtained by gentle traction to the forearm, manual manipulation of the fragments to align them properly, and then flexing elbow a little beyond 90°. If the radial pulse becomes feeble or disappears during flexion of the elbow, then the elbow is extended gradually till the pulse reappears. The fracture is then immobilized with the elbow in the same position. The fracture may be stabilized by passing.

K-wire percutaneously. The extension type of the fracture is immobilized in an above-elbow PoP slab with the elbow in flexion, whereas the flexion type (less common) of the fracture is immobilized with the elbow in extension. In either case, the plaster is removed after 3 weeks.

  • Traction: The cases which report late (more than one week) with marked swelling and blisters etc. are treated by continuous (Dunlop) traction for 3 weeks.
  • Open reduction: Open reduction of the fracture is indicated when:
  • The closed manipulation fails,
  • The brachial artery is injured and needs exploration, and
  • There is an associated nerve palsy which needs exploration.
  • After open reduction the fracture fragments are fixed internally with Kirschner wires-(commonly called K-wires)

Early complications

These complications occur at the time of injury immediately after.

1. Injury to the brachial artery: This is the most dreaded complication; the brachial artery is injured by the sharp edge of the proximal fragment. The artery may actually be lacerated, thrombosed or may just go into spasm. The blood supply to the flexor muscles of the forearm may be affected resulting into Volkmann’s ischaemia. This requires immediate treatment.

Volkmann’s ischemia: Injury to the brachial artery leads to impairment of circulation to the forearm and hand. There occurs ischemia of the deeper muscles of the flexor compartment of the forearm, such as flexor pollicis longus and flexor digitorum profundus. The muscle ischemia, in turn, leads to compartment syndrome.

Diagnosis:

  • There is severe, sudden increase in pain in the forearm
  • Stretch pain.

There is severe pain in the flexor aspect of the forearm when the fingers are passively extended. This is the most important test and is pathognomonic of muscle ischaemia.

Treatment: The case of Volkmann’s ischaemia must be handled as an absolute emergency because changes may soon become irreversible.

  • Remove tight bandage/splints/plasters etc. immediately.
  • The forearm is elevated and hot bottles are applied to the other three limbs to promote general vasodilation.
  • If no improvement occurs within 2 hours, the operation of fasciotomy is undertaken, if the flexor compartment is tight. In this operation an incision is made from skin down to the deep fascia to decompress the compartment.
  • If the injury to the brachial artery is established by angiography/Doppler, exploration of the brachial artery is undertaken.

2. Injury to the nerves: Median, radial and ulnar nerves may be injured, in that order. In majority of the cases the nerve palsy recovers spontaneously.

Late complications

  • Malunion: Malunion is the most common complication of supracondylar fracture of the humerus and results in a cubitus varus deformity. This deformity occurs if the fracture has been allowed to unite with appreciable medial and internal rotation of the distal fragment.
  • Treatment: If the deformity is unacceptable cosmetically, a corrective osteotomy in the supracondylar area is performed (French osteotomy).
  • Myositis ossificans: Myositis ossificans is ectopic new bone formation around the elbow. This is a common complication which occurs following massage to the elbow after the injury and results in stiffness of the elbow.
Treatment: In the acute painful stage, the elbow is immobilized in an above-elbow plaster slab for about 3 weeks. Otherwise, the main treatment is mobilization of the elbow, despite some pain.

Volkmann’s ischaemia contracture (VIC): Volkmann’s ischaemia, if not treated in time, gradually progresses to Volkmann’s ischaemia contracture.

The ischemic muscles are gradually replaced by fibrous tissue, which contracts and draws the wrist and fingers into flexion. If the peripheral nerves are also damaged by ischaemia, there will be sensory and motor paralysis in the forearm and hand.

Diagnosis: There is marked atrophy of the forearm muscles. There is the characteristic deformity of flexion of the wrist and fingers.

Volkmann’s sign: This sign is characteristic of VIC where the fingers cannot be fully extended passively with the wrist extended: but when the wrist flexed, the fingers can be fully extended passively. This happens because the shortened/contracted flexor muscle-tendon units do not permit full extension of the fingers and wrist simultaneously.

Treatment: In established cases to normal is impossible because irreversible damage has occurred to the import and nerves. However, reconstructive surgery can only improve some function of the hand.

