I’m Chris Harper and with me today is Melissa and we are demonstrating an application for thumb pain. Thumb pain can be pain at the base of the thumb or towards the wrist. And this may have many causes including overuse, inflammation, tendinitis, repeated strain or bluntforce over that area. KT Tape helps treat this condition, it creates support and stability over the area, increases circulation, reduces.
Pressure and offers a mechanical assist. For this application we need to position the thumb in an up position with the end of the thumb just down slightly kind of like a bird’s head. And our first piece of tape just going to be a full strip which we will cut longitudinally right down the middle of the tape, so cutting it into two long strips. I like to round the corners of the tape this is just so doesn’t get caught on clothing while taking shirts on and off. Rounding those corners a little bit.
Okay, for our first piece we’re going to twist and tear the paper backing creating an anchor point and being very careful not to touch the adhesive. I’m going to apply this piece just over the end of the thumb, over the thumb nail. And peeling that paper off down just leaving about an inch on the end we’re going to stretch that tape about fifty percent so if this is a full stretch we’re going to back that half way off and apply that tape down. Now again, I’m leaving the end of the tape with absolutely zero stretch.
And now we need to tap that tape down we’re going to drop the wrist into a comfortable position and then tap that down give it a quick little rub just so that it adheres. And for our second piece, very similar we’re going to tear the paper backing twist and tear that back again being very careful not to touch that adhesive. I’m just going off the end of the thumb, wrap that around it so it adheres well. We’re going to take this piece back again stretching about fifty percent, maybe slightly more I’m just going to try and place.
That anchor just behind the first one and apply that down with zero stretch. And again dropping that wrist down We’re going to then tap that taped over area. Give that a quick little rub, and for our second piece I’m going to tear a second full stripped this time I’m going to use a pair of scissors and cut rounded corners so I have two short strips. The rounded corners are so that it doesn’t get caught on clothing. And for this piece we’re going to drop that wrist down in a comfortable position.
I’m going to twist and tear the paper backing and we’re going to stretch this tape with our thumbs with even pressure. So I’m not pulling like this but rather flattening my thumbs on the tape and stretching that out we’re going to stretch this piece to eighty percent so if that’s onehundred we’re backing that off just a little bit. We’re going to apply that right over the base of thumb, lying that down. Let’s make sure that it adheres before I peel this lasted bit of paper off and apply that down with zero stretch.
Doing the same thing on this other side, just lying that down with zero stretch For our last piece, again twisting and tearing that paper even pressure with the thumbs. We’re going to just behind that first piece we’re going to apply that down We’re going to lay those ends down, it may be helpful if you bring that wrist back up into a neutral or starting position for laying the anchors down. Apply that down like so. Going to give the whole thing a good friction rub, that activates the adhesive,.
Thumb Arthritis Diagnosis and Treatment QA
MUSIC My name is W.P. Andrew Lee. I’m the director of the Department of Plastic and Reconstructive Surgery at Johns Hopkins MUSIC Thumb arthritis comes from wear and tear. The basal joint of the thumb is the most flexible and versatile joint in the entire human body.
It allows us to turn the thumb 360 degrees to have all the dexterity in the hand to do all the things that we can do. And that’s why it gets a lot of use and wear and tear, and typically after decades of use, the joint wears out. It gives the patient pain, it gives swelling, there can be deformity. And the patient has more and more discomfort when they use their hand.
MUSIC The most common symptom from thumb arthritis is pain and progressive pain. The patient typically starts out with some discomfort and use in their thumb or hand that progresses over a period of months or sometime even years. Eventually the pain can be disabling that precludes the patient from everyday activities, whether its.
In the kitchen, around the house or doing outdoor work. The most common activities that I hear from my patients that result from thumb arthritis are daily simple things, such as opening a jar, opening a large doorknob, or things that don’t require a lot of strength that require the dexterity of the thumb to achieve. MUSIC A diagnosis can be made in the office by a trained hand.
Specialist. It’s often obvious once the patient complains of the symptoms when the physician examines the hand. There can be deformity, there can be swelling in the thumb joint, and when the patient loses the thumb, it’s obviously not a normal joint that’s gliding smoothly. MUSIC I typically start out with a soft splint that the patient.
Wears around the thumb. The fingers are completely free, but the thumb is supported. This way the patient can still use the hand freely and perform most activities, yet the thumb receives the support needed to help reduce the pain when the patient uses the hand. MUSIC If the conservative treatments do not completely relieve the patient’s symptom, surgical treatment may be considered.
In such a procedure a small wrist bone is removed to help eliminate the pain from thumb arthritis. Instead of the wrist bone, the space is then filled in with a tendon during surgery, which not only obliterates the space, but also help to suspend the joint, so the thumb can continue to function normally after reconstruction. MUSIC The patient is put into a splint for a total of six weeks, during.