Carpal Tunnel Syndrome (CTS) is a common condition that affects millions of people worldwide, particularly those who perform repetitive hand movements. It occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes compressed at the wrist. This can result in numbness, tingling, weakness, and pain. Ultimately, these can affect your ability to perform daily tasks including grasping, eating, typing and more. Where is the carpal tunnel? The carpal tunnel is a narrow passageway located on the palm side of your wrist, surrounded by bones and ligaments. Within this tunnel, several tendons and the…

What is a scaphoid fracture? A scaphoid fracture is one of the most common types of wrist fractures, particularly among young adults and athletes. The scaphoid bone is one of the eight small bones in the wrist, located in the middle of the joint closer to the thumb side. Functionally, it helps to connect the forearm bones (radius and ulna) to the hand bones (metacarpals). A fracture of the scaphoid typically occurs when an individual falls onto an outstretched hand (commonly shortened to FOOSH), causing the wrist to bend backward in an awkward position. The impact can break the bone,…

Rheumatoid arthritis (RA) is an inflammatory disorder that can affect multiple joints, usually on both sides simultaneously. In other words, if it affects your wrists, it would likely be both, not just one. RA is an autoimmune disorder. Essentially, a flare up is when your immune system starts to attack your own body’s tissues. Ultimately, it has systemic (body-wide) effects and can damage your skin, lungs, heart and blood vessels in some cases.  RA mainly damages the lining of your joints causing large amounts of pain and swelling that can eventually result in joint line erosion and deformities. In most…

What is a TFCC (Triangular Fibrocartilage Complex) injury? First, the Triangular Fibrocartilage Complex (TFCC) is a critical structure located in the wrist,specifically on the side of the pinky finger. It plays a role in stabilizing the wrist joint, particularly during activities that involve gripping or weight-bearing through the hands. It is comprised of a triangular fibrocartilage disc, ligaments, and associated structures. Importantly, the TFCC provides cushioning and stability between the 2 bones at the end of the forearm/beginning of the wrist (the radius and the ulna) A closer look at the TFCC The TFCC consists of several components, including the…

Triangular Fibrocartilage Complex (TFCC) Injury The TFCC is a combination of ligament, tendon and cartilage and therefore name as Triangular Fibrocartilage complex. This ligament has a major function of stabilizing and supporting the wrist. It is an important structure connecting the forearm bones to the small bones in wrist, thereby giving you the mobility when you grip object tightly or rotate the wrist. The TFCC provides these movement more support and range while behaving as cushion in the area. What causes TFCC strain or tear? There are two ways your TFCC can give up – either due to injury or any degeneration of these ligament. Injury – most often when you fall on outstretched hand is a common precursor of the TFCC injury or tear. The mechanism could be a sudden impact or a twisting injury. Older adults are more vulnerable as there can be thinning of these ligaments with…

Osteoarthritis is a degenerative disease of the joint affecting the articular cartilage and bony structures and tissues involved. It starts with changes to the surrounding tissues of the joint and in advanced stages it affects the articular cartilage thereby reducing and narrowing the joint space causing structural bony changes. Osteoarthritis Signs and symptoms of Osteoarthritis in hand and wrist: Swelling of the joints or knuckles. Morning stiffness in fingers and wrist. Pain with movements. Difficulty with gripping and handling objects. Decreased strength. Enlarged joints or deformed joints in more than one or more area. Heberden’s nodes,…

Why do you have thumb pain? Thumb Pain DeQuervain’s Tendonitis or thumb pain? There could be several potential factors why you have thumb pain. For instance, arthritis, trigger thumb, or DeQuervain’s Tendonitis. Though, the location of pain and difficulties performing activities can determine what is causing your thumb pain. However, the most common reason for thumb pain could be DeQuervain’s Tendonitis. Let us know something more in detail whether you have DeQuervain’s Tendonitis. What is DeQuervain’s Tendonitis and Thumb Pain? De Quervain’s Pain It is an inflammatory condition, where the sheath around the tendon gets constricted. As a result, it affects the tendons of the thumb and thumb side of the wrist causing pain. Therefore, it gives the inability to use the hand and wrist to their total functional capacity. What do the symptoms of DeQuervain’s Tendonitisfeel like? Firstly, there is severe…

Work from Home? Be active from home too! With changing times , continuing  to work from home  seems very appealing. But is it really safe for your body? Excessive sitting behaviour has increased more than ever since Covid times in the comfort of your home. This increases the risk of Low back and upper back pain, wrist pain, neck pain, shoulder pain, headaches and other overuse injuries. How many breaks do you take from your chair? Are you using a chair while you work from home? At Physio Now it’s our mission to help you get more active and also…

Heat and Cold therapy How it works When we apply Heat therapy, it improves circulation and blood flow to  that area due to increased temperature. Heat therapy can relax and soothe muscles and heal damaged tissue. Types Dry Heat therapy includes sources like heating pads, dry heating packs, and even saunas. This heat is easy to apply. Moist Heat therapy includes sources like steamed towels, moist heating packs, Theratherm heating pads that take moisture from the air, or hot baths. Moist heat may be slightly more effective as well as require less application time for the same results. Contraindications diabetes dermatitis vascular diseases deep vein thrombosis multiple sclerosis (MS)  Heat is useful for relieving: osteoarthritis strains and sprains tendonitis, or chronic irritation and stiffness in the tendons warming up stiff muscles or tissue before activity relieving pain or spasms relating to neck or back injury, including the lower back Cold…

De Quervain’s Disease/ Texting thumb. De Quervain’s Disease De Quervain’s Disease or nowadays known as texting thumb is a painful inflammation of tendons in the thumb that extend to the wrist. The rubbing of the inflamed tendon against the canal it passes through causes pain at the base of the thumb and into the lower arm. It is commonly seen in females over 40 years of age. Causes of De Quervain’s Disease 1. Simple strain injury to the tendon. 2. Repetitive motion injury. Workers who perform rapid repetitive activities involving pinching, grasping, pulling or pushing are at increased risk. Specific activities including intensive mousing, trackball use, and typing. Other activities including bowling, golf, fly-fishing, piano-playing, sewing, and knitting can also cause De Quervain’s Disease. 3. Frequent causes of De Quervain’s Disease include stresses such as lifting young children into car seats, lifting heavy grocery bags by…