Patient When I first came in, my symptoms were.I had numbness all through my left arm. I couldn't extend my ring finger all the way. I couldn't feel anything in my pinky finger. My wrist hurt. My elbow hurt. And I had limited range of motion.all around. And a lot of grip weakness, too. Interviewer And what was your diagnosis Patient Ulnar neuropathy. Um.pinched nerve from a bad bike fit. Before I came here I was banned from riding my bike, lifting weights, carrying dishes, carrying groceries.doing pretty much anything with my hand.
I couldn't open doors very well. I couldn't really open jars. At the Mettler Institute, I came in twice a week for half an hour session. Um, I've had eight sessions. And with every session it hurt a little bit, but at the end of the session there was a noticeable difference. Like my finger was a straighter. I could feel a little bit more. I could move a little bit more. Um, once I got to move onto grip training, every week my grip was getting stronger and I could start doing things again.
I've been going to the gym for the past couple weeks. And I get my bike back today, so I can start riding again. And I've been able to do daily tasks. I can open my door and jars and stuff, so. At the Institute, people here are very friendly, and it's a very comfortable setting to be in. It's easy to find. And it's a nice.office. At the Mettler Institute, there are actual doctors of physical therapy. So, they know how the body works, they know how to treat it and they know how to make it better.
Ulnar Nerve Entrapment
We see different types of nerve entrapments in the body. Everybody is familiar with carpal tunnel, but another very common one can happen at the wrist with the ulnar nerve. The ulnar nerve is going to cut on the outside of the hand towards the little finger. People start feeling numbness and tingling in these fingers. They can start feeling weakness or just kind of a not quite right sensation. What we see is across the wrist the ulnar nerve cuts out to the little finger, the median nerve is going underneath the flexor retinaculum to.
Control the inside of the hand or the thumb side. In a picture like this, you see that nerve branch cutting up coming out to the little finger and out to the ring finger next to it to control some of it strength and sensation. Anything that compresses this area of the wrist down on this section of the hand or in here can compress that nerve. We see a lot with cycling, something where were compressing and sitting on that handle bar for an extended period of time. But this can happen with anybody.
Who lifts, works out, does a lot with their hands, or is leaning on their hand quite often. So treatment and therapy is about decreasing that stress and strain or any inflammation in this area. If there's a nerve entrapment at this tunnel inaudible with the nerves cutting through, we're working our best to decrease inflammation there to help let that nerve heal again as it should. The different types of nerve entrapments can happen anywhere from the wrist to the elbow back up towards the neck. Treatment just depends on where is the entrapment at and what do.
Cubital Tunnel Syndrome Entrapment Compressing Nerve at Elbow
Cubital tunnel syndrome is an injury to the nerve that's cutting behind the elbow out towards the hand. You felt this ulnar nerve in action when you whack your arm against the wall or a door. You feel that numbness and tingling in your little finger, that kind of ache that takes a couple of minutes to go away. What you've done is you've crushed that nerve between the wall and the bone, so that squish sets off those pain receptors in the fingers. Cubital tunnel syndrome is commonly a swelling or an inflammation around that nerve compressing.
It, causing pain, numbness, tingling or weakness in these fingers. Many times it's from muscle tendon attachments down near that elbow. As they get sore and swollen, they're increasing the inflammation and fluid in that area which is compressing that nerve. Sometimes we'll get a bursitis where that bursae is a fluid filled sac that's a shock absorber. When that gets injured it will swell up a little bit too. That swelling causes compression. So depending on the reason for the compression, we're going to do different treatments to get the pain down, get the inflammation down, get this area to heal so the compression comes.
Nerve Pain Desensitization Techniques Ask Doctor Jo
Hey everybody, it's Doctor Jo. Today we're gonna talk about desenstizizensation. no. desensensation. no. Desensitizing something! A lot of times when people have a surgery or an injury, the nerves get all crazy and flared up. And so you have to desensitize the area and help the nerves grow back to where their supposed to. So all you need is just a bunch of different things that have different textures. And I have a towel, a cotton ball, a fork, and kind of a silk cloth. What you're gonna do is the area that feels.
Weird, lots of times it's a numbness, tingly, burning kind of feeling, just take the first object you want to do, and lightly rub it over the area. It might feel weird, it might fee really uncomfortable. It might actually hurt a little bit, even if it's just a little cotton ball. But rub it over that area for about 30 seconds to a minute and then move on to the next texture. A plastic fork works well, make sure you don't stab yourself, but just kind of rubbing it again lightly over the area to help those nerves find their way.
Back to where they're supposed to be. And then move on to the next one. Kind of a silk cloth. Just rubbing it on that area. You can kind of move the body part a little bit, too, while you're rubbing it. And maybe like a course towel that's not as soft. And just rubbing it on that area. So about, you know, 35 minutes a day, just desensitizing the area, and there you have it. If you have any questions, leave them in the comments section. If you'd like to check out some other tutorials, go to AskDoctorJo Don't forget to follow.
Peripheral Nervous System Disorders Diagnosis and Treatment
The peripheral nervous system is the part of the nervous system that excludes or is outside of the brain and the spinal cord. We take care of patients that have disorders that affect the motor neurons, which live in the spinal cord the peripheral nerves that extend out into the arms and legs as well as the muscles and the connection between the nerves and the muscles. Some of the disorders that a nerve and muscle a disease specialist will evaluate and develop care plans for include muscle disorders such as muscular dystrophy,.
