Archive for the ‘Physical Therapy’ Category

Brachial Plexus Treatment

Brachial Plexus is a network of nerves that begin in the spine and provides sensation, as well as allows movement in your arms and shoulders. This network is important for the movement of your arm and shoulders. If this network is injured in anyway, you may not have sensation or movement in your arms.

Brachial Plexus injury happens when you strain a muscle or cut a nerve. It doesn’t necessarily happen only to adults. Many women often undergo difficulty during labor or delivery and this may lead to the injury of it in the new born baby. Treatment varies depending on where and how severe the injury is.

If you suspect that you or your children are suffering from it, it is important that you visit your physician as soon as possible. You can avoid it becoming severe if you are able to treat it well. Keep in mind that injury to your brachial plexus means in most cases loosing the use of your arm! The most common symptoms of this injury are being unable to use your arm, a continuous pain in that arm and a certain level of uncomfortable feeling. It may feel very numb too.

It has been noted that injuries that are not too severe heal without any surgery. If the injury is serious, one would have to undergo surgery to rectify the problem.

Two methods are most commonly used in the treatment of brachial plexus injuries. You can either opt for surgery or go in for physical or occupational therapy exercises. Both methods are very effective and are recommended world wide.

Therapy is known to help kids regain their motor function. In case a child does not respond to this therapy and still has no motor function; you may want to have your child undergo nerve surgery. This is bound to help your child regain his or her motor functions.

Brachial Plexus injury and its treatment will vary from person to person. Not everyone will require treatment. Also every doctor goes about the surgery with a different approach. You should also be aware that a injury may not disappear even after therapy or surgery. In some severe cases, there may not be a recovery ever. The best, any doctor can do for you is to try and maximize the functional use of that arm. It may not return to being normal ever again but at least you will gain partial use of it. When undergoing a surgery, all you can do is hope for the best!

Dr. Jim Greene would like to invite you to learn more valuable information that will help you gain the knowledge you need regarding:

Brachial plexus Find out more information about brachial plexus such as Diagnosing brachial plexus, cost of the treatment, does insurance cover brachial plexus repair and much more.

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Posted on April 3rd, 2008 by admin  |  No Comments »

Ankle Sprains - Successful Treatment Tips

Ankle sprains can easily become chronic in nature if not treated correctly. Proper initial care can mean the difference between a single sprain, or a lifetime of ankle problems. Below are a few tips that will help you along with your recovery, and get you back to sports faster and safer.

Control Your Swelling

You may have heard of R.I.C.E. - Rest, ice, compression, elevation. These principles are the first and most important part of treating your ankle sprain. With R.I.C.E. you can effectively control the swelling that occurs after an ankle sprain, and literally cut your recovery time in half.

The most important part of R.I.C.E. is the compression. It is the most effective way to treat your swelling. Ice alone will not prevent excessive swelling. Elevation and rest alone will not prevent swelling. Only compression can work to eliminate excessive swelling around your ankle. This is the key to getting your recovery started right.

To control swelling, use an elastic wrap and horseshoe pad around the ankle. Apply the wrap all the way down to your toes and half way up your calf. Keep it on all the time for the first 7-10 days after your sprain.

Forget About ‘No Pain, No Gain’

When it comes to healing, pain is the indicator that you are over stressing the tissue. That means that when you are recovering from your ankle sprain, you should avoid activities that cause pain. So, if walking is very painful - use crutches. It isn’t a matter of just walking it off. Rest is important during the first 1-3 days after your injury. This is when your body works to control internal bleeding and to start forming the scar matrix to heal the ligament. Unnecessary stress on the healing tissues means you will not get good healing and you may suffer from chronic instability. So avoid painful activities, especially during the first few days.

Range of Motion First

Before you worry about strengthening your ankle, you need to restore normal range of motion. Normal motion helps your body to absorb swelling, provides nutrients to the joint surfaces, and will allow the muscles to work efficiently once you do begin strengthening. You can start working on gentle range of motion within the first 24-48 hours after injury. Just remember to make sure it is gentle and relatively pain free. Mild discomfort is ok but avoid severe pain.

Range of motion exercises can be as simple as pointing your toes, turning your foot in and out, or drawing circles or the alphabet with your foot. Just try to work through all of the different ranges, moving as far as you can without significant pain.

