I have received a common question this week regarding the treatment of stiff hands. Often, therapists become frustrated when they receive these types of questions because they feel like they are trying everything without any success. As a therapist myself, I have developed several treatment principles, and today I want to share one of them with you: "less is more."
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When dealing with a stiff hand, it is important to understand that splints are not a cure-all solution, although they can be helpful in certain cases. Splints can be used in two ways: as a static progressive or dynamic tool to increase motion or as a means to block one joint in order to allow movement in another joint. However, splinting is just one aspect of a comprehensive treatment plan.

When evaluating and treating a stiff hand, it is crucial to identify the limitations and goals of the patient. Manual therapy skills are essential in treating a stiff hand effectively. Slowing down the movements during manual therapy and educating the patient about the nature of their joint can help manage expectations and alleviate frustration.

In terms of exercise selection, it is better to focus on a few key exercises that are performed correctly rather than overwhelming the patient with numerous exercises. Taking the time to explain the exercises and ensuring the patient understands how to perform them at home can lead to better results.

Finally, when providing a home exercise program, it is important to consider the patient's success and motivation. Instead of giving them a long list of exercises, focus on a few exercises that they can perform correctly and consistently.

In summary, when treating stiff hands, remember the principle of "less is more." Use splints as part of a comprehensive treatment plan, employ manual therapy skills effectively, select a few key exercises performed correctly, and prioritize the patient's success in their home exercise program.

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