Polymyositis, dermatomyositis, peripheral neuropathies such as Charcot Marie Tooth disease or hereditary neuropathy and as well as the neuromuscular junction disorders such as myasthenia gravis. Some symptoms that can be associated with the peripheral nervous system include generalized weakness, fatigue, numbness, tingling, sometimes pain can be caused by disorders of the peripheral nerve. The evaluation of a patient with a possible peripheral nervous system disorder first begins with the very careful history to understand how the symptoms started and how they affect the patient. From the history we extend to the physical exam,.
Finger Tendon Glides for Hand Injury or Surgery Ask Doctor Jo
Hey everybody, it's Doctor Jo. Today I'm gonna show you some finger tendon glides. This is if you've had a surgery in your hand, or if you've had an injury that has scar tissue building up to it. So let's get started. Start by propping your elbow up on something solid,and put your hand at a little bit of an angle. Put your fingers straight out. And you're gonna start with what we call the table top. So you're gonna bend at the first joint here. So keep your fingers straight and then come all the way back up. Bend then back up. And.
This is just gliding those tendons along the hand there. The next one is the hook fist. So now you're gonna curl and the next joint like this. Again gliding those tendons, breaking up scar tissue in there. Now for the straight fist. So you're gonna bend these knuckles and these knuckles and come down like this. Now for the full fist, bending them all the way down and leaving the thumb on the outside. Make sure you're opening your hand all the way back up after each one. And then the last one is the thumb curl. So you're just bringing.
Sural Nerve Injury How to Avoid The Sural Nerve During Laser Vein Treatment
Sural nerve injury can occur in over 1 in 10 small saphenous vein endothermal ablations. It can result in troublesome numbness in the sensory distribution of the nerve or it can cause burning pain in the heel and outside of the foot. I am going to show you how the sural nerve can be identified on an ultrasound scan and how the risk of sural nerve injury can be minimised during endothermal ablation. The sural nerve lies close to the small saphenous vein at the back of the calf and it is vulnerable to accidental injury during cannulation of.
The small saphenous vein, during the administration of perivenous tumescent local anaesthetic and during the thermal ablation procedure itself. I am very grateful to Dr Ted King in Chicago who stimulated my interest in the anatomy of this nerve and who has done a lot of research on the zones of contact of the sural nerve and the small saphenous vein. In my opinion, the sural nerve should be visualised in transverse section and its relationship to the vein established at the proposed point of vein cannulation. Here you can see that.
The vein and nerve are very close and in contact in the distal calf here at 12cm above the malleoli. Further proximally, the vein and nerve are separated by 10mm or more. My practice is to visualise the nerve and vein in transverse section throughout the cannulation procedure, thereby minimising the risk of needle stick injuries at this stage as well as during the administration of tumescent local anaesthesia again ensuring that the local anaesthetic solution is generously administered between the nerve and vein and minimising the risk of direct needle injury to the nerve. I have never been a fan of cannulation under longitudinal.
Many people are having problems with pain in their hands and their forearm and elbow. From our experience, a lot of this is due to this repetitive activity. When, you're either manipulating your mouse, you're working on a keyboard, maybe you're even using your iPad or your iPhone, or.you're just constantly using your tendons and muscles in your forearm and hand, repetitively. Even though it's small amounts of load, it is a repetitive function and that creates an inflammatory process in the tendons of the forearm, in the pathways of the median nerve, which is where carpal tunnel syndrome comes from. So, these adhesions.
Ulnar Nerve Entrapment Treatment
Ulnar Nerve Entrapment Treatment,Full post at overhaultrainingulnarnerveentrapmenttreatment FREE Neural Flossing Guide..
Cubital Tunnel Syndrome Ulnar Nerve Entrapment - Everything You Need To Know - Dr. Nabil Ebraheim.Educational tutorial describing conditions of ulnar nerve entrapment. Cubital Tunnel Syndrome. Become a friend on facebook..
Cubital Tunnel Syndrome Treatment Program.Cubital Tunnel Syndrome is a debilitating condition that is caused by impingement compression of the ulnar nerve, resulting in pain, numbness, tingling and..
Why Stretch The Ulnar Nerve... Huntington Beach Orange County CA..P2SportsCare to learn prevention methods. We specialize in sports injuries and getting athletes back to their sports fast running injuries,..
Exercises For Pinched Nerves - LB Hand Therapy.Certified hand therapist Laura McCarthy, OTR, CHT demonstrates nerve gliding exercises for pain in the arm and tingling associated with compressedpinched..
Ulnar Nerve, Clinical Examination - Everything You Need To Know - Dr. Nabil Ebraheim.Educational tutorial describing clinical examination tests of the ulnar nerve. Become a friend on facebook.facebookdrebraheim Follow me on..
Neural Glides For Ulnar, Median &Radial Nerves - Ask Doctor Jo.Neural Glides for Ulnar, Median Radial Nerves.AskDoctorJo These neural glides neural flossing for your ulnar, median radial nerves in..
Ulnar Nerve Recovery Tips And Exercises Part 1..
Neural Flossing (Glides) Exercises For The Ulnar Nerve.FREE Neural Flossing Guide sjamiedreyer.leadpages.coulnarnerveentrapmentguide overhaultrainingulnarnerveentrapmentexercises.
Median And Ulnar Lesions In The Hand - Claw Hand &Hand Of Benediction.This short tutorial is meant to help clear up the common clinical signs of median and ulnar nerve lesions the Hand of Benediction and the Claw Hand..
Ulnar Nerve Entrapment: MRT® Treatment Success..mettlerinstitute Ulnar neuropathy also cubital tunnel syndrome is the second most common entrapment neuropathy after carpal tunnel..
Chiropractic Treatment For Ulnar Nerve Subluxation/Snapping Triceps.NOTE Im trying all the treatments possible, and my condition may be very different from someone elses. Im uploading this to show you what Im doing for my..