  • Mild cases can be treated by:

(i) Stretching exercises by a physiotherapist and also by the use of

(ii) Turnbuckle splint which gradually stretches the contracted muscles.

  • Moderate cases require a muscle slide surgical operation where the flexor group of the muscles is released from their origin from the medial epicondyle of the humerus and ulna.
  • Severe cases can be treated by shortening of the forearm bones, proximal row carpectomy and wrist arthrodesis etc.

 Considerations

Even after the fracture has healed, full motion of the elbow may not be possible. In most of these cases, the patient cannot fully straighten his or her arm. Typically, loss of a few degrees of straightening will not have an impact on how well the arm will work in the future, including for sports or heavy labor. So treat your problem of Elbow Injury with Physical Therapy. Physical Therapy is the best treatment for the Elbow Injury.

Auto Injury Rehabilitation, Certified Hand Therapist, Hand Therapy, Physical Therapy

Physical Therapy Treatment for Injuries Around The Ankle Joint

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Injuries Around the Ankle Joint…

Ankle sprain is an extremely common complaint with many causes. An ankle sprain occurs when the ligaments surrounding the ankle joint are stretched or torn as the ankle joint and foot is turned, twisted or forced beyond it’s normal range of motion. The most common cause of an ankle pain in athletes is a missed step or a missed landing from a jump or fall. Ankle sprains vary in severity and are classified by the degree of severity.

History

The usual mechanism of injury to the ankle joint is a rotational violence in which the body swings around a trapped foot. Depending on the quantum of force, there may be ligamentous injury or bony injury around the ankle. The exact position of the foot at the time of injury is elicited. Ankle injuries are usually classified by the direction of the force and the position of the foot at the time of injury. Following a tibial plateau fracture or talar fracture, the ankle and subtalar joint may go in for secondary degenerative arthritis, which can present as chronic pain and recurrent effusions of the ankle joint. Presence of knee pain and hip pain should be asked for as the foot and ankle disorders can alter the biomechanics of the limb predisposing the knee and hip to degenerative osteoarthritis.

Examination

Inspection

The foot, ankle and the leg are completely exposed. The position of the foot in relation to the leg is determined. The foot may be displaced anteriorly, posteriorly or sideways depending on the type of injury. The foot is usually displaced laterally in external rotation injuries. It may be displaced medially in adduction injuries and displaced upwards and laterally in vertical compression injuries. In vertical compression injuries with diastasis of inferior tibiofibular joint, the ankle may appear broadened. In fracture dislocation of the talus, the displaced fragment may stretch the skin of the dorsum of the ankle and may impend rupture of the skin.

Palpation

The bony points palpated are:

Lower end of tibia and fibula including the malleoli:

As these bones are subcutaneous, it is easy to find out any fractures, irregularity abnormal mobility. In ligamentous injuries around the ankle, the insertion sites of these ligaments such as anterior talofibular ligament, deltoid ligament may be tender to palpation. To demonstrate the ligamentous injury further, the ankle joint is stressed by giving valgus and varus forces to it. Any abnormal opening out can be demonstrated both clinically and radiologically.

Tarsal bones:

The calcaneum is palpated bidigitally on either side to demonstrate tenderness or thickening or irregularity. In chronic degenerative arthritis of subtalar joint, tenderness and restriction of movements of subtalar joint will be present.

Metatarsal bones:

In Jones fractures the base of the Vth metatarsal is avulsed due to the pull of the peroneus brevis muscle. Fractures of the shaft of the metatarsals are demonstrated by eliciting tenderness on axial pressure over the metatarsal head. Diffuse swelling over the tarsometatarsal joints may be seen in Lanfranc’s fracture dislocation. In ‘march fracture’, there will be diffuse swelling over the neck of lInd metatarsal with pain.

Muscular compartment:

Tendo-Achilles which gets inserted in the calcaneum is frequently injured resulting in loss of active plantar flexion.

Thompson’s test:

Squeezing the calf muscle will cause plantar flexion of the ankle joint. When there is a discontinuity in the tendon, this manoeuvre will not cause plantar flexion.

Movements:

In acute injuries, active movements may not be possible.

Measurement

The leg segment is measured from the medial joint line to the malleolus.The vertical height of the heel is measured from the tip of the medial malleolus to the floor in a standing patient. In fractures of the talus and calcaneum, this height may be decreased. The longitudinal measurement of the foot from the tip of the heel to the tip of great toe and then to the tip of the little toe are measured. Circumferential measurement of the foot at the level of the ankle joint, at the level of maximum arch and at the level of the metatarsal heads are measured and compared with the normal side.

