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Hand And Finger Injuries

Self-Help Supplies
All of the supplies needed or necessary that are mentioned in our rehab guidelines and rehab exercising self-help programs are available in our Bookstore

The below diagram is a anatomical drawing of a normal hand as view from posterior to anterior (looking at the back of the hand).

Looking at the hand from the back to the front

The following is a 19 year old racer who crashed by over landed a table top during a practice session.  His bike landed on its front wheel and he and the bike cart-wheeled over and he landed on his left hand, shoulder, neck, and head knocking him unconscious.

Following examination it was determined he sustained a greenstick fractured the distal end of his 5th meta-carpel in his left hand. Note the yellow arrows point to the fracture location on both the front (A-P) and side (Lat.) views.

A-P view of left hand and fingers.  Note the distal oblique 5th meta-carpel fracture just in front of the yellow arrow. 

Lateral View. The arrow points to the 5th meta-carpel distal fracture
Management & Self-Help Treatment Protocols

Supports - 
1. Wrist-hand-finger splint 

The splint is the first application of a support device.  Its function is to manage swelling.  A case will not manage swelling but rather cut off circulation when the swelling becomes to great.

2. Wrist-hand-finger cast

The function of the cast is to completely immobilize, stabilize, and support the injured site while it heals. However, a cast creates a disease process call "Atrophy".  Atrophy causes a 3% loss per day in tissue density.  And atrophy is not wanted in the minds of serious athletes.  However, in some cases the case is necessary to allow an undisturbed healing time for all surgically pinned and attached soft and hard tissue connections.


3. Wrist-hand brace


4. Arm sling

The function of the arm sling is to reduce the stress load on the injured site and to relieve the weight bearing pressure.  It also functions as an immobilizer.  And sometimes allows the injured site to be elevated assisting in controlling and stabilizing the swelling reaction.  

Let's review the treatment protocol 

1. Hot and Cold Applications mixed with water.
    Apply the RICES-Rule from the chapter on 
    "Hot & Cold Application" as outlined in the chapter.

2. Skin Brushing is one of the best self-help applications for
    accelerating recovery, bruise, swelling and pain elimination, 
    and connective tissue regeneration. It is listed as Skin Brushing. 
    Do this two to three times a day at least. See Skin Brushing.

3. Epsom Salt & Apple Cider Vinegar Bathing at least once a 
    day, preferably just before going to bed. Combine this one with 
    skin brushing. It is listed as Epsom Salts Bath.

4. Piezo Electric Stimulator is a small hand held unit about the size of
    a ink pen. Electric stimulation to troubled or injured areas allows
    these areas, not only heal faster, but in most cases heal without the
    formation of scar tissue. Applying electrical stimulation early in any
    problem allow the body to repair before the advance needs of
    chemical poisonous (drugs) or surgery. Electricity allows the body's
    repair program to repair and regenerate the troubled or injured
    tissues back to an identical replacement tissue, making it like new.  

5. Essential Oils
    Essential Oils is a soothing, penetrating herbal oil and balm that
    eases pain and, at the same time promote healing for a wide variety
    of conditions including aches, pains, soreness, tenderness, swelling,
    and tightness. It was originally developed by the Sholin Priests to aid
    their recovery from injuries they sustained while practicing extremely
    rigorous martial arts training and activities. It is a highly successful
    home treatment for over 30 known conditions including; injuries,
    sinus, back pain, headaches, high stress conditions, sore throats,
    heartburn, arthritis, rheumatism & sprains & strains.
    Historical, Essential Oils was applied in different manners to produce
    its amazing successful results. The Chinese would rub Essential Oils
    (in Herb form) gently with a circular motion (CW = increases its
    action, CCW = slows its action, in the Northern Hemisphere). The
    Essential Oils would begin to liquefy, and a small ridge would adhere
    to the finger. With that amount of balm or oil, the Chinese would then
    use it for many conditions and ailments, . 

