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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