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Splinting > Conditions
Hand, Wrist, Forearm & Elbow Conditions > Scapholunate Wrist
Ligament Injury Hand Therapy
Scapholunate Wrist Ligament Injury Hand Therapy
“Working with a knowledgeable hand therapist can make the difference between success and failure in complex hand surgical cases. The therapist extends the continuum of our care, as well as functioning as coach and trainer for our patients.”
Marybeth Ezaki, MD, Past President, American Society for Surgery of the Hand
In Phoenix Rehab, our senior hand therapists are experienced licensed and dedicated therapists (physiotherapists and/or occupational therapists) who specialized ONLY in the rehabilitation, treatment and management of painful fingers, hands, wrists, forearm & elbow conditions, because of interest, passion and expertise.
X-ray of the wrist, showing the scapholunate ligament
The wrist is comprised of eight small bones called carpals.
Two of the carpal bones are
- the scaphoid (close to the thumb) and
- the lunate (near the center of the wrist)
The scapholunate (SL) ligament connects the two bones together to help keep the wrist stable for activities that involve heavy gripping or pushing.
When part of the ligament is damaged, it is called a sprain. If the ligament is severely damaged, it may tear completely resulting in a ruptured ligament (100% tear).
What are the symptoms of an scapholunate ligament injury?
The most common symptoms of a SL ligament injury are pain on the thumb side of the hand or on the back of the wrist.
In the early stages, the pain may not be so severe, but a dull ache may linger and worsen with use. If the pain does not go away, medical attention may be needed.
The wrist may also be swollen and may "pop" or click with movement.
What are the causes of an scapholunate ligament injury?
The most common cause of an SL ligament injury involves a sudden fall onto the palm of the hand.
Less frequent SL injuries may occur when a heavy load is applied the wrist, such as in gymnastics or using a jackhammer.
What is the treatment for an scapholunate ligament injury?
Treatment for an SL ligament injury depends on the severity.
For a sprain, immobilizing the wrist for a period of time with a customized scapholunate splint and avoiding gripping/pushing is standard treatment.
A rupture of the SL ligament may require surgery.
What can a hand therapist do for me?
Our senior hand therapist may fabricate a custom orthosis to immobilize the wrist. Regaining pain-free movement and strength of the wrist will be the focus of treatment.
Our senior hand therapists and surgeon will work together to achieve the best outcome for you and your wrist.
Example of an orthosis to immobilize the wrist for an SL ligament injury
Patients may also receive the following hand therapy treatment modalities:
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Phoenix Rehab physio Services
Phoenix Rehab Group works with specialist
physiotherapists and rehab therapists who are highly
trained, qualified, experienced and passionate to provide high level of
expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
HAND THERAPY & SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand
following injuries or post-operations as well as custom made hand splints.
Commonly treated hand pain injuries includes
CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to
- accelerate recovery and
- shorten downtime / recovery period required
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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