Neurovascular examination

Ankle injuries may rarely be associated with posterior tibial artery and nerve injuries. In Lanfranc’s fracture dislocation, the digital arteries and nerves may get damaged and careful animation is needed to diagnose this. The chronically disabled group usually suffers from the sequelae of old trauma or inflammatory infective or degenerative or neoplastic causes. These patients need to be examined by proper history, detailed examination of the individual bone and joints. After eliciting a detailed history, the examiner should arrive at a provisional differential diagnosis based from the history and then proceed to physical examination. This will help in finding the subtle signs of the disease.

Clinical Features

The Patient typically present with a twisting injury of the foot following which they complain of inability to bear weight, pain around the ankle and very often swelling around the ankle. Clinically the stability of the ankle joint must be tested by valgus and varus stress under anaesthesia, Associated injury to the tendons and the neurovascular bundles, which run in close vicinity to the joint, has to be ruled out. The state of skin must be checked. The skin over the deformed ankle may get unduly stretched, resulting into necrosis, if not reduced immediately.

Physical therapy modalities (such as ultrasound) and manual therapy modalities (such as friction massage) are often used when the acute phase is over.A Physical Therapistis a specialist trained to work with you to restore your activity, strength and motion following an injury or surgery. Physical therapists can teach specific exercises, stretches and techniques and use specialized equipment to address problems that cannot be managed without this specialized physical therapy training.

Auto Injury Rehabilitation, Certified Hand Therapist, Hand Therapy, Physical Therapy

Are You Suffering from Your Hip Joint..???

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Injuries around the hip constitute one of the most difficult injuries to treat and predict the outcome. But the best way to treat your pain is by Physical Therapy without any Burn and Injury. In dashboard injuries, the impact is driven to the knee of the patient which passes on the energy of hip joint causing posterior dislocation of hip.

Examination
Inspection
Attitude: The examination of attitude in a hip joint injury is very useful. In posterior dislocation of hip, the hip will be in flexion, adduction and internal rotation. In intracapsular fracture neck of femur, the lower limb lies in external rotation and minimal shortening. In trochanteric fractures, the lower limb lies in complete external rotation and the limb appears shortened. In anterior dislocation of hip, there will be flexion, abduction and external rotation deformity.

Swelling: In dislocation of hip, the femoral head may be felt either in the gluteal region or in the perineal region or iliac region. In trochanteric fracture, there will be diffuse swelling around the hip and thigh.
Palpation
The bony landmarks to be palpated are:
1.Greater trochanter: The position of greater trochanter helps us in the diagnosis of fractures around the hip. The greater trochanter, anterior superior iliac spine (ASIS) and ischial tuberosity have a constant relationship to each other which will be altered in affections of hip joint and proximal femur. Bryant’s triangle is formed by a line connecting ASIS and greater trochanter, line dropped from the ASIS perpendicular to the floor and the line connecting the greater trochanter and the perpendicular line. The base of the Bryant’s triangle is measured and compared with opposite side. In fractures of the neck and dislocations of hip, the base will decrease to the proximal migration of the trochanter. In posterior dislocations of hip, the greater trochanter will be more anteriorly felt near the ASIS. In anterior dislocations, it will be felt more posteriorly. It should be palpated for tenderness, thickening or irregularity. In subtrochanteric fractures, Bryant’s triangle will not be altered but there will be loss of transmitted movements between the proximal and distal femur.
2.Head of femur: Normally, the femoral arterial pulsation is felt against the head of femur. In dislocations, this resistance is lost thereby altering the intensity of pulsation. The femoral head may be felt posteriorly or anteriorly depending on the type of dislocation. A smooth round bony hard mass which moves with rotational movements of the shaft of femur is nothing but the head of femur. The medial surface of the medial femoral condyle is in the same direction as that of the head of femur. This gives a rough guidance to locate the head in an intact femur.

