Hannah,

They tried it before hand on the knee.

have you ever considered getting a "plastic thumb" to do strong thumb
techniques?? you can still do your normal assessment to feel, but use the
"plastic thumb" to push and carry out treatment. I have one in my clinic
that Chinese practioners use for reflexology... works really well for
acupressure and soft tissue manipulation (on certain tissues).

Good luck!

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: Sat, 28 Jul 2001 10:58:59 +0800
>
>Dear Henry, Sarah and anna
>
>Thaks a lot for the responses - I seem to be out of the swing of the
>immediate
>response category here - maybe its that head wind they always talk of that
>makes
>flying to UK half an hour longer than coming back to Kuala Lumpur.  (I must
>say
>when I see the volume of input I have visions of some of you spending all
>day
>sitting in poor postures over the computer for 12 hours!)
>
>I have tried to slow down the use of the thumbs but find it very difficult
>in
>some cases - and when I changed to elbow for some myofascial releaaaase
>techniques I feel I may simply be storing up problems in another joint...
>
>I tried splints off the shelf a while back but found it sooo difficult to
>do any
>functional things in so may revert to Sarah's suggestion of night splints
>only.
>Henry, did you find the knee patients who responded to the joint
>infiltrations
>had tried oral glucosamine and choindroitin first or after?
>
>Thanks again.
>Hannah
>
>
>Henry Tsao wrote:
>
> > 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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