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Hand Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatment
Von Kenneth Kee
Hand Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatment
Von Kenneth Kee
Länge:
108 Seiten
1 Stunde
Beschreibung
This book describes Hand Disorders, Diagnosis and Treatment and Improvised Treatment
The hand is one the most useful organ of the human body.
Hands are made up of a very delicate and complex structure.
The muscles and joints in the hand have a great range of movement and precision.
Because of the hands the human person can do a wide range of things with the hands, such as grip objects tightly and lift heavy weights, and guide a fine thread through the tiny eye of a needle.
Fingers have some of the densest areas of nerve endings in the body, and are the best source of tactile feedback.
They also have the largest positioning capability of the body.
The sense of touch is intimately linked with hands.
The human hands have an important part to play in body language and sign language.
Similarly the 10 digits of 2 hands, and the 12 phalanges of 4 fingers (touchable by the thumb) have given rise to number systems and calculation techniques.
It enables a human person to hold a pen and write words as in this book or type words in a computer to produce a digital book.
Hands are also quite susceptible to disorders though.
Tendons, nerve fibers, blood vessels and fairly thin bones are all placed right under the skin and are only defended by a thin layer of muscle and fat.
Only the palm is defended by a strong pad of tendons (aponeurosis), permitting a powerful grip.
The hands are put through quite a lot every day, and often come into contact with possibly harmful objects and germs.
As a result, hand injuries and disorders due to wear and tear are very frequent.
Trigger Finger
Trigger finger is the frequent name for a condition that causes swelling in the tendons that control finger bending.
Such swelling stops the tendons from gliding smoothly, which produces pain, popping, or a catching feeling.
Whenever possible, non-surgical treatment is tried first.
Splints, oral anti-inflammatory medications, steroid injections, and modifications in daily activities may be effective in reducing the swelling around the tendon.
If the finger does not react to non-surgical treatments, surgery may be advised.
DeQuervain's Disease
DeQuervain's disease is an irritating swelling of the sheath or tunnel that encloses the thumb tendons as they pass from the wrist to the thumb.
The cause of DeQuervain's disease is often not known, but it may be produced by overuse and repetitive motions and has been linked with pregnancy and certain inflammatory disorders such as rheumatoid arthritis.
While anyone can get DeQuervain's, it involves women significantly more often than men.
Symptoms may be
1. Twinges of pain at the base of the thumb or the thumb side of the wrist.
2. Pain that happens gradually or suddenly and it is felt in the wrist and can radiate up the forearm.
3. Pain that is normally worse with use of the hand and thumb, particularly when forcefully grasping things or lifting items such as a gallon of milk.
Treatment
In almost all cases, non-surgical treatments are tried first.
Splints, oral anti-inflammatory medicines or injections may assist to decrease the irritation and swelling.
The temporary avoidance of activities that cause pain may also put off symptoms.
For those cases that do not react to non-surgical treatments, surgery may be advised.
The surgery widens the tendon compartment to make more room for the irritated tendon.
Normal use of the hand can be continued once comfort and strength return.
Fractures
Normally, fractured hands, fingers, and wrists will recover without surgery and non-surgical treatment often involves improvised splints and physical therapy.
Buddy taping is one way to treat a fracture of a finger.
TABLE OF CONTENT
Introduction
Chapter 1 Hand Disorders
Chapter 2 Trigger Finger
Chapter 3 De Quervain’s Disease
Chapter 4 Dupuytrens Contractur
Über den Autor
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 70.However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Hand Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatment - Kenneth Kee
Hand Disorders,
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Improvised Treatment
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2019 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Hand Disorders, Diagnosis and Treatment and Improvised Treatment which is seen in some of my patients in my Family Clinic
(What You Need to Treat Hand Disorders, Diagnosis and Treatment and Improvised Treatment)
This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
The hand is one the most useful organ of the human body.
Hands are made up of a very delicate and complex structure.
The muscles and joints in the hand have a great range of movement and precision.
Because of the hands the human person can do a wide range of things with the hands, such as grip objects tightly and lift heavy weights, and guide a fine thread through the tiny eye of a needle.
Fingers have some of the densest areas of nerve endings in the body, and are the best source of tactile feedback.
They also have the largest positioning capability of the body.
The sense of touch is intimately linked with hands.
The human hands have an important part to play in body language and sign language.
Similarly the 10 digits of 2 hands, and the 12 phalanges of 4 fingers (touchable by the thumb) have given rise to number systems and calculation techniques.
It enables a human person to hold a pen and write words as in this book or type words in a computer to produce a digital book.
Hands are also quite susceptible to disorders though.
Tendons, nerve fibers, blood vessels and fairly thin bones are all placed right under the skin and are only defended by a thin layer of muscle and fat.
Only the palm is defended by a strong pad of tendons (aponeurosis), permitting a powerful grip.
The hands are put through quite a lot every day, and often come into contact with possibly harmful objects and germs.
As a result, hand injuries and disorders due to wear and tear are very frequent.
Chapter 1
Hand Disorders
Carpal Tunnel Syndrome
The carpal tunnel is a channel in the wrist where a nerve and nine tendons pass from the forearm into the hand.
Carpal tunnel syndrome is a form of hand nerve entrapment that happens when swelling in the tunnel compresses the median nerve.
As a result of the pressure on the median nerve, patients with carpal tunnel syndrome may have symptoms such as:
1. Pain in the hand and fingers, such as burning, tingling, and numbness
2. Pain in the wrist or hand, radiating to the elbow
3. Sensation that the hand is swollen, even if it is not
4. Weakened grip and difficulty picking up small items
5. Disorders with fine finger movements in one or both hands
6. Numbness in hands
This disorder is frequent in people who do repetitive wrist and hand motions, such as typing on a computer keyboard.
It also involves those who grip tightly or uses their wrists constantly, such as cashiers, cyclists, meat cutters, and musicians.
Treatment
Many non-surgical courses of treatment for carpal tunnel syndrome are present, such as:
1. Splints or braces to immobilize and rest the wrist
2. Adjustments to how the patient does daily activities
3. Oral anti-inflammatory medicines
4. Steroid injections
If non-surgical treatment is not successful or treatment is given too late, surgery may be needed.
This surgery requires enlarging the carpal tunnel, which will alleviate the swelling and pressure on the nerve.
Dupuytren’s Contracture
Dupuytren's contracture is an abnormal hardening of the tissue between the skin and the tendons in the palm, which may restrict the use of one or more fingers or may ultimately induce the fingers to be pulled in toward
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