Neurological examination
In posterior dislocations of hip, the nerve to be commonly affected is the sciatic nerve. The common peroneal part of the sciatic nerve is most often involved than the tibial part manifesting as foot drop.
So Treat your problem of Hip Joint with Physical Therapy at Alliance Physical Therapy which is located in eight prime locations in Northern VA and DC region.http://www.alliancephysicaltherapyva.com/

Auto Injury Rehabilitation, Certified Hand Therapist, Hand Therapy, Physical Therapy

Treat Spondylolysis and Spondylolisties With Physical Therapy…

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SPONDYLOLYSIS AND SPONDYLOLISTIES

These linked conditions generally affect your lower back but may occur in may part of your spine.Spondylolysis occurs when a defect or weakness in a vertebrae develops into a fracture. The vertebra is then at risk of slipping out of line with the vertebrae adjacent to it, leading to spondylolosthesis, which can be debilitating and painful, or may be painless and go unnoticed.

CAUSES
Spondylolysis may start with a minor crack the narrow arch of bone in a vertebra,known as the usually it is the result of a fall or due to strain and overuse .some sports such as cricket and soccer repeatedly put stress on the arches of the vertebrae ,which can lead to minor cracks or breaks.Spondylolisthesis generally develops from spondylolysis ,with the crack widening to a complete break due to further stresses and strains .This break allows the damaged vertebra to slip out of line, which can irritate the linked facet joints and ligaments and possibly trap a nerve.

SYMPTOMS AND DIAGNOSIS
The pain from a displaced vertebra due to spondylolisthesis depends on the degree of slippage. A slight slip may cause little or no pain, while a greater degree of slippage can lead to more intense pain because of the irritation to the spinal joints and ligaments .If your nerve is trapped, there may be some pain numbness, or “pins and needless” in one or both of your legs. Your doctor will make a diagnosis through a physical examination and testing including on X-ray, MRI scan and myelogram.

RISKS AND RECOVERY
Back strengthening exercises can help stabilize your posture, but where vertebrae have severely slipped, nerve entrapment can develop that may require surgery. Young people diagnosed with spondylolisthesis should avoid contact sports and activities with a high risk of back injury .A young person who is still growing should be monitored every six months, using X-rays to detect further movements and shift in the spinal column. Once growth stops, the vertebrae are unlikely to slip any farther.

Auto Injury Rehabilitation, Certified Hand Therapist, Hand Therapy, Physical Therapy

Treat Herniated Disk with Physical Therapy..

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Sandwiched between each of the vertebrae in your spinal column is a disk of cartilage that acts as a shock-absorbing pad. These disks have a soft, jellylike center and a tough, fibrous outer layer. A tear in this outer layer will allow some of the soft center to bulge out. This bulge on the nerve roots emerging from the spine in the region of the damaged disk.

CAUSES
Any activity that puts increased pressure on the disks of your spine can lead to a disk hemlation.This can occur in the cervical spine, or, more commonly in the lower back. He general gear and tear that comes with age can also contribute, making middle-aged people susceptible to if they bend suddenly or lift an awkward weight.

SYMPTOMS AND DIAGNOSIS
Depending on the location of the herniated disk, symptoms can vary, but there is usually severe pain and restriction of movement. In the lower back, the pain tends to be a deep unrelenting ache, which may radiate out to your hips; groin buttocks and legs. You may also develop sciatica-a sharp pain, radiating down one leg accompanied by numbness or tingling. Herniated disks can also occur in the neck, causing severe pain that may spread into your shoulders, arms and hands, making it difficult to turn your head or move it backward or forward. You will usually feel pain in only one side of your body. Your doctor will make a diagnosis by performing a physical examination; if your symptoms persist, he may order further tests, such as an MRI or CT scan.

RISK AND DISCOVERY
Recovery from a slipped disk usually takes 4-6 weeks .However if a disk herniated protrudes fully into the spinal curial; it can compress the caudal equine and damage the nerves leading to your legs, bladder and Bowles. This may result weakness and numbness in both legs and the lower part of your body, loss of bladder and bowel control, and even impotence. Although this rarely happens, it is an emergency and you should seek immediate medical help.

Auto Injury Rehabilitation, Certified Hand Therapist, Hand Therapy, Physical Therapy

Arthritis Types, Symptoms, Causes and Treatment

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Literally, many elder people have arthritis, but today it’s not just a problem of the old. Some forms of arthritis affect kids still in diapers, while thousands of people are suffering in the prime of their lives. The general denominator for this condition is joint and musculoskeletal pain, which are grouped together as ‘arthritis.’ Often that pain is a result of swelling of the joint lining. Arthritis is the most common cause of inability in the USA.

