Wrist / Hand
The hand is considered one of the most adaptable and complexes areas in the body, there is an intricate neurological network and muscle/tendon leverages system that allows the hand to be controlled in such precision and dexterity like any other body part. The accuracy of the fine motor control is provided by the extensive neurological connection originated from the neck and supported by several small groups of muscles and tendons as it is reinforced by the network of bones and joints. The overall health of the hand is highly dependent on the proper function of the neck, shoulder, and elbow.
The 5 defence Hand Mechanisms is hierarchically made up by the proper Alignment of the all the joints that compromised the wrist and hand followed by the strength and resilient of the flexor and extensor Muscles then by the health of the multilayer of the Ligaments, the proper cushion support provided by the Cartilage and ultimately by the frame support of the several Bones that made up the wrist and hands. The extend and level of tissue damage is dependent on the number of protective layers that have been compromised from the trauma.
For instance, when the second protective Muscle layer is affected, there is a muscle/tendon dysfunction resulting in potential inflammatory condition as seen in De Quervain’s tenosynovitis, therefore I consider as a Level 2 injury.
In wrist/hand ganglion cysts syndromes where the trauma impaired 3 layers of the protective mechanisms (Alignment, Muscles and ligaments) creating a disturbance of the ligamentous – joint mechanics , its considered Level 3 Injury as there were 3 layers that have been compromised predisposing the development of the cysts. In summary, there are 5 protective layers of defence and 5 corresponding Level of injuries, higher the level of injury the more substantial the number of tissue damage as per the accumulative damage that is passed from one phase to the other. (Level 5 injury means that all the previous defence mechanisms have been compromised up to the 5th layer, as seen in Scaphoid fractures).
Throughout my extensive education and clinical experience, I conclude that even though there are several named pathologies and diseases described by the traditional medicine, the origin and the predisposing factors that have lead the development these healthcare conditions shared a similar causation and pathophysiological principle.
In addition, due to the multiple level of tissue damage often seeing in injuries there is not a single approach that is enough in order to properly managed and fully resolve the condition in question, hence I developed specific treatment protocols utilising different health care methods and techniques that eventually allowed me to efficiently resolve and heal as well as prevent the further development of future injuries.
The protocols I developed aim to properly repair and restore the entire self defence mechanism
5 Levels of Wrist/Hand Injuries and the corresponding associated conditions.
Wrist / Hand
Level 1 injuries - Misalignment dysfunctions
Note: Minor joint misalignment does not create any visible deformation. Clinical assessment and X-ray imaging are paramount for diagnosing subtle joint dysfunction. A misaligned dysfunctional hand will predispose for the development of several wrist and hand diseases.
Certain Misalignments could impair the nerves that cross the wrist:
Level 2 injuries - Misalignment - Muscle/tendon/fascia/injuries
Level 3 Injuries – Misalignment – Muscle compromised - Ligamentous injuries
Level 4 Injury - Misalignment – Muscle compromised – Ligamentous weakness - Cartilage Injury
Level 5 Injury- Misalignment – Muscle compromised – Ligamentous weakness and Cartilage damaged leading to Bone fractures
Miscellaneous Wrist/Hand conditions
Rheumatoid Arthritis; Its part of an autoimmune systemic condition expressing inflammatory cascade withing the joints and soft tissue.
Complex Regional pain Syndrome
Hand Neurological referral patters syndromes; Subluxations (nerve compromised) at the level of the neck and thoracic spine can create referral patterns of pain at different sites at the wrist and hand.
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Treatment methods I utilize in my practice to restore and enhance the healing of the entire layers of tissue injuries according to the specific healthcare conditions diagnosed.
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