TREATMENT - Alexandria Rehabilitation€¦ · Tennis Elbow Brace SPLINTING/ORTHOSES Ultrasound...
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Diagnosis: Date of Injury/Surgery: Precauons: Frequency: mes per week for weeks Paent’s Name: Date: Comments: EVALUATE & TREAT AROM/AAROM/PROM Edema Management Strengthening Home Exercise Program Scar Mobilizaon/Desensizaon Wound Care CRPS/RSD Treatment Preferred Protocol (Please Circle): Klein | Modified | Kleinert | Durand | Therapist Discreon PHYSICIAN SIGNATURE: TREATMENT Stac Dynamic Hand-based Thumb Spica Forearm-based Thumb Spica Dorsal Blocking Post-Op Dupuytrens’ Mallet Finger / Boutonnieres Trigger Finger Resng Hand Nerve Palsy Wrist Immobilizer Tennis Elbow Brace SPLINTING/ORTHOSES Ultrasound Electrical Smulaon Iontophoresis with Dexamethasone (20 mls. Of 4mg/ml concentrate) Heat/Ice Whirlpool Paraffin MODALITIES AMOS HARTSELL, OTR/L 220 22nd Ave. E, #108 Alexandria, MN [email protected] | www.alexrehab.com | p 320.335.2515 | f 320.335.2717
Transcript of TREATMENT - Alexandria Rehabilitation€¦ · Tennis Elbow Brace SPLINTING/ORTHOSES Ultrasound...
Diagnosis:
Date of Injury/Surgery:
Precautions:
Frequency: times per week for weeks
Patient’s Name: Date:
Comments:
EVALUATE & TREATAROM/AAROM/PROM
Edema Management
Strengthening
Home Exercise Program
Scar Mobilization/Desensitization
Wound Care
CRPS/RSD Treatment
Preferred Protocol (Please Circle):Klein | Modified | Kleinert | Durand | Therapist Discretion
PHYSICIAN SIGNATURE:
TREATMENT
Static Dynamic
Hand-based Thumb Spica
Forearm-based Thumb Spica
Dorsal Blocking
Post-Op Dupuytrens’
Mallet Finger / Boutonnieres
Trigger Finger
Resting Hand
Nerve Palsy
Wrist Immobilizer
Tennis Elbow Brace
SPLINTING/ORTHOSES
Ultrasound
Electrical Stimulation
Iontophoresis with Dexamethasone(20 mls. Of 4mg/ml concentrate)
Heat/Ice
Whirlpool
Paraffin
MODALITIES
AMOS HARTSELL, OTR/L220 22nd Ave. E, #108 Alexandria, MN
[email protected] | www.alexrehab.com | p 320.335.2515 | f 320.335.2717
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