Types of Arthritis:

Arthritis is of two types. One is Osteoarthritis Arthritis and other on is Rheumatoid Arthritis.

Osteoarthritis Arthritis is local or generalized degeneration of the articular cartilage and the formation of “lips and spurs” at the edges of Joints. An exaggeration of the normal aging process.

Rheumatoid Arthritis is an inflammatory disease involving the synovial membranes and the particular structures.

Symptoms:

The main symptoms of Osteoarthritis are:
• Progressive pain
• Joint enlargement
• -lived stiffness in morning
• Difficulty moving
• A grating or crackling sound or sensation in your joints

The main symptoms of Rheumatoid Arthritis are:
• Joint swells with redness and tenderness
• Symmetrical joint involvement is common
• Migrate from joint to joint
• Inflammation around the joints and in other areas

Causes:

Arthritis is cleanly defined as swelling in the joints. There are different types of arthritis, but the two most common types are rheumatoid arthritis and osteoarthritis. Joint stiffness and joint pain are the two most common symptoms of arthritis. Those with arthritis may experience more than one inflamed joint. Main Causes are:
• Main Cause of this disease is Inflammation of synovial membrane tissue. This tissue lining the joints in human body and when this tissue becomes swollen, it results to severe pain and stiffness in that body part.
• Being inflexible, unwilling to change, fear, anxiety, depression, deep shock all these are Arthritis Psychological Causes.
• Poor digestion, Hyperacidity, Enzyme deficiency, Poor Skin, Kidney, Gallbladder and Liver activity, spinal imbalance causing reflex conditions as above leading t accumulated toxins which cause an inflammation reaction.
• Excessive use of Meat, soda drinks, coffee, salt, excess refined carbohydrates, sweets, raw vegetable deficiency all these cause arthritis.
• Fatigue can enhance the feeling of pain and more fatigue increase in arthritis pain.

Treatment:

• Raw Vegetable and Juice fasting is the fastest method of attaining result. Fasting period depends upon the patients and conditions and may range from 7-21 days.
• Take Raw Non Citrus Vegetarian diet and avoid coffee, tea, alcohol, sweets etc.
• And one of the best treatment for this is Physical therapy and Hydrotherapy like Hot and cold showers to stimulate general circulation and act as general tonic, Hot compress, Cabinet Bath, Sauna bath, Paraffin bath etc.
• Daily Massage with olive and peanut oil.
• Or sometimes Joint replacement surgery may be required in eroding forms of arthritis.

Best treatment for arthritis is Physical exercise. Low impact aerobic exercise is best. Talk to your medical professional regarding which types of exercises are ideal for you. And people who are suffering from Arthritis due to Physiological cause they must laugh, shed their stress, loose weight, and have more intimacy with outer world. And do regular exercise.

Certified Hand Therapist, Hand Therapy, Knee Pain, Physical Therapy

Wrist Pain

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Wrist pain is any pain or discomfort that occurs in the wrist. The wrist contains many small bones, cartilage, muscles, blood vessels, and tendons, and is particularly vulnerable to injury. Wrist pain is commonly caused by soreness or injury but may also arise from infectivity or a tumor on the wrist.

Wrist pain is particularly general complaint, and there are many common causes of this problem. It is important to make an accurate opinion of the cause of the symptoms so that suitable action can be directed at the cause.

Causes for wrist pain:

    * Tendonitis

Tendonitis is a standard problem that causes wrist pain and enlargement. This is due to swelling of the ligament cover. Wrist pain treatment which is caused by tendonitis does not need surgical procedure.

    * Sprain

Wrist sprains are regular injuries caused to the ligaments around the wrist joint. Sprains can origin problems by restraining the use of our hands.

    * Carpal Tunnel Syndrome

Carpal tunnel disorder is the state that results from dysfunction of one of the nerves in the wrist. In carpal tunnel syndrome the median nerve is squeezed together or strained off, as it pass through the wrist joint.

    * Arthritis

Arthritis is one of the troubles that can originate wrist pain and complexity in performing daily or general activities. There are a number of causes of arthritis and luckily there are a lot of wrist arthritis treatments.

     * Ganglion Cyst

A ganglion cyst is a type of swelling that frequently occurs over the back of the hand or wrist. These are a sort of fluid-filled capsules. Ganglion cysts are not cancerous. They will not enlarge and they will not spread to other parts of your body.

