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Lateral & Medial Epicondylitis (Tennis & Golfer’s Elbow) Typically discharge patients at this pointģ.Discontinue use of splint except heavy lifting or when in crowds.Wrist and forearm isotonic strengthening (2-3x/day x 15-20 reps with 1# dumbbell or lightest theraband).Continue wearing splint with heavy activity, lifting, and community mobility.
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Wrist active range of motion (4-6x/day x 10 reps MINIMUM).Modalities (if applicable) – ultrasound or iontophoresis with dexamethasone.Nerve glides – proximal and/or distal median nerve glides (these must be completed pain-free!).Education – pathophysiology, purpose of splint, ergonomics, activity modifications.Night-time splinting – prefab volar wrist cock-up splint.There are differing surgical techniques (open versus endoscopic release) which may determine what treatment interventions and outcomes are most appropriate. In regards to post-surgical carpal tunnel releases (and actually all post-surgical diagnoses), it is important to read the operative report in detail prior to treatment. However, I tend to see more orders for post-surgical treatment than conservative. Carpal Tunnel Syndrome (Conservative & Post-Surgical)Ĭarpal tunnel syndrome is in the top 5 most common diagnoses I see. It is by no means an exhaustive list, but hopefully will provide you with a direction to take when seeing an unfamiliar diagnosis. This article will focus on common diagnoses seen in hand therapy (and possibly in your setting) with typical hand therapy interventions and treatment protocols in an easy to read list form. What is really exciting about hand therapy (but also challenging at times) is how many different “road maps” exist for treating the same diagnosis since each patient presents with unique problems and issues. The plan is built from a thorough understanding of protocols, personal experience, and collaboration with fellow hand therapists. Regardless of how simple or complicated the diagnosis or treatment plan, I try to have a “road map” in my head planned out. The same is true for me now when treating a patient in my hand therapy setting. I quickly learned in graduate school (in my physiology and neuroscience courses) that I learn best with flow charts – when I can form a plan and visualize what steps come next.