News and Updates

Injury

Imaging for Diagnosis of Bony Injury in the Wrist

August 19, 2019
Diagnosing the cause of wrist pain is a challenge for hand therapists, surgeons and radiologists alike because of the small and complex anatomical structures involved within the wrist. There are 29 bones that together make up the hand and wrist. Advances in imaging modalities (e.g. X-rays, CT scanners and MR Imaging) have aided specialists in the diagnosis of a number of hand and wrist conditions including fractures. Current research has focussed on the sensitivity and specificity of the results obtained by...

INJURY JARGON AND WHAT IT MEANS

May 10, 2019
Many words in the English language are a part of common, everyday speech. On the other hand, injury jargon is often used by medical providers, sometimes without patients really understanding what words really mean. Below are some common terms used when discussing injury and what they mean, in plain English. TENDON A tendon is an cord of strong fibres located at each end of a muscle that attaches a muscle to bone. LIGAMENT A ligament is a fibrous connective tissue...
Filed under Hand Therapy \ Injury

HOW TO REDUCE THE RISK OF WRIST INJURY WHEN TRAINING.

Regular exercise has many health benefits but when the body is put under load (e.g. by lifting weights, yoga poses or Pilates exercises) there is a risk of injury. The following are ideas for reducing stress on the wrist while still staying active: Warm Up Always warm up before working out to ensure the muscles and tendons are warm and ready to work. Warming up and stretching becomes even more important with age, as the tissues (muscle, tendons and ligaments) become...
Filed under Hand Therapy \ Injury

CAN I WORK OUT WITH TENDONITIS?

January 10, 2019
The beginning of a new year and the resolutions people make to improve their health and fitness often sees an increase and surge in gym memberships. The sudden increase in physical activity experienced by the body and in particular the wrist and elbow region can in some instances lead to the development of tendon pain. Understanding and managing tendon pain is important to ensure your new year resolution to improve your health and fitness doesn’t end within the first few weeks...

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...

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

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
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