     * Gout

This occurs when there is too much production of uric acid and a waste product. This forms crystals in joints rather than being excreted in the urine.

    * Pseudogout

This occurs when calcium deposit in the joints (wrists or knees) causing ache and enlargement.

   * Fractures

A wrist fracture is a general orthopedic injury. Patients with a broken wrist may be treated in a cast, or they may need surgical treatment for the fracture.

 When do you need to call your physician about your wrist pain?

If you are not confident about the cause of your wrist pain, or if you do not know the definite cure recommendations for your condition, you should seek medical consideration. Treatments for these situations must be directed at the specific cause of your problem.

Some symptoms seen by a physician include:

  • Inability to carry objects
  • Injury that causes deformity of the joint
  • Wrist pain that occurs at night or while sleeping
  • Wrist pain that persists beyond a few days
  • Failure to flatten the joint
  • Swelling or major bruising around the joint
  • Symptoms of an infection, including fever
  • Any other strange symptoms

What are the best treatments for wrist pain?

 The treatment of wrist pain depends completely on the cause of the problem. Thus, it is very important that you understand the cause of your symptoms before you decide for a treatment plan. If you are uncertain for your diagnosis or for the severity of your condition, you should look for medical guidance before the start of  any treatment.

All treatments listed here are not appropriate for every situation, but may be helpful in your situation.

The first treatment for many common conditions that cause wrist pain is to relax the joint and allow the acute swelling to drop. It is important, however, to use warning when relaxing the joint, because causing no motion to the joint can result a stiff joint. Adjusting your activities so as not to disturb the joint can help prevent worsening of wrist pain.

 Usually Ice and heat pads are commonly used for treatments of wrist pain. But the question arises, which one is the right one to use, ice or heat? And how long should the ice or heat treatments last? Read on for more information about ice and heat treatment or consult your physician.

 Support braces can aid patients who either had a recent wrist sprain injury or those who tend to hurt their wrists easily. These braces act as a tender support to wrist activities. They will not avoid severe injuries, but may help you to carry out simple activities while rehabilitating from a wrist sprain.

Auto Injury Rehabilitation, Certified Hand Therapist, Hand Therapy, Hip Pain, Knee Pain, Neck Pain, Physical Therapy

Foot Pain?

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The foot is one of the most complex parts of the body, consisting of 28 bones linked by several joints, tendons, muscles and ligaments. Foot is the foundation of athletic movements of the lower extremity. Pain indicates that there is something wrong with the interaction of internal structures of the foot.

Causes:

Foot pain frequently cause by inappropriate foot function. Improperly fitted shoes can make it worse and in some cases, cause foot harms. Shoes that fit properly and give good arch support can avoid irritation to the foot joints and skin. There are lots of foot problems that influence the heels, toes, nerves, tendons, ligaments, and joints of the foot. Foot pain may be caused by many unusual conditions or injuries. Acute or repeated trauma is the most frequent cause of foot pain. Trauma is an outcome of forces external to the body either directly impacting the body or forcing the body into a situation where a particular or mixture of forces result in damage to the structure of the body. Wearing shoes that are too tight or high heels can cause pain in the region of the balls of the feet and the bones in that part. Shoes that are tied too tightly may cause pain and bruising on the top of the foot.

Anatomy of Foot:

Your foot consists of 28 bones. These are

 

Symptoms:

Pain and point tenderness are the instant indicators that somewhat is wrong in a specific region. When the pain begins to obstruct with your activities of everyday or if you cannot act upon your desired activities without pain, you should consider seeking medical attention. Indicators that you should seek medical care are if the area looks distorted, you have loss of function, large amount of swelling with pain, prolonged change of skin or toenail color, change of sensation, the affected area becomes warmer than the adjacent areas or becomes tender to the touch.

Physical Therapy for Foot Pain

Physical therapy is frequently one of the most important ways to treat the symptoms of foot pain. Gentle stretching of the foot helps to improve the uneasiness felt due to foot pain. Rarely with plantar fasciitis a brace is worn at night to remain the foot in a stretched situation. Following are the five simple and easy movements or exercises to stretch the structures of the foot:

  • The Long Sitting Stretch
  • Achilles Stretch
  • Stair Stretch
  • Can roll
  • Toe Stretch

Physical Therapy is vital in retuning a patient rapidly to their daily routine as well as athletic activities. Restoring proper mobility of the different ankle bones in addition to strengthening of the ankle is necessary in preventing future injuries to the foot, knees, hip and back.

