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Upper Limb Conditions

Golfers Elbow

 

 

What is it?

 

Also known as Medial Epicondylitis, this condition arises due to the overuse of the muscles and tendons responsible for flexing the wrist, fingers, thumb and pronating the forearm. 

 

 

What are the symptoms?

 

- Pain is felt from the medial epicondyle (bony prominence at the inner elbow) and extends to the inner border of the forearm. Swelling may also be present. If severe, a tingling sensation may also be present, felt at the 4th and 5th fingers.

 

 

How can Orthotics help?

 

An epicondylitis clasp is used which compresses the flexor tendons where they blend with the muscle. This reduces the bending stress on the tendon and so helps to relieve the symptoms.

 

 

 

 

Brachial Plexus Injury

 

 

What is it?

 

A Brachial Plexus injury arises due to stretching or micro-tearing of the nerves which originate near the neck and shoulder. This can be caused as a direct result of trauma, during childbrith, inflammation of the surrounding tissues causing nerve compression, or due to a localised tumour.

 

 

What are the symptoms?

 

- Marked weakness of the affected upper limb, pain in the neck and shoulder, and possibly a sensory deficit are all normally seen. Occasionally, a vascular injury may be present.

 

 

How can Orthotics help?

 

- Flail arm splints are normally used to support and protect the elbow and wrist, and occasionally the wrist if the patient’s involvement is more severe, and to provide more function to the affected limb.
- Other patients with less involvement prefer to use shoulder slings or immobilisers to prevent the shoulder from subluxing (partially dislocating).

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Carpal Tunnel Syndrome

 

 

What is it?

 

It is caused by compression of the median nerve at the wrist. It can be due to a number of factors such as an injury that results in swelling, hypothyroidism, Rheumatoid Arthritis, and genetic causes to name some. 

 

 

What are the symptoms?

 

- Symptoms tend to be mild at first and become worse over time.

- Numbness, tingling and burning sensations particularly of the index and second finger. 

 

 

How can Orthotics help?

 

- A Wrist Hand Orthosis (WHO) to keep pressure off the nerve, allowing the joints to rest in a neutral position. 

 

 

 

 

Tennis Elbow

 

 

What is it?

 

Also known as lateral epicondylitis, tennis elbow is caused by an overuse of the extensors of the wrist and fingers.

 

 

What are the symptoms?

 

- Pain and swelling at the lateral epicondyle are usually present. The pain is aggravated with wrist extension e.g. lifting with the palm of the hand downwards.

 

 

How can Orthotics help?

 

- An epicondylitis clasp is used which compresses the extensor tendons where they blend with the muscle. This reduces the bending stress on the tendon and so helps to relieve the symptoms.
- If severe, the use of a Resting Wrist Hand Orthosis may be necessary.

Wrist Fractures

 

 

What is it?

 

The most common cause of wrist fractures are resultant from falls.

 

 

What are the symptoms?

 

- The wrist is usually painful and swollen. It may also be deformed. 

 

 

How can Orthotics help?

 

- Following other medical intervention, a Wrist Hand Orthosis may be used afterwards for immobilisation until all soft tissues and fractures are well healed.

 

 

 

 

Shoulder Dislocation

 

 

What is it?

 

It occurs when the head of the humerus becomes displaced from its normal articulation point with the scapula (shoulder blade). It typically occurs due to a fall or collision.

 

 

What are the symptoms?

 

- Severe pain is felt in the shoulder sometimes accompanied with numbness of the arm and an inability to move the affected arm even fractionally. The shoulder will also appear a different shape to the opposite side (more square).

 

 

How can Orthotics help?

 

- Once dislocation has been reduced the use of a shoulder immobiliser to rest and protect the joint/soft tissues and prevent unwanted movements is useful.

Allmed Healthcare Limited is a registered company within the Republic of Ireland.

Registration number - 464122

VAT registration number - IE 9646241F

Registered address - The Laurels, Cahermaculick, Shrule, County Mayo, Republic of Ireland. 

Allmed Healthcare Limited © 2008. All rights reserved.  

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Our custom-made products are registered with the Health Products Regulatory Authority in the Republic of Ireland.

 

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Tel: 093 33 825

Fax: 093 33 876

E-mail: info@allmedhealthcare.ie

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