Strengthening Your Ankle

Ankle strengthening is an essential part of recovering from an ankle sprain. The key is to make sure you don’t go too fast. Again, pain is an indicator that you may be doing too much too soon. Elastic band exercises are a good way to work on improving ankle strength. Other exercises like calf raises, lunges, and step ups will also work to strengthen your ankle muscles.

Balance is the Key

Balance exercises are one area of ankle sprain recovery that many people overlook…and they are possibly the most important part of any recovery program. In order for your ankle to be stable, the muscles and joints all have to work together efficiently. After an ankle sprain the communication between the muscles and joints is disrupted. Balance exercises are the most effective way to restore that communication and improve the efficiency of the muscles.

A simple single leg balance, where you stand on your injured leg only for a short period of time, is a great exercise to start with. Try balancing for 30 seconds without touching down. Once that becomes easy, you can progress your balancing by turning your head from side to side while you balance, or try rotating your arms and trunk side to side. You can also try to balance on a cushion or pillow - this will make balancing much more challenging.

Ask For A Referral

Ankle sprains are often underestimated. That is why the recurrence rate can be so high. Sprains that are treated with just R.I.C.E. and no type of range of motion, strengthening, or balance exercises will heal, but the overall function of your ankle will be worse than it was before injury. You can avoid lifetime problems by simply asking your physician for a referral for rehabilitation. Most insurances will cover rehabilitation for an ankle sprain, especially if your normal daily activities are limited. Just a few therapy sessions can make a huge difference in your ankle function…and it just may prevent a future sprain.

So ask for a referral.

For more information on treating your ankle sprain, check out Ankle Sprain Solutions, provided by Sports Injury Info.

Barton Anderson is a certified athletic trainer for St. John’s Sports Medicine. He is the creator of Sports Injury Info, and is dedicated to providing sports injury information to his athletes and the public. Barton holds a Masters of Science Degree in Sports Health Care, and is certified by the National Athletic Trainers’ Association.

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Posted on April 3rd, 2008 by admin  |  No Comments »

Scar Tissue and Muscle Adhesions -Your Body’s Enemy

Active Release Technique (also known as ART) is an advanced massage technique specifically designed massage for muscle and muscle attachments, tendons, and the fascia surrounding the muscles, to release and relieve tension in these areas. It can relieve such “overuse” problems as carpal syndrome, shoulder pain, shin splints, sciatica, plantar fasciitis, knee problems and tennis elbow. These problems all occur because of overuse, and can be cured with his specific massage therapy technique, called Active Release Technique.

When overuse occurs, nerve entrapments, muscle adhesion, inflammation and scar tissue, carpal tunnel and impingement syndrome, among many other problems, can manifest. This is because overuse causes injury or other situations where the tissue actually changes detrimentally in three important ways.

· First of all, the tissue itself does not get enough oxygen, a condition also called “hypoxia.”

· Second of all, there can be an accumulation of small tears, also called a micro-trauma.

· And third of all, this can cause acute conditions, such as pulls, tears, and collisions.

No matter the cause, what happens is that these three types of changes cause the body to heal by producing tough, dense scar tissue in the area that has been injured, which replaces the healthy tissue. The scar tissue itself then binds up the surrounding tissues, so that they can no longer move freely. As more scar tissue builds up, muscles themselves can become shorter and weaker. Scar tissue in not as strong and stable as healthy tissue, there for an advanced massage therapist is needed to help break down muscle adhesions and scar tissue.

Without treatment this results in tension on tendons, which in turn causes tendonitis, and nerves can become “trapped.” This in turn can cause pain, loss of strength, and reduced range of motion. In some cases, when a nerve becomes trapped, you can also feel numbness, tingling or weakness.

A massage therapist who uses these ART techniques can help clients with these muscles adhesions and scar tissue build up, that restrict proper muscle function. When one receives ART treatment, a therapist first evaluates the tenderness, tightness and texture of underlying tissues, such as the fascia, muscles, tendons, nerves and ligaments. Then, the therapist provides specific advanced massage therapy techniques along with ART techniques.

This type of treatment is effective because a trained therapist can break up the scar tissue causing the nerve entrapment, reduced carpal tunnel syndrome symptoms, nerve impingement or muscle adhesions. The therapist directs very specific tension at the affected area usually focusing on or around muscle attachments and the patient works in tandem with the therapist by moving in specific ways to help break up the scar tissue.

