Hello Hannah,
the inventors of manual therapy have a lot to answer for - physios are
dropping like flies flying into Mortein. We are working on some guidelines
for physios for the APA. the CSP have put out an excellent document on OH&S
issues for physios who damage themselves.
Crombie has 2 articles on injuries in physiotherapists in Physical therapy -
one on the incidence and one on guidelines for management/prevention.
As National chair of the Ergonomics and Occ Health Special Group of the APA
I am too often getting enquiries from physios who need/have to change career
paths due to injuries sustained in the course of their work, especially
thumbs.
Cheers,
Anna.
Anna Lee
Principal,
Work Ready Industrial Athlete Centre
Write to me at: [log in to unmask]
Visit me at: www.workready.com.au
Snail mail:
Suite 3, 82 Enmore Road,
Newtown NSW 2042
Australia
Phone: (612) 95197436
Fax: (612) 95197439
Mob: 0412 33 43 98
----- Original Message -----
From: "Hannah Pearson Abdullah" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, 25 July 2001 11:36
Subject: Re: SV: Mmmm...
> After 20 years of mainly manual therapy clinical practice I went through a
phase
> of DeQuervens-type soft tissue inflammation and pain on both thumbs
arouond
> three years back which used to settle if I rested or strapped them but
this past
> year I have been suffering from CMC joint pain with huge joint
signs -nothing on
> XRay and the fact it got musch worse during pregnancy made me think of
> ligamentous instability. With the Mulligan idea of correcting the
position of
> the joint I can get instant pain relief but find it absolutely impossible
to
> tape in that position (something to do with the chunkiness of the
hyperthenar
> muscles, I'm sure!)
>
> Has anyone any idea of how to keep the MC into a laterally rotated
position
> during life in general, let alone work? Short of stapling something into
deeper
> tissue/bone and yanking it back I'm at a loss but think I have a good 20+
years
> left in me for work if only I can get my thumbs to last that long!
>
> The other thing I was considering was getting those
> hylacen/glucosmine/chondroitin infiltrations they do in early OA knees int
the
> joint space. Has anyone had any expereince with any similar
preventative-type
> interventions? Or glucose injections into the ligaments to try and reduce
any
> instability.
>
> Any thoughts? I should really appreciate as I'm out on a limb here in
Malaysia
> and havent come across any other physio with this extent of problem.
>
> Thanks.
>
> Hannah
>
> "Neumann Isaac Rutger, Granheim" wrote:
>
> > Nothing, Sarah, that's the strange thing. The only stressing thing I do
with
> > my thumbs is pinching my patients when don't work hard enough, hehehe.
> > Do you know about any orthoses or stuff like that I can wear?
> >
> > Isaac
> >
> > -----Opprinnelig melding-----
> > Fra: Sarah Fern Striffler [mailto:[log in to unmask]]
> > Sendt: 24. juli 2001 13:40
> > Til: [log in to unmask]
> > Emne: Re: Mmmm...
> >
> > Isaac,
> >
> > What stresses do you put that jopint through, during your daily life?
For
> > example, do you weight-bear on it, say by deep massaging with the thumb
in
> > full extension?
> >
> > Sarah Fern Striffler, PT
> >
> > ----- Original Message -----
> > From: Neumann Isaac Rutger, Granheim
> > <[log in to unmask]>
> > To: <[log in to unmask]>
> > Sent: Monday, July 23, 2001 2:24 AM
> > Subject: Mmmm...
> >
> > > Hello All,
> > >
> > > My aunt (retired fysio) told me a funny story about low-back pain.
> > >
> > > One of her friends (also ex-fysio) had been having backache for some
time
> > > and decide to go to a PT. It didn't help much however. Then she went
to
> > > another and another and a manual therapist and an osteopath etc etc.
> > Nothing
> > > seemed to help. Then - by accident - she told her local opticien (guy
that
> > > sells glasses) about her backache. He told her that her new glasses
might
> > be
> > > the problem. It appeared that her walking-pattern was slightly,
slightly
> > > different when she didn't had her glasses on.
> > > She decided to test this theory by wearing her old glasses. Guess what
> > > happened...: abracadabra... the backache releaved.
> > > After this she bought another model glasses and now everything is
fine.
> > >
> > > Isaac
> > >
> > > PS: My thum hurts like hell in the metacarpo-phalangeal joint. It
seems to
> > > overextend a few degrees. What can I do except for being careful,
> > > strenghening exercises, etc?
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