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Created by

kenneth thomas
kenneth thomas
United States

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wrddks

by kenneth thomas
1

median Claw Adjust Surgery alcoholism Splint Adjust humerus weakness breaks Tinel's Adjust Dupuytren's Tinel's digits ulnar Phalen's

A . Carpal Tunnel - ( soft tissue and / or bony compression of nerve )

S / S : Pain radiates ( into hand , arm , neck ) , tingling , numbness , , cool hands shake for relief , night pain often

Dx : , , Compression Test ( thumbs on volar surface of wrist 15 sec - 2 min ) .

NCV , EMG , Tourniquet test ( cuff diminishes arterial flow 30 - 60 sec )

Tx : Eliminate cause ( job modification , endocrine , pregnancy , PMS , etc . )

( wrist , elbow , neck ) : Nutrition ( B6 )

PT : Ice and HVG ( acute ) moist heat and diathermy ( chronic ) ; Exercise : ( putty )

: cock - up or plaster ; Work : modify , , stretch







B . Tunnel of Guyon - ( compression of nerve between pisiform and hamate )

S / S : Numbness and weakness of last two

Dx : , muscle test , NCV

Tx : , PT







C . - ( taut fascia leads to nodules and flexion contracture of the last 2 - 3 digits )

S / S : Familial , related to , post vascular accident

Dx : Palpation of fascia , MRI

Tx :











D . Volkmann's Ischemic Contracture ( last 2 - 3 digits )

S / S : Post trauma usually ( fracture )

Dx : History , MRI

Tx : Adjust elbow , shoulder , and spine , PT

E . Hand ( last 2 - 3 digits )

Tx : ( ulnar nerve )