There are over 500 different movements specifically in ART that is meant to break down the scar tissue, muscle tension and entrapped nerves. For example, with carpal tunnel syndrome, the median nerve is trapped in scar tissue (also known as “nerve entrapment), which has been caused by repetitive movement, a poor diet or a host of many other inflammation causing factors. Carpal Tunnel Syndrome also known as “cumulative injury,” because the injury itself (in this case, entrapment to the median nerve) occurs over a period of time. In many cases, ART can reduce or eliminate the need for surgery to correct these problems and restore function.

Impingement syndrome can also be helped with ART.

Another type of injury, impingement syndrome, occurs when those who do a lot of lifting have pain in the shoulder area. Most often, care for this problem involves having surgery to shave off a small part of the rotator cuff and make it flat, ensuring that there’s nothing to “catch” the muscle or muscle adhesion on. However, most often, the problem is in the muscle itself and not in the rotator cuff, so ART can cure this problem if the problem is indeed occurring in the muscle and not in the rotator cuff itself. This determination needs to be carefully identified before any massage therapy or ART treatments are implemented. Be sure to seek a professional massage therapist who is certified in ART techniques and has a very firm knowledge of the human anatomy.

Robert C. Vignoli has been a massage therapist for over 10 years and he specializes in trigger point therapy and deep tissue massage techniques and also an expert in scar tissue and muscle adhesions removal. He currently co-owns Roman Paradigm Massage, his goal is to improve the massage industry by building a “hands off” massage business model. learn more @ http://www.think-diagonal.com

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Posted on April 3rd, 2008 by admin  |  No Comments »

Sciatica Exercises That Work

While sciatica exercises are definitely important to both short and long-term recovery, not all exercises promoted for sciatica are actually appropriate during acute symptoms and may actually make things worse.

For example, while commonly recommended to people with sciatica, exercises such as hamstring stretches and the yoga position, “downward facing dog” can be beneficial as part of managing one’s condition once the pain is reduced, these exercises can place tension on the sciatic nerve and aggravate an already inflamed and sensitive condition. In general, any exercise that causes pain to increase in the leg and/or extend further down the leg should be completely avoided during the acute phase of sciatica.

During the acute phase of sciatica pain, McKenzie exercises provide one of the best and safest treatment approaches available - more effective than medication and epidural steroid injections in many people. Though often associated with spinal extension and mistakenly called the “McKenzie Extension Exercises”, McKenzie method may involve any number of spinal positions/movements. The underlying principle of the McKenzie technique is to test various positions and exercises to determine what will create the most “centralization” of the pain and other symptoms.

McKenzie practitioners use the word “centralization” when the pain and other symptoms are relieved in the areas the greates distance away from the spine. To give an example, in a person with sciatica all the way down the leg to the foot, centralization might occur in which the pain left the foot and lower leg and then only extended down to the knee. If the pain extended to the knee at first, an example of centralization would be a situation in which the pain would leave the thigh and only extedown s far as the hip.

A position or exercise that results in symptom centralization is one that will be beneficial, even in situations where symptoms increase for a time in areas closer to the spine. For example, if you had sciatica and low back pain and tried one of of the McKenzie exercises and the sciatica completely went away but the back pain got worse, the exercise would still be considered beneficial and it would be recommended to continue using it. In the long run, a sciatica exercise that produces centralization will usually eventually result in improvement in all symptoms, even if more central (closer to the spine) symptoms get worse at first.

The simplest of the McKenzie exercises for alleviating sciatica is done by simply lying on one’s stomach on the floor or a firm surface and propping one’s chest up on the elbows. This position puts the lumbar spine into an extended position, which may reduce sciatica by squeezing bulging disc material further forward and away from the spinal nerves that compose the sciatica nerve, thereby resulting in reduced compression and inflammation. Although you can maintain this position for relatively long periods of time, I recommend doing it for short periods of one or two minutes with a rest break of at least a few minutes in between. Taking short, frequent breaks keeps the lumbar musculature from getting tight, but still allows enough time to get good results in the majority of cases. For more complex sciatica exercises, getting detailed instructions either through an illustrated guide or an experienced health care practitioner is advised.

Dr. George Best has been treating sciatica patients for over 15 years. For a free e-book on sciatica exercises and to access his informational online video series on sciatica and the treatment options for it, visit his website on sciatica self care.

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Posted on April 3rd, 2008 by admin  |  No Comments »

How To Choose The Best Physical Therapist To Treat Your Shoulder

If you are suffering from frozen shoulder (adhesive capsulitis) and you are looking for a physical therapist you must read this. There are a lot of good and bad physical therapists in America. All physical therapists require to have a university degree. To choose the best physical therapist to treat your shoulder they require the following:

Bachelor or higher degree

All the physical therapist must finish university with a bachelor degree.

