Finger Reset After Dislocation | Modern Manual Therapy Blog

Finger Reset After Dislocation


3 Weeks after a DIP Dislocation in a gymnastics injury, swelling, pain, and weakness remained in the PIP more than DIP of that digit. She was unable to grip or hang/swing on bars without pain.
In order to restore threat free grip, compression plus lateral rotation held enabled full pain free passive end range flexion of the PIP. For the DIP, which was also limited in flexion, end range repeated extension restored pain free flexion. Just a little experimentation and you can easily find desensitizing repeated loading strategies. She was prescribed to do these resets hourly and gradually work on grip strength.

[UPDATE]: Just followed up, after 4 days of the reset and grip strengthening, she was able to complete a bars routine and prior she was unable to even hang from the bar. Swelling is down, but still present, and grip strengthening needs to continue.

Finger Reset After Dislocation

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