Carpometacarpal Joint Injury

An intermetacarpal sprain happens when connective tissues (intermetacarpal ligaments) between bones in the hand (metacarpals) become torn (ruptured) or overstretched. This usually happens because of an injury to the hand.

Patient is a 57-year-old male fuel tank driver who sustained cumulative trauma on 2/7/2004 due to repetitive movement caused by delivering fuel. As per QME dated 1/25/14, the patient has numbness in the fingers and the patient is diagnoses that he has carpal tunnel syndrome. The left wrist had undergone carpal tunnel surgery; however, he gets numbness from the wrist up into his forearm and numbness in the fingertips. It was also noted that on 12/5/13, the patient complains of shoulder pain bilaterally at 7/10. It is constant and goes into noth arms, along with weakness with numbness in the hands, decreased ability to perform activities of daily living, and impared grip. The pain in the bilateral shoulders is constant and aching with intermittent

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Treatment options range from non-invasive to invasive. While both are effective, we advise seeking non-invasive treatments first. Dependent upon the severity, some patients may be advised to rest their affected arm or wear a brace or splint. This will limit the hand’s mobility with the goal of helping the wrist and tendons to recover. Another treatment option is to receive chiropractic care, which will include a gentle manipulation of the wrist, elbow, and cervical spine by your Chiropractor. With regular visit, this form of treatment shows positive results in managing and curing the symptoms of Carpal Tunnel. More invasive treatments include surgery or steroid shots. Of all the treatment options, chiropractic care is highly effective and not as invasive as other options may

Injuries to the spine and spinal cord can lead to other health problems. Cardiovascular issues, along with deep vein thrombosis are all associated with spinal injuries if not treated correctly. Patients suffering from joint and back pain can benefit from Stem Cell Moore to help relieve inflammation and nerve damage that comes along with the injury.

DOI: 2/25/2014. Patient is a 23 year-old male laborer who sustained a work-related injury to his right hand index finger, middle finger, and ring finger when they got caught in the mixer paddle. As per OMNI entry, the patient underwent open reduction fixation on 3/4/2014 and another surgery for removal of pins, skin graft, and debridement on 06/2013.

Carpal tunnel release is a surgical procedure to relieve numbness and pain in your hand caused by carpal tunnel syndrome.

This condition often needs to be treated with surgery. Before surgery, treatment involves icing and resting the injured area. Your health care provider may recommend medicines to help to reduce pain and inflammation.

DE Quervain’s Tenosynovitis. The rationale for choosing this condition as a differential diagnosis as the other is likely is based on the decreased sensation and the inability to grasp objects tightly. Evidence: De quervain’s tenosynovitis disease, also called gamer's thumb or mother's thumb, is a common pathological condition of the wrist. Even though the exact etiology is unknown, the cause of de quervain's disease is thought to be due to thickening of the synovial sheath containing the extensor pollicis brevis (EPB) and abductor pollicis longus (APL) tendons. This disease can cause irritation of the muscles, pain and swelling over the radial side of the wrist in patients along with an increased difficulty in gripping objects. Signs and symptoms of de quervain’s tenosynovitis include mild pain, limited ROM, swelling, and decreased sensation and locking with thumb motion (Patel, Tadisina, & Gonzalez,

Treatment for this condition depends on how severe the fracture was, which bone was fractured, your age, and your activity level. Treatment often involves wearing a cast or splint on your wrist. If any bones have moved out of place, your health care provider will move them back into place. This may be done with or without surgery. If surgery is needed, metal pins may be placed into your bone to hold it in place while it

The thumb joint below stress is referred to as carpometacarpal joint or basal joint. Basal joint arthritis is often referred to as osteoarthritis. The cartilage that protects and cushions the thumb joint is worn out, for that reason causing soreness throughout movement of the hand. Consult a health care provider to get a suitable splint that supports the thumb and to better manipulate its motion. The healthcare professional could prescribe medicine or cortisone injection to manipulate and shrink joint irritation. Corrective surgical procedure is also advised as a method to cut down the nagging thumb joint

The back of the hand is called the dorsal side. The half of the hand from the middle finger to the thumb is called the radial side. The other side is called the ulnar side. There are 27 bones within the wrist and hand. The wrist itself contain 8 small bones called the carpals. The carpels join with the 2 forearm bones, radius and ulna, forming the wrist joint. Further into the palm the carpals connect to the metacarpals. There are 5 metacarpals forming the palm of the hand. One metacarpal connect at each finger and thumb. Small bone shafts called phalanges line up to form each finger and thumb. The main knuckle joint is formed by the connection of the phalanges and the metacarpals. These joints are called the metacarpophalangeal joints. These joints work like a hinge when you bend and straighten your fingers. The three phalanges are separated by interphalangeal joints. These are defined as proximal, distal and medial interphalangeal joints.The joints in the hand are covered on the inside with articular cartilage, this white shiny material is has a rubbery consistency. The function is to absorb shock and provide an extremely smooth surface to provide motion. There is articular cartilage everywhere when two bones are moving with each other // or

Also pain may start with a disease or injury that persists due to stress emotional problems, improper treatment, or persistent abdominal pain signals in the body. It is possible for chronic pain to occur any previous injury illness or known cause. Therefore, patients suffering with chronic pain significantly benefit from a comprehensive multidisciplinary approach to treatment. Often you achieve optimal care several different health professionals may be involved in patient care alternative care to the traditional medical phonological could include but is not limited to traditional chiropractic care nutritional diet yoga exercise acupuncture meditation support groups soft tissue therapies and network chiropractic. Often, they cannot be cured, that it can be managed well enough through these alternative disciplines of care to improve the quality of life.

Therapy session with these types of patients will include range of motion, joint mobility techniques and exercises that can be beneficial join restoring shoulder mobility (Shishir, M. S. & etc., 2013). Sometimes taking cortisone injection will relieve some of the pain and will allow the patient to further participate in therapy or in home exercises (Shishir, M. S. & etc., 2013). In very severe cases, surgery may by an option and is usually performed in the thawing phase, where the surgeon can either manipulate under anesthesia or selective arthroscopic capsular release (Von Der Heyde, 2011). After surgery, the patient will be also seen by either an Occupational Therapist and/or a Physical

Thumb osteoarthritis mainly affects the joints at the thumb base, the fleshy part of thumb and near the wrist. However, the trapeziometacarpal joint (also known as first carpometacarpal joint) at the thumb base is the most common joint which is susceptible to degeneration.