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Hand And Wrist Injury: The Typical Injuries And How To Treat Them

The hand and wrist are certainly one of many complex structures in our body. Given the importance of our hands and their role in facilitating our everyday tasks and activities, it is essential to have your injury or symptoms addressed at the onset of your symptoms by doing Physiotherapy.

This article will briefly outline some of the common presentations and give a brief description of how to manage them. It is important to seek the advice and assessment of a Hand Physiotherapist to ensure you are receiving the highest level of care.

Wrist Injuries

When we look at types of injury, we can very loosely divide them into two categories; a traumatic presentation and an overuse condition.

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Typically with traumatic injury, we generally feel symptoms immediately and generally, these symptoms immediately follow a particular movement or mechanism of injury. An overuse injury, refers to symptoms that have developed over a period of time, whether the symptoms stay the same or gradually change. This article will give a brief overview for each of these categories for most common hand and wrist presentations.

One common mechanism of injury for the wrist is falling on an outstretched hand. This is a common occurrence out on the football field, tripping over when walking or coming off a bike. Structures that are commonly injured include:

  • A fracture of the distal radius / ulna
  • Scaphoid fracture
  • Scapho-lunate ligament tear / / scapho-lunate dissociation (separation)
  • Triangulo-fibrocartilaginous complex tear (TFCC)

Each of these structures will require a period of immobilisation in a particular position prior to commencing rehabilitation to restore movement and strength to the hand and wrist.
Wrist pain can also occur after repeating a movement for a prolonged period of time, or vigorous repetitions with force. Some of the conditions that can occur include:

  • Carpal Tunnel Syndrome
  • De Quervain’s Tenosynovitis
  • Intersection Syndrome
  • Tenosynovitis or synovitis of the extensor or flexor tendons at the level of the wrist and forearm

Management of these conditions would typically involve splinting into a specific position for a period of time with regular tendon gliding exercises, icing of the affected area. Once the symptoms have begun to subside, weaning from the splint is introduced and gradual strengthening and movement exercises are prescribed.

Hand Injuries

When we look at common traumatic injuries to the thumb and digits, the following presentations come to mind:

  • Fractures of the metacarpals and phalanges
  • Dislocations of the PIP and DIP joints (most commonly)
  • Collateral ligament tears to the base of the thumb (MCP joint)
  • Collateral ligament tears to the PIP joints of the thumb
  • Volar plate injuries
  • Avulsion fractures of the DIP joints

Each of these injuries require specific positioning for varying periods of time to enable tissue healing and then rehabilitation of movement and strengthening will follow.

Overuse injuries of the extremities include:

  • Tendinitis / tenosynovitis / synovitis of the flexor tendons at the level of the digits
  • MCP joint and CMC joint degeneration
  • MCP joint instability
  • Trigger finger
  • Trigger thumb
  • Wear and tear of the PIP joints and DIP joints of the fingers

Similarly, most of these areas will require splinting for periods of time to ensure protection of the joint surface or rest of the inflamed area. Careful prescription of movement exercises, tendon gliding exercises, icing inflamed areas and controlled strengthening are all likely to be part of the rehabilitation phase.

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If you have an ache or a pain, no matter how little, be sure to put your health first and consult your Hand Physiotherapist today.

Whether in an acute or more chronic presentation, depending on the severity, deformity, deviation and integrity of surrounding structures, other measures will be taken to ensure the best outcome for the individual. Some of these things include imaging, cortisone injections, or referral to a Specialist for surgical intervention.

Property Management services in Australia

Many property investors in Australia struggle with self-management and hiring a dedicated property manager in the real estate market.

Property management in Australia involves marketing properties, tenant screening and selection, ongoing management and reporting and expert support.

Managing a property in a city like Sydney is a difficult task, to overcome these difficulties many real estate companies offer property management services to look after your property. Property managers understand how the market will impact your investment and how to improve the yield from your property.


Hire a property manager to mitigate investment risks

Consider hiring a property manager of good repute, if you can’t afford to take unnecessary risks with self-management.

Timely repair and regular maintenance

A manager will ensure your property is maintained regularly and kept attractive for new tenants. Repair, restoration and maintenance tasks will be carried out promptly to help increase the value of your property. Though no one may be living at the property, the walls or roof of the property could be leaking, so water proofing has to be done. Similarly, the plumbing system will require periodic repairs due to clogged drains, leaking taps or pipes. There may be a short circuit problem with the electrical power supply and the property managers will arrange for a skilled electrician to repair the problem.


Attracting new tenants

A manager can help you market and advertise the property better to attract prospective tenants. He or she will be present at all open house inspections as your representatives and help you secure tenants with good renting history.

Managing relationships

A manager will be able to resolve conflicts faster and better, because of the overall involvement in overseeing the property. Cordial relationships and constant contact between the tenants and your manager will also help make the business relationship more profitable and risk free. Property managers arrange that the bills are collected and paid in time. While local residents can negotiate a good deal with a manager,for property owners who are not in Sydney, it is important to find a reliable company to hire instead.

Compliance with state laws and audit requirements

It’s the job of the property manager to stay up to date with the latest in state and federal investment laws and regulations. Further, your manager will know the local movement of rental prices and trends, allowing you to make changes in your offer appropriately.

Property Management services ensure that the landlord is informed at all times and assisted in the decision making process. It is the role of property managers to protect the clients’ peace of mind and treat property with same care and diligence as their own.

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