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Metacarpal osteotomy was proposed as a potentially disease modifying surgery for more limited arthrosis, [24] but there is no experimental support for this theory. [25] There is limited and limited quality evidence regarding splints, corticosteroid injections, manual therapy and other palliative measures.
The McKenzie method is a technique primarily used in physical therapy.It was developed in the late 1950s by New Zealand physiotherapist Robin McKenzie. [1] [2] [3] In 1981 he launched the concept which he called "Mechanical Diagnosis and Therapy (MDT)" – a system encompassing assessment, diagnosis and treatment for the spine and extremities.
The affected metacarpal head of the ring finger showed limited range of movement and chronic swelling. Through laboratory testing and based on the evolution of the pain, it was determined to be Dieterich's disease. The patient was initially suggested surgical treatment, but she rejected surgery due to acceptable functional status of the joint. [9]
The carpometacarpal (CMC) joints are five joints in the wrist that articulate the distal row of carpal bones and the proximal bases of the five metacarpal bones.. The CMC joint of the thumb or the first CMC joint, also known as the trapeziometacarpal (TMC) joint, differs significantly from the other four CMC joints and is therefore described separately.
A randomized control trial published in 2017 sought to examine the efficacy of manual therapy techniques for the treatment of carpal tunnel syndrome. The study included a total of 140 individuals diagnosed with carpal tunnel syndrome and the patients were divided into two groups. One group received treatment that consisted of manual therapy.
The effectiveness of Fascial Manipulation (FM) method for the treatment of carpal tunnel syndrome as compared to treatment with Low-Level Laser Therapy (LLLT) has also been measured. FM method was characterized as a valid alternative to LLT since the subjects receiving FM reported reduced pain perception, even after three-month follow up.
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