Hello Nabil,
Could also simply be from deconditioning of muscles from splinting (natural
or otherwise). Have your tried vigorous exercises?
Cheers,
Anna.
Anna Lee
Principal,
Work Ready Industrial Athlete Centre
Physiotherapist & Occupational Health Consultant
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----- Original Message -----
From: "Scott Epsley" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Saturday, March 03, 2001 7:53 PM
Subject: Re: 5th metacarpal #
> The cramping could be neural related. Look at the Upper Limb neurodynamic
test for the ulnar nerve. Check out pisiform and hamate mobility. Then
look at flexor carpi ulnaris. It may well be a tight band. Don't forget
the cervicothoracic junction in this one either.
> ---
> Scott Epsley
> PHYSIOTHERAPIST
> Northside Sports Injury Centre
> Brisbane, Australia.
>
> e-mail: [log in to unmask]
>
> On Fri, 2 Mar 2001 19:12:34
> nabil keshavjee wrote:
> >I have a client post # of the 5th metacarpal. Rom for
> >4th MCP is very stiff going into flexion. Also has
> >complaints of cramping pain around the hypothenar
> >eminencce (I think that's around the 5th metacarpal
> >area). The stiffness and the cramping both prevent
> >him being able to fully grip. I am currently working
> >on his range by using glides and stretching. Can't
> >seem to get rid of that cramping though. Anything I
> >could try?
> >Nabil K.
> >--- Beatus Joseph <[log in to unmask]> wrote:
> >> Dear Sarah: One of the problems on the application
> >> side, is the
> >> intensity of stimulation. At times, the process of
> >> breaking up adhesions
> >> is inflammatory; so when is it therapeutic? As with
> >> all pressure
> >> techniques, one has to account for Weber's law? re
> >> pressure sensitivity
> >> (forgot the exact terminology.) The Grater the
> >> pressure, the less one
> >> can discern marginal changes in mass weight changes
> >> and the like (which
> >> is also the explanation why the physical aspect of
> >> craniosacral therapy
> >> e.g.. perception of CSF changes is ludicrous,
> >> irrational, and
> >> projective; never mind all the unwinding nonsense.)
> >> The other problems,
> >> just to name a few, are the nature of Mu receptors:
> >> individuals possess
> >> different concentration of the protein (am not sure
> >> if only in the
> >> periphery or at the root entry-zone, see Proceeding
> >> National Academy of
> >> Science, late 2000); emotional reaction to pain; and
> >> the nature of
> >> movement following and during therapy. Yet it works!
> >> Amazing.
> >> Regards, Joe
> >> -
> >
> >
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