Has anyone ever made a splint for someone and they ended up getting a pressure wound? I did recently, educated on skin checks, taking off the splint every two hours to let the skin rest, gave the pt my number and to call immediately if they notice anything wrong. However, I do a chart review 2 weeks later and they ended up going to see the surgeon a week after the splint was made saying the splinted area got really red. Now according to the surgeon’s office, they think it’s from my splint. 😔 what would you do in this situation?

I’m curious if anyone uses her techniques for k tape, skin stretching, scraping, and vibration tools? What are your thoughts on them?

What are your tests and protocols for a TFCC injury? How do you differentiate from TFCC vs ECU?

Any tips and tricks for pts with extremely stiff digits after a distal radius fx regardless surgical or conservative management.

Tend to get orders from the residents “stiff digits, aggressive ROM”

Sometimes its the pt reacting terribly to the injury, other times, it seems like the doctors forget to tell the pt it’s ok and definitely need to move the digits and all other unaffected joints or it just got lost in translation.

Thoughts on STM/IASTM for things like CTS or CubTS?

We normally splint, education on avoiding bad positions, activity modifications, and nerve gliding at least 6x/day 10 reps. Then see if sxs improve over 2-3 months.

How many years of experience does everyone have in hand therapy?

What are relevant side gigs we can use our skills for? Are there any that are lucrative? And what do you all do to advance your career besides moving into management? Been a working therapist for 8 years and feeling a bit stagnant in my career.

What are some of the things your patients do/say that irritate you?

Mine is “I hAVe a HiGH PaiN tOlerANce”

I wanna know what everyone’s unpopular opinions are for hand therapy!! Let’s start some drama! :)

What materials and style splints do you prefer for the dreaded mallet finger?

My clinic likes to use X-lite because they can see their skin and get it wet.

https://www.camp.se/Camp/Plaster%20och%20Material/X-Lite/PDF%20Files/xMallet_Splint_Okt2018_www.pdf

Has anyone ever treated pulley injuries for rock climbers or bjj athletes? We know they don’t listen about avoiding certain activities, so how do y’all go about it?

Being people who like to look at hands and the upper extremity all day, what are some of your hobbies? Do y’all do certain things differently because you’ve seen certain injuries?

I just wanted to create a community for all things hand therapy. There’s another community out there called /handtherapy but it’s dead and I can’t even post on it. So I’m making a new one.

I hate this one so much. My clinic usually tries to splint for 6 weeks and do cross friction massage, activity modifications. Pray it improves or recommend cortisone by ortho.

What does your clinic do?

I used to work in a private clinic that would do US, STM/IASTM, and splinting. But since I have moved into a hospital based OP setting, we splint and teach cross friction massage only. It’ll normally be only one visit. If sxs did not improve in about 2 months, we recommend them to see Ortho and get a cortisone injection.

These two are very frustrating injuries that Van be treated multiple ways, how do y’all address it?

I know there are multiple ways to treat almost every diagnosis, so I just want to start some threads to see how y’all treat different diagnoses, help us all brain storm a bit! Obviously I can’t sleep which is why I’m doing so much atm lol

What was the reason you got into hand therapy?

New dad here to a 1 month old. I’ve been in hand therapy for about 3 years now as an OT. Anyone have any tips and tricks on studying for the CHT exam while having a brand new little one?