Advanced Hand Rehab

Tendinopathy/Tendinosis

 

Tendinitis or its aliases: tendonitis, tendinopathy and tendinosis are all tendon injuries.  Tendinopathy (tendon injuries) can develop in any tendon of the body.  

Tendinitis (or Tendonitis): This actually means "inflammation of the tendon," but inflammation is actually only a very rare cause of tendon pain. But many doctors may still use the term tendinitis out of habit.

The most common form of tendinopathy is tendinosis. Tendinosis is a noninflammatory degenerative condition that is characterised by collagen degeneration in the tendon due to repetitive overloading. These tendinopathies therefore do not respond well to anti-inflammatory treatments and are best treated with functional rehabilitation. The best results occur with early diagnosis and intervention. 

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Arthritis

Arthritis is a condition that irritates or destroys a joint. Arthritis of the base of the thumb (also known as the basal joint) occurs when the smooth cartilage that covers the ends of the bones begins to wear away.

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Carpal Tunnel

Carpal Tunnel Syndrome is probably the best known of the repetitive motion disorders. It is an ailment caused by the thickening of the transverse carpal ligament covering the tendons within the carpal tunnel, a narrow tunnel running through the wrist.

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Hand Fractures

Fractures of the hand can occur in either the small bones of the fingers (phalanges) or the long bones (metacarpals). They can result from a twisting injury, a fall, a crush injury, or direct contact in sports.

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Hand Osteoarthritis

Osteoarthritis is a degenerative joint disease that can affect any joint in the body, but it is most visible when it strikes the hands and fingers. 

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Rheumatoid Arthritis

Rheumatoid arthritis is a systemic condition, which means that it affects multiple joints. RA affects the cells that line and normally lubricate the joints (synovial membrane tissue).

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Tendon Repair

In Flexor or Extensor Tendon Injuries, the tear (rupture) or cut (laceration) of the tendon ends are pulled apart, and they cannot heal without the ends touching. This necessitates surgical repair where the tendon ends are sewn back together.

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Trigger Finger

Trigger finger is a condition that causes the finger or thumb to lock or catch in a bent position. It will straighten with a visible, sudden “snap,” and if it is severe, the finger may not fully straighten.

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Our Treatments

“Advanced was the best physical therapy I ever had!”
Mary Lou , Grand Blanc Facility
“I tell everyone who needs physical therapy to use APTC.”
Wanda , Grand Blanc Facility
“I feel Clio is very lucky to have a business like APTC located here. Your staff is GREAT!”
Stevie, Clio Facility
“The best experience I have had at a medical facility. Amazing staff!”
Paige, Clio Facility
“The staff was more than courteous. They made me feel important and special. They encouraged and motivated me.”
Mac, Flint Facility
“The billing staff was very patient and considerate helping me to accomplish an out-of-network referral.”
Gerrie, Grand Blanc Facility
“My experience here was tremendous.”
Elizabeth, Clio Facility
“I want to thank you and your staff for making me a complete person again. Now that I can move like I used to, I’m in better shape then I was 10 to 15 years ago.”
Bob, Grand Blanc Facility

 

The NESS H200 is a state-of-the-art functional electrical stimulation (FES) system that uses low-level stimulation to help your hand open and close. Customizable stimulation programs may help you perform daily activities and also reeducate the muscles over time.

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At Advanced Physical Therapy Center, we have a staff of highly skilled, certified hand therapists available at all our locations. Hand therapy is the art and science of rehabilitation of the upper extremity or limb. This includes the hand, wrist, forearm, elbow and shoulder, which may not be functioning properly due to any number of problems. Hand therapy is considered to be a specialized area of physical and occupational therapy. Injuries to the upper extremities can be complex, involving bone, tendon, nerve and/or skin. Recovery is equally dependent upon expert physician care and early, appropriate hand therapy.

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Electrical stimulation uses an electrical current to cause a single muscle or a group of muscles to contract. By placing electrodes on the skin in various locations the physical therapist can recruit the appropriate muscle fibers. Contracting the muscle via electrical stimulation helps strengthen the affected muscle. The physical therapist can change the current setting to allow for a forceful or gentle muscle contraction. Along with increasing muscle strength, the contraction of the muscle also promotes blood supply to the area that assists in healing.

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Our FCE program is not limited to workman’s compensation. We also provide pre-work screening, as well as disability screening. Advanced Physical Therapy Center has invested in state-of-the-art equipment to simulate the work environment. We pride ourselves on a high return-to-work rate, and we strive to make each employee a happier and healthier worker.

DOCTOR'S KIT

Graston Technique® is an innovative, patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively break down scar tissue and fascial restrictions. The technique utilizes specially designed stainless steel instruments to specifically detect and effectively treat areas exhibiting soft tissue fibrosis or chronic inflammation.

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Hydrotherapy is simply water therapy. Used a therapy modality, the water temperature and agitation is varied depending on the treatment goals. Warmer water induces vasodilation, drawing blood into the target tissues. Increased blood flow delivers needed oxygen and nutrients, and removes cell waste. The warmth also decreases muscle spasm, relaxes tense muscles, relieves pain, and can increase range of motion.

DOCTOR'S KIT

Laser light therapy is the application of red and near infrared light over injuries or wounds. This improves soft tissue healing and relieves pain by directing bio-stimulated light energy to the body’s cells. This is done without heat and without injuring or damaging the cells in any way. There are also no side effects. The treatment is backed by extensive research and more than 500 published studies. It has been used successfully around the world for more than 20 years.

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Phonophoresis is a physical therapy modality that combines ultrasound with the topical application of pain medication. In phonophoresis, the ultrasound enhances the conduction of the pain-relieving medication into your soft tissues for a deep penetration. The use of the ultrasound allows for a high concentration of the medication to reach the underlying muscles. The drug is also delivered to a larger surface area, in a dose that is considered by doctors to be therapeutic.

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The acoustic waves generated by the WellWave painlessly pass through the body and converge at a point deep within the soft tissue to produce an intense, extremely short duration compression event. The focused acoustic compression is translated to tissue to provide a massage with pin – point accuracy to the affected area.

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