i had a very similar promlem, approx. 2 years ago.
i had a custom splint made. i used it for about a week, but found that
palpation just did not "feel right" as the movement in the mcp jt was
altered too much. ultimately, i discarded the brace and modified my
technique. currently if i am performing spinal mobs or manipulation , i no
longer have problems, however if i return to the deep tissue massage
technique that started the problem to begin with the problems will
eventually return.
jd
>From: "k.reese" <[log in to unmask]>
>Reply-To: - for physiotherapists in education and practice
><[log in to unmask]>
>To: [log in to unmask]
>Subject: Re: thumb pain.
>Date: Sun, 10 Jun 2001 15:17:44 +0100
>
>Dear Jim
>
>Try to get an OT to make you a splint
>Try using your lateral hypothena emminence as much as possible
>Try recruiting the intrinsic flexors of the thumb.
>
>Regards Kevin Reese PT UK
>----- Original Message -----
>From: Jim Cross <[log in to unmask]>
>To: <[log in to unmask]>
>Sent: Sunday, June 10, 2001 12:36 PM
>Subject: thumb pain.
>
>
> > I am a physio recently started working back in musculoskeletal
>outpatients.
> > I am having problems with thumb pain after performing spinal mobs on
> > patients mainly as aresult of hyperextending MCPs and poor stability at
>the
> > CMCs.
> > Is anyone aware of any effective products e.g. splints, to help provide
> > stability whilst performing palpation and mobs? Are there any effective
> > stability exercises for the thumb?
> > Is anyone aware of any research looking at these problems in
> > physiotherapists?
> > thanking you in advance.
> > karen.
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