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Brian Neville, OTR/L, CWCE

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!!!

Nancy Brough, MA, former speech pathologist

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.)

Recent Answers

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

2015-11-18 Stiff fingers in the morning after fracture:

You likely have a PIP joint contracture with a flexion contracture. Meaning the PIP joint won't straighten all the way. I'd recommend seeing a certified