Electromagnetics
Electromagnetic therapies (Diapulse) have performance of healing this bone fracture to a level 2 (normal activity) within 7 days. And it will reach a level #3 in 14 days (practice riding and racing) and will reach a level #4 by 21 days (fully race ready). Medical protocol will have you do nothing for 6 to 8 to 12 weeks. After surgery MD's offer you nothing that works well at all and in the process encourage the connective tissues at the site to atrophy. I have never been impressed with their protocol. For Diapulse treatment settings see Diapulse Treatment Protocols.

Exercising
The muscle groups necessary to exercise in the shoulder, whether to the uninvolved or contralateral side or to the injured side  are:
1. Hand & Finger Flexion
2. Hand & Finger Extension
3. Wrist Flexion
4. Wrist Extension

Hand & Finger flexion is performed by squeezing a rubber ball.  Hand & Finger extension is performed using rubber bands.  Wrist flexion and extension are performed with the exercising surgical tubing called Theraciser.  Let's review the slow and fast twitch muscle contraction times.

Remember it should take 2 seconds to travel through each direction of its 90 degrees range of motion. And it should take another 2 seconds to travel back to initial starting position.  There will be a total of 4 second of time per rep in all of the below exercises. Doing 1 set of 6 reps will take 24 seconds to complete.  Rehab practice makes permanent. Do it slowly and perfectly.  Be demanding on yourself to perform it correctly every rep and every set.

Also remember that if the exercising unit is to difficult for your muscles to pull, move towards the exercising unit a little closer.  This action decreases the stress load on  the exercising unit and it becomes less tight.  Remember this ir rehab exercising not athletic body building and development.  Remember to read and review the chapter on Rehab Exercising before starting your exercise program.  

Taping for splinting and support during riding & racing
There are no effective splints or supports for the thumb that work very well during the course of riding or raci41. The following are athletic tape taping methods that have worked exceptionally well.  This first taping procedure is for a fracture at the proximal end of the third or metacarpal bone of the thumb's 3-bone structure.  

N

The X shows the fracture site on the thumb

This picture shows how the first taping of two over lapping 
strips are applied.  The tape is standard athletic tape 1.5" wide.


This is how the first taping over-lap looks when it's completed.

This last picture shows the second over-lapping tape strap

The rider will have to learn to adjust the tightness of the two or three over-lapping tape strips to his or her preferred tightness. 

Now let's take a closer look at how to specifically exercises listed in the above muscle groups.

1. Hand & Finger Exercising

Tennis Ball & Rubber Bands

1-A Hand & Finger Flexion

        Hand & fingers relaxed                Hand & fingers flexed

1-B. Hand & Finger Extension

        Hand & fingers relaxed             Hand & fingers extended
 
If you need to change the hand and finger extension resistance all that is required is for you to add or subtract a few rubber bands.

The above Rehab Exercising Program works very well for hand injuries. Start off with crossover exercising stimulation. That is to say work or exercise the good arm through its full range of motion (isotonic surgical tubing). The bone is required to heal by over lapping the two broken bone pieces with fibrous connective tissues. This process varies depending on the practitioner's level of understanding and their ability to apply Wholistic therapeutics. Drugs only slow down the healing process. Pain is controlled very easily with N-1 and N-2 ceramic magnetic (see Ceramic magnetic in the Electromagnetic Therapies in the Health Care section of the library). Also exercising in the green (pain free) zones for overflow work exceptional well. For more on "Cross Over" and "Overflow" see our web site in the Health Care section listed as "Rehab Exercise Program" For sets and reps also see Rehab Exercise Program.

Also read about how Arch Supports can accelerate broken bones to heal by balancing the body's biomechanical musculoskeleto system and greatly reduces stress.  Do the simple tape test listed towards the end of the chapter to see if arch supports will help your condition.

Herbs and Vitamins
Nothing can perform or compete against the herb Solomon's Seal and Cal Phos. Horsetail and Golden Seal come close but get lapped in the race to heal at your best possible rate. See Herbs & Vitamins in the Health Care section of the library.
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