Carpal Tunnel Syndrome

• Wrist orthosis or splint
• Tendon and median nerve glides
• Education regarding avoidance of aggravating activities

Extensor Tendon Laceration

• Forearm-based thumb spica
• Edema management
• Range of motion and strengthening exercises
• Activity modification

Wrist Tendonitis

• Wrist immobilization orthosis or splint (custom splinting)
• Edema management
• Activity modification and symptom management

Scaphoid Fractures

• Forearm-based thumb spica with ulnar clamshell
• Edema management
• Range of motion and strengthening following bone healing

Intersection Syndrome

(Inflamation at the intersection of the thumb extensors and radial wrist extensors approx. 4-6 cm proximal to dorsal wrist crease)

• Forearm-based thumb spica
• Edema management
• Activity modification and symptom management

Wrist Sprain

• Wrist immobilization orthosis or splint
• Edema management
• Range of motion exercises / strengthening
• Activity modification and symptom management

Wrist Fractures

• Wrist orthosis
• Edema management
• Range of motion exercises
• Strengthening exercises following bone healing

Degenerative Joint
Disease of the Wrist

• Wrist immobilization orthosis or splint
• Paraffin and moist heat
• Activity modifications, adaptive equipment, and joint protection principles
• Range of motion exercises

Midcarpal Instability

• Forearm-based ulnar gutter | Radial clamshell orthosis
• Edema management
• Education regarding avoidance of aggravating activities

Thoracic Outlet Syndrome

• Brachial plexus nerve glides
• Postural stretches and exercises
• Strengthening exercises
• Education regarding proper posture

(Compression of the brachial plexus through area bordered by first rib, clavicle, and neck muscles. Symptoms include numbness and tingling in the arm or hands, pain radiating up or down the arm, hand, or neck, and occasional muscular weakness.)