Hannah,
Do you use other techniques that do not involve the thumb? I agree with
you... the tapping technique is not effective due to the huge hyperthenar. I
personally have not heard of injections in any other joints apart from the
knee, so I am not sure whether they do it for the thumb, but I have 2
patients who are big believers in it in the knee joint.
My best bet for you is to use a variety of techniques involving other
fingers, and reduce the dependence on the thumb.
Henry***
>From: Hannah Pearson Abdullah <[log in to unmask]>
>Reply-To: - for physiotherapists in education and practice
><[log in to unmask]>
>To: [log in to unmask]
>Subject: Re: SV: Mmmm...
>Date: Wed, 25 Jul 2001 09:36:30 +0800
>
>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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