Exercise

If your therapist do not give you any exercises to perform on your first day of consultation, avoid going the next consultation. Frozen shoulder is a serious condition and a few therapist do not give any exercises at all. Frozen shoulder will make your muscles very weak and stiff, if you don’t do any exercises, you may develop long term complications.

Treatment Time

A normal session should be around 10 to 20 minutes long. During the session, he/she should at least give you 10 minutes of treatment time and two-three minutes on advice. Remember, you are paying for the time there and you expect the best customer service.

Always on Time

When you visit your therapist, he/she should always be on time. It is unprofessional for a therapist to be more than fifteen minutes late. If you’re not happy with your therapist, you are allowed to change at any time.

Hygiene

Make sure the rooms and the therapist have good hygiene. All equipment should be sterilized for each patient and new towels should be replaced.

A patient should always feel safe and be treated with respect. There are plenty of good physical therapists but there are also a few unprofessional therapists. You can always find a good therapist by asking friends or family.

To learn more about choosing the best physical therapists for your frozen shoulder and discover the best frozen shoulder treatment, visit http://www.frozen-shoulder-exercises.com

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Posted on April 3rd, 2008 by admin  |  No Comments »

Tyler Johnson’s Rotator Cuff Injury and What to Do Next

Tyler Johnson, of the Cardinals, will unfortunately be sitting out the beginning of this baseball season. According to recent articles, Johnson is suffering from rotator cuff tendonitis, preventing him from pitching without risk of a rotator cuff tear. Normally, rotator cuff tendonitis can be well addressed in about a 6-8 week period. However, this does not take into consideration the many aspects of rehabilitation that pertain to professional sports.

First and foremost, baseball pitchers are required to throw a baseball with such velocity and momentum that their shoulders undergo far more stress than what someone’s shoulder is expected to undergo following traditional rehabilitation. Secondly, despite the added stress associated with being a baseball pitcher, millions of fans and millions of dollars are depending on the athlete to return to play sooner, rather than later. Fortunately, elite athletes are so well conditioned that healing does take place more quickly. However, sources suggest that Tyler Johnson will be pitching again in “at least 2 weeks.” At least 2 weeks? Thank goodness it’s not my shoulder…

Following rotator cuff injury or tendonitis, it is wise to begin a regular icing schedule, every evening and every morning, for about 5-10 minutes. Also, you should ice whenever you aggravate your shoulder throughout the day and the pain persists for longer than 5 minutes. By regular icing, you will prevent most new inflammation from entering into the joint space. Too much inflammation in your shoulder joint will cause what’s called “impingement,” meaning that structures are compressed against one another causing pain and further inflammation. It’s a vicious cycle.

With most shoulder injuries, the next step is working on postural stabilizing muscles in the shoulder and upper back. Through improved strength and muscle firing patterns, meaning the order in which muscles are recruited to assist a movement, most of the stress placed into the injury can be avoided. With less stress to the injury, healing takes place much more quickly.

To learn even more useful information related to shoulder injuries, I’ve prepared a special report for you that you can download here: http://www.ShoulderInjuryGuide.com

Also, if you suffer from back pain, you may want to check out: http://www.BackInjuryGuide.com

Article Source: http://EzineArticles.com/?expert=Kareem_Samhouri,_DPT

Posted on April 3rd, 2008 by admin  |  No Comments »

Physical Therapy - Progression Through Time, Trial and Error

Who came up with the idea to help people with physical problems? The story of physical therapy begins during the year 460 B.C. with two men, massage, and a large vat of water.

If a time machine were ever invented, you may find it interesting to travel back to the year 460 B.C in order to search for a man named Hippocrates and another man named Hector. The two could be found going about their daily activities in Ancient Greece - though those activities may astound you. Hippocrates always felt that massage was the way to ease the pain of those that suffered, while Hector always considered the use of hydrotherapy rather helpful. However, in order to find the first documented story of physical therapy, you may have to set that time machine for the year 1894.

The Chartered Society of Physiotherapy began in England during 1894, and this group of healers was formed by many nurses wishing to start formal therapy training programs. Once the rest of the world heard about these nurses and their society, various other physical therapy groups began to pop up all over the world. Eventually, many schools across the globe were founded, and this sort of healing took on a whole new meaning.

