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Nancy Brough, MA, former speech pathologist

U.S.
Available
I can answer any question about swallowing disorders and acquired and/or developmental communication disorders. Examples are aphasia, brain injury (traumatic or from strokes), and degenerative neurologic diseases. I also have specialized knowledge in craniofacial disorders (i.e., cleft palate.)

Brian Neville, OTR/L, CWCE

U.S.
Available
I can answer questions about both conservative and post-operative rehabilitation for UPPER extremity injuries. These include but are not limited to: fractures, tendon repairs, tendon transfers, nerve repairs, lacerations, tenolysis procedures, TFCC injuries, repetitive motion disorders, reconstructive procedures. I have an advanced knowledge of UPPER extremity anatomy and industrial rehabilitation. I have extensive splinting skills for injuries to the upper extremity. Although not a physician or a surgeon I have worked closely with world renowned upper extremity specialists for over 10 years. I can give general information on what some of the most common upper extremity surgeries involve. I can reference those procedures as well. PLEASE DON'T ASK ME QUESTIONS ABOUT ANYTHING OTHER THAN THE NECK, SHOULDER, ARM/HAND. I'M NOT QUALIFIED AND KNOW ABSOLUTELY ZERO ABOUT BACKS/HIPS/KNEES/ANKLES/ETC. THANK YOU!!!

Recent Answers

2016-01-08 Tailbone pain:

Hey Christina,  It sounds like a side-effect of your positioning during bed rest. I would limit how much sitting you do on hard surfaces and look into purchasing one of those soft donut cushions so when

2015-12-28 Mallet finger and pip joint:

Splinting is sufficient.  Outcomes for surgery vs. splinting aren't much different.  You need to splint the top joint but not the middle as referenced in the splint picture.      Splint should be worn

2015-12-26 Carpal tunnel:

If it's the mini-open procedure where a small incision is made then 3-4 weeks.  After surgery you are encouraged to keep the fingers moving.  Move the wrist as tolerated.  No lifting, carrying, pushing

2015-11-20 Stiff fingers in the morning after fracture:

Just realized I had not responded to your last email.  If you want the finger straight then a splint on top of the finger does not have enough force to bring the finger into extension and is useless after

2015-11-19 Stiff fingers in the morning after fracture:

The bump won't reduce due to bone remodeling.  Not sure where they are getting that.  Bones heal at 6-8 weeks and they are then "what they are".  You need to see a board certified hand surgeon (www.assh

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