Wrist strains are usually caused by over use injuries whether it be hammering, paining a wall or typing on a keyboard. The repetitive motion causes strain which results in inflammation and related conditions. The most common being carpal tunnal syndrome.
Wrist sprains are usually caused when a person falls with an outstretched hand, often during sport or outdoor recreation but can also happen during everyday activities.
Wrist sprains come in different grades of severity; wrist braces can help with Grade 1 – 2 sprains but grade 3 may require surgery and/or a rigid customized brace
- Grade 1 –mild sprain where the ligaments are stretched but not torn.
- Grade 2 –moderate sprain where the ligament is slightly torn, and some loss of wrist function can be expected.
- Grade 3 –severe sprain where the ligament is completely torn or pulled off the bone and will require surgery to repair the damage.
One can suffer a distal Radius/Ulnar fracture when falling with an outstretched arm. This type of injury takes much longer to heal, and healing will depend on the severity of the fracture. When fractured, the wrist is usually placed in a cast or rigid splint for 6 weeks and then placed in a removable splint or wrist brace during rehab therapy.
The Orthotist will supply an appropriate brace to treat the diagnosis or elbow condition presented.
The adjustable silicone pads provide a consistent pressure on the inflamed area. The pads redirect the stressful forces away from the injured area, which reduces pain while protecting the tendons and can allow healing of the affected soft tissue.
This type of bracing can also be made up of an elasticated sleeve that provides compression that aids in edema control, improves proprioception and gives relief by keeping the inflamed area warm.
Indications for tennis elbow splints:
- Medial epicondylitis (Golfer’s elbow)
- Lateral epicondylitis (Tennis elbow)
This type of hinged bracing is frequently used post-operatively or after a traumatic injury to the elbow. It is used to restrict the range of movement in the elbow. This is either in a fixed position or may allow a limited range of movement that can be increased during the rehabilitation and healing process. The range of movement should not be adjusted by the patient unless instructed by the referring Dr or the orthotist.
The Orthotist fit a brace to suite the desired requirements of the brace relating to the diagnosis.
Frequently used products:
- Shoulder immobilisers
- Abduction/ external rotation pillows
- Post Cerebral Vascular Accident (Stroke) shoulder support.
Slings are generally made from a high quality, durable poly cotton sling with an adjustable shoulder and body strap. Most slings are universal (fit both left and right). They relieve the load/weight of the forearm from the shoulder, they limit movement in the elbow and help prevent shoulder rotation. A pad on the strap provides additional comfort. It is ideal for immobilization and support of the shoulder and elbow joints.
This type of sling provides immobilization in external rotation. The de-rotation shoulder strap keeps the pillow and sling in place. This type of positioning is required after certain surgical procedures and is prescribed by the orthopaedic surgeon. Why this positioning; during internal rotation of the shoulder the capsule hangs loosely and the labrum can displace medially. In external rotation, the subscapularis tendon tightens thus closing the anterior joint cavity and helping the labrum maintain a good position on the glenoid rim.
In cases where pain, swelling, inflammation or signs of join wear (arthrosis) is an issue, this type of shoulder brace helps stabilise your shoulder joint and restricts undesirable movements. This helps to alleviate the pain when doing certain activities.
After a stroke in the left hemisphere, the patient is paralyzed on the right side of the body and vice versa, but paralysis is not always the case. It is all depended on the severity of the stroke and how much damage occurred.
Hemiparesis broken down:
‘Hemi’ (one – sided),
‘plegia’ (complete paralysis)
On one side of the body both arm and leg and face can be affected. It may also be that only the arm is affected, or only the leg or facial muscles. Hemiparesis affects roughly 80 percent of stroke survivors, causing weakness or the inability to move one side of the body.
Shoulder braces that can be used in these cases:
A stroke or injuries to the central or peripheral nervous system may lead to paralysis in the shoulder. This can lead to the patient experiencing pain and difficulty in moving the arm.
Due to loss of function, the weakened and atrophied muscle are not able to stabilise the shoulder joint and hold the arm in place and this leads to a partial dislocation of the humerus head from the socket (shoulder joint) and this leads for further loss of function and can cause pain.
The type of bracing selected for this condition corrects the alignment of the humerus head with the joint socket by “holding” the arm up and so doing alleviates the cause of the pain. The brace also helps with stabilizing the shoulder and keeping it in a suitable position, thus improving posture.