From the moment the Chartered Society of Physiotherapy and various education programs sprung up, the story of physical therapy would change forever. As soon as people began to become interested in this profession, many scientists found themselves seeking answers to various therapy related questions. Thus, research into the field was begun, and the very first type of research relating to this profession was published in the United States in March 1921 - this was also the first edition of The PT Review.

Once the first journal related to this type of therapy was published, Mary McMillan began the Physical Therapy Association (APTA). Soon enough, this profession gained legitimacy all over the world, and many began to take great interest in this field. As you can see, this type of therapy has come a long way from its ancient beginnings.

The story of physical therapy is vast and it contains many struggles. However, this background also contains many triumphs - the biggest one being that this practice (and some of the original publications about this practice) still exists today. Those that have taken the oath to become a part of this field are both well educated and highly qualified - in short, these therapists know how to help a person move again … and that is no small feat.

Aazdak Alisimo writes about how physical therapists can help you overcome health concerns for PhysicalHealthTherapists.com.

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Posted on April 3rd, 2008 by admin  |  No Comments »

ACL Injury Prevention - Taking the First Step

I receive several calls per year from the parents of young athletes who have either completely torn or sprained their ACL through non-contact mechanisms. This means that they did not collide or get hit by another player, they just planted their foot and pop goes the knee. The ACL is a key ligament in the knee that provides stability. These phone calls alarm me because tearing your ACL is a big deal, for athletes it means reconstructive surgery and months of rehab before they return to competition.

There is evidence to suggest that faulty muscle recruitment patterns may contribute to these non-contact injuries. An over utilization of the quadriceps, mis-timing of the hamstrings co-contraction and under utilization of the quadriceps may set up the right environment for ACL tears. Alignment at the hip, knees and ankles may also play a key role.

How do you know if you have poor alignment or a faulty recruitment pattern? Your best option may be to get a thorough assessment from your sport physiotherapist, but here are two tests you can try at home:

• Stand facing a full length mirror and jump straight up in the air. Absorb the landing with your legs such that you finish in a half squat position. Are your knees pointing inward? If yes, you need to work on your dynamic alignment.

• Now, stand sideways to that full length mirror. Jump up in the air and absorb the landing with your legs such that you finish in a half squat position. Are your heels off the floor or is your weight shifted toward the balls of your feet after you have landed? If yes, you may be exhibiting some quadriceps dominance.

Follow the workout below to learn some Level One exercises that may help reduce the risk of ACL tears in athletes. These exercises are intended to help teach proper landing mechanics and recruitment of the glutes. Perform the squat jump exercise in front of a mirror. This will allow you to evaluate your technique as you perform the exercise.

Level One

The goal of this program is to be time efficient, while training fundamental movement skills and glute muscle activation which lays the foundation for more advanced ACL injury prevention programs. Perform the following exercises 3 times per week on non-consecutive days.

1) Squat Jump with alignment emphasis

a) Do this exercise in front of a mirror.

b) Keep your hips, knees and ankles in a straight line during take off and landing, do not let your knees pinch inward.

c) Absorb through your hips, knees and ankles on the landing making a soft landing with your heels quickly coming to rest on the floor after the balls of your feet make the initial contact.

d) When you come to rest in the ½ squat position, your heels should be down and your chest should be up.

e) If you are absorbing properly, your landing should be nice and quiet.

f) Do 3 sets of 5-10 repetitions. The emphasis during this phase is on quality of movement, not height of jump.

Glute Bridge with Heels on Ball

a) Lie face-up on the floor with your heels and lower calves resting on a stability ball.

b) Tighten your buttocks as you lift your hips and back off the floor as one unit; do not ‘roll’ your back up.

c) Squeeze glutes (butt) at the top of the lift. Hold this position for 3 seconds.

d) Slowly lower your hips back to the starting position.

e) You should feel this exercise primarily in the glutes; you may also feel your hamstrings and lower back working.

f) Do 2-3 sets of 10-20 repetitions.

The preceding exercises are intended for healthy, uninjured athletes. They are not intended to treat injury. If you experience discomfort during any of the exercises, stop immediately and consult your preferred sport medicine professional.