Calcaneus
Talus
Medical Cuneiform
Intermediate Cuneiform
Lateral Cuneiform
Cuboid
Navicular

Auto Injury Rehabilitation, Certified Hand Therapist, Hand Therapy, Hip Pain, Knee Pain, Neck Pain, Physical Therapy

Do you have neck pain that keeps you from being as energetic as you would like?

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Did you get up this morning  with a stiff  painful  neck?

Are you ready to be completely cured of neck pain forever?

If fair enough, then you must appoint a physiotherapist. Physical Therapy is the best and cost effective solution for neck pain.One of the supplest regions of the spine is the neck (cervical) region, which consists of vertebrae, seven shock-absorbing discs, muscles, and vertebral ligaments to clutch them in consign. The primary cervical disc connects the top of the spinal column to the bottom of the skull. The spinal cord, which sends nerve impulses to each part of the body, runs through a canal in the cervical vertebrae and continues all the way down the spine. Pain in the cervical area can cause arm pain as well as the “ache in the neck.”

TREATMENT

Several physical therapists prefer ice (cold therapy) because of its efficiency in diminishing pain and tenderness. Heat (heat therapy) also provides release to some people, but should be used with care because it can sometimes make an inflamed region inferior. Apply warmth or ice for 15-20 minutes at a moment, and give yourself a 40-minute break among applications. Treatments may comprise manual therapy, ultra sound, cervical traction, TENS, exercises, myofacial release.

How Physical Therapy Can Help With Neck Pain?

Physical therapy always begins with a complete history and valuation of the trouble. Your physical therapist will take many things into story, including your age, general health, work, and way of life. If major strain or disease is concerned, your physical therapist will work with you in discussion with a physician.

Auto Injury Rehabilitation, Certified Hand Therapist, Hand Therapy, Hip Pain, Knee Pain, Physical Therapy

Are you in Pain? Do You Need a Physical Therapist?

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Physical therapy is the procedure of analysis and healing from your injury or physical disorder. If you have an injury or infirmity that results in physical destruction or loss of function, then a physical therapist can help you. A Physiotherapist is a skilled expert to help renovate your potency, motion and activity. After understanding the mechanics of your body he designs a treatment program for you. You can learn specific stretches, exercises and other specialized techniques to recover your body. Physiotherapists make use of many different techniques to decrease your pain of your body and inflexibility. He improves motion, potency and mobility.

Physical Therapy For Low Back Pain

The most common analysis seen in several physical therapy clinics is Lower Back Pain. Mostly it happens due to poor sitting position, muscle sprain, lifting weighty objects, and forward bending. Physical therapy can help you to remain as active as possible. Low back pain can be a severe trouble and it is enormously recommended to seek advice from a physician or physiotherapist.

Physical Therapy For Knee Pain

The human knee is a hinge joint (turning point) that is comprised of the tibia (shin) and the femur (thigh). Knee Pain can be caused by repetitive trauma and twist or by wound. Occasionally it occurs for no apparent reason. When knee pain occurs, you may experience practical limitations that include difficulty in walking, rising from sitting, or going upstairs. If you refer physical therapy for the knee pain, the early visit is important to ensure correct analysis and proper supervision. During this visit, your physiotherapist will discuss with you to collect information about the history of your trouble, about the irritating and relieving factors, and about any past medical history that may give the overall problem. From the gathered information, a focused inspection will be conducted.

Physical Therapy For Hip Pain

The hip is actually close to the low back, and it can be complex to conclude if your hip pain is actually coming from hip or coming from your low back. If this pain remains for more than 2 or 3 weeks or occurs as the consequence of major trauma, a visit to a physician, physiotherapist, or healthcare provider is recommended. The physiotherapist may use physical agent like heat or ice help with inflammation. Exercises to improve hip muscle or mobility may be started. You also may have to perform movements or workout at home every day.

Physical therapy is beneficial in treating many diverse medical disorders. Sport and orthopedic injury, neurological  and muscular infirmity, cardiopulmonary diseases are only a few pathological situations in which physical therapy plays a vital treatment role.