News and Updates

Johanna Buick

EXTENSOR CARPI ULNARIS TENOSYNOVITIS PILOT STUDY

October 19, 2018
A pilot study undertaken by the Merivale Hand Clinic in conjunction with Ram Chandru (Orthopaedic Hand and Wrist Surgeon) The extensor carpi ulnaris (ECU) muscle plays an important role in wrist movement and also provides stability to the outer side of the wrist. ECU tendonitis is the result of inflammation of the ECU tendon. This condition is most common in non-athletes, however ECU injuries frequently occur in tennis, golf and the rugby codes. Raphael Nadal is probably the best known...

Hand Therapist - Christchurch

October 10, 2018
The Merivale Hand Clinic in Christchurch provides expertise in the assessment, treatment and leading edge rehabilitation of hand, wrist and forearm conditions. The clinic is recognised as a leader in the field of hand therapy and operates from sites throughout Christchurch and North Canterbury. Visit our website at www.merivalehandclinic.co.nz for more information. The clinic currently operates four fulltime clinics and works at accident and emergency fracture clinics within the city. The successful candidate will work 35-40 hours as a hand...

RUGBY INJURIES

July 10, 2018
In New Zealand, rugby is the national sport and also has the highest injury rate of all major sports. Because rugby union has high participation levels as well as a high injury rate, this sport results in more hospitalisations, more visits to the accident and emergency departments and more claims to the Accident Rehabilitation and Compensation Insurance Corporation (ACC) than any other sport. Played typically by young people, rugby requires the skills of tackling, scrummaging, mauling and lineout play. On average...
Filed under General \ Injury \ Sport

Recovery Milestones for Carpal Tunnel Release Surgery

March 26, 2018
Carpal tunnel syndrome is a common nerve compression condition estimated to affect between 3 – 6% of the population. It may be up to three times more common in woman than men with the highest prevalence of this condition seen in the 45 – 55 year old age group. Carpal tunnel syndrome is caused by pressure on the median nerve as it passes through a narrow tunnel in the wrist. When the median nerve has pressure placed on it, patients may...

Should I Donate Blood When Recovering from Injury?

February 9, 2018
Q. I broke my wrist four weeks ago and had to have surgery. The surgeon used a plate and screws to fix the fracture in a good position. I normally give blood every three months. Should I still donate blood while I am healing – or will this affect my recovery? A. The average adult has around 10 pints of blood (which is roughly 8% of body weight). When donating blood, 1 pint (or 10 percent of total blood volume) is...
Filed under Case Study

Hand Injuries in Volleyball

November 22, 2017
Over the past few years, I have been fortunate to travel overseas as the physiotherapist for Volleyball New Zealand. One of the perks of my role is that I get to travel with various teams to domestic and international tours and competitions. This year I travelled with the NZ Junior Men’s squad (U18) to Fort Lauderdale in Florida to attend the USA Junior High Performance Indoor Championships. This tournament involved 200 teams and the best young athletes from around the...

REHABILITATION OF DISTAL RADIUS FRACTURES IN THE OLDER PERSON

October 22, 2017
Fractures of the wrist are a common injury especially fractures of the distal end of the radius. The radius is the larger of the two bones in the forearm and is the most commonly broken bone in the arm. The paediatric and elderly populations are at the greatest risk for this injury, with distal radius fractures accounting for around 25% of fractures in the paediatric population and up to 18% of all fractures in the elderly age group. With the growth...
Filed under Healing \ Injury \ Recovery

BUDDY STRAPPING SOLUTIONS

September 20, 2017
Following finger ligament sprains or stable finger fractures it is common practice to buddy strap the injured finger to its uninjured neighbour. In this way, the healthy digit acts as a splint keeping the damaged one in a natural position for healing and encouraging normal movement patterns. Often this technique is used on return to sport, to protect the finger from further injury. It is important to note that fingers should only be buddy strapped on the advice of a medical...

Silicone Gel Sheeting for Treatment of Scars

June 23, 2017
Silicone gel sheeting (SGS) has been used in scar therapy for over 30 years, during which its efficacy has been the subject of numerous clinical evaluations. While the exact mechanisms by which SGS improves scar healing are yet to be fully agreed upon, its ability to do so remains largely undisputed. As such, topical silicone gel treatments seem to remain the first point of clinical recommendation in scar management. Carpal tunnel scar The formation of scar tissue is generally characterised by...
Filed under Healing \ Injury \ Recovery

Ruptured Flexor Tendon

June 1, 2017
Ruptured Flexor Tendon The flexor digitorum profundus (FDP) is a muscle that has 4 tendons with one tendon attaching to the end of each finger on the palm side of the hand. A ruptured FDP tendon results in a person being unable to actively bend the end of their finger. This injury can occur when a player grabs another player's jersey with the tips of one or more fingers while that player is pulling or running away. The force of this...
Filed under Hand Therapy \ Injury
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