Physiotherapists in Paignton treat many different conditions including the issues profiled below.

Hand Injuries - Diagnosis

The diagnosis of most hand injuries is not difficult as the damage is usually readily apparent to the examiner. There will typically be a history of trauma and this should be carefully attended to as it may give clues to a more complex injury than first appears. Bruising and swelling are very typical signs apparent on initial inspection, with pain a common and often localising feature. There may be an obvious deformity if the joints are dislocated or bones fractures with displacement, the patient will have lost the ability to grip firmly and there may be reduced range of movement in the fingers and thumb.

Examination starts with a visual examination of the hand which guides the doctor as to further required tests and investigations. The doctor will palpate the hand systematically to look for areas of particular pain or abnormal movement which would point to an underlying injury. The ranges of movement of the shoulder, elbow, wrist and hand is assessed and recorded, with the tendon actions tested in turn to search out any tendon involvement. Circulatory function will be checked to exclude blood vessel damage. Investigations will routinely include x-rays to look for fractures, dislocations or embedded objects such as glass.

Allodynia . An Abnormal Pain

Most of the pain we feel is .normal. in terms of being similar to what other people feel in similar situations of injury and damage. We get a standard pain after being injured which is the result of the tissue injury and the changes which automatically occur within the central nervous system in response to the incoming pain barrages. Our pains are proportionally related to the amount of unpleasant input we suffer and we only respond with pain to what we expect would be a painful stimulus. This is referred to as nociceptive pain and is the normal kind we suffer from in the way we expect to suffer in certain cases.

Allodynia is a painful response to a normally non-painful stimulus, such as touching, wind passing over a part of the body or the pressure of the water from a shower. Normally the result of a nerve injury but also occurring in pain syndromes such as fibromyalgia, allodynia is an abnormal pain response due to changes within the central nervous system. A heightened, amplified pain response is generated inside the spinal cord or brain, giving the sufferer a high level of very unpleasant pain in response to a trivial stimulus.