Recognized strength coach, Maria Mountain, MSc, CSCS helps athletes from Canada, the United States and Europe perform at levels beyond their expectations. To download her FREE SPECIAL REPORT - HOW TO REDUCE THE RISK OF ACL TEARS visit http://www.revolutionconditioning.com

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Posted on April 3rd, 2008 by admin  |  No Comments »

What You Should Know About Stroke Rehab

Stroke rehabilitation can be referred to as a training as well as therapy that helps a person to comeback to normal and learn skills that were lost due to adverse affects of the stroke. The rehabilitation process gives importance to the damage part of the brain. It will keep tabs on the part of damaged brain and the amount of damage that has been done.

The process of stroke rehabilitation starts at the hospital. This is done as soon as the person gets stable after having a stroke. The team providing rehabilitation services include some experienced doctors, nurses, physical therapists, occupational therapists and recreational therapists.

The team focuses on the person’s ability to resume normal activities of daily living including dressing, eating and bathing. In extreme cases, some people may need help to learn how to walk, talk and overcome the disabilities produced by the stroke.

Stroke rehabilitation is an integral part of recovery for most people with a stroke. The process facilitates the individuals to build the coordination, strength endurance and tolerance.

When it comes to stroke rehabilitation, the doctor will determine whether you really need it and if yes, in what amount. Most people who have had a stroke get better and start leading a normal life. However, the time period you require to recover from the stroke through stroke rehabilitation depends on the severity of the stroke. The process of stroke rehab can start right after the attack. Certain improvements may be seen as soon as the brain starts healing.

The first step in a stress rehab is to diagnose a stroke. Several tests may be conducted on the patient in order to diagnose the type of stroke in order to help the professionals determine a treatment as well as rehab plan. These tests include blood sampling, E.C.G, brain scans such as CT scans, MRI, carotid ultrasound scanning, electro cardiogram etc.

Soon after the diagnosis, the medical treatment begins. The brain tissue suffers from damage due to blood clot or even internal bleeding. You should focus on starting various drug treatments in order to treat this condition. If used properly as advised, these drugs will help preventing damage to the brain.

Drugs used in treating stroke include anti-platelet drugs including aspirin to prevent clotting, cholesterol lowering drugs, antihypertensive drug and anticoagulant drugs.

Some patients require to go through surgical proceedings such as sterling in order to clear the clogs and reduce the intensity of the stroke.

Rehabilitation is a difficult and time consuming task. However, it is important to go for this task as it helps the stroke survivors to learn the skills they lost due to the attack.

The process also helps the survivor in teaching new skill in order to make up for the disabilities one may have faced during the stroke.

Participation in a stroke rehabilitation helps a person to regain independence and achieve best possible quality of life. Practice is the key to success here.

- Here are the therapies and exercises involved in a stroke rehabilitation process:

• Communication disorder therapy

• Strengthening of motor skills

• Mobility training

• Range of motion therapy

• Psychological therapy

• Electrical stimulation

• Constraint-induced therapy

For more Articles, News, Information, Advice, and Resources about STROKE please visit STROKE REPORT and STRESS TIPS and MEDITATION ADVICE

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Posted on April 3rd, 2008 by admin  |  No Comments »

Humerus Fracture - What Is It?

Arm Fractures are one of one of the most common types of fractures in both adults and in children. The arm is made up of three major bones. Arm fractures are usually caused when you slip and fall, especially when you fall on an outstretched hand, these types of fractures are also common in auto accidents.

Fractures of the humerus are common and have different effects depending on the site of fracture. A fracture in the surgical neck of a humerus may damage the nearby axillary nerve and limit abduction of the arm. Distal humerus fractures remain a challenging reconstructive problem for orthopedic surgeons. However, future technology may hold many solutions. Distal injuries normally occur near the elbow and are not so common for adults.

Treatment is by a short-arm cast, and healing usually occurs in 3-4 weeks. Treatment to be chosen for fractures without dislocation is the sling and early rehabilitation (1-2 weeks after trauma), whereas treatment in Desault plaster cast should be regarded as a mistake. In elderly patients with four-part fractures, haemiarthroplasty as a primary operation should be considered. Treatment of type I and II injuries focuses on symptomatic relief and includes use of a sling for one to three weeks, ice, and nonsteroidal anti-inflammatory drugs (NSAIDs). Once the acute pain is alleviated, range-of-motion and general strengthening exercises are started. Humerus fractures are to be transported in a plaster spica bandage, with the arm held forward and rotated medially, so that the forearm rests in front of the body. The elbow should be flexed to at least 90 degrees.

Humerus Fracture

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Posted on April 3rd, 2008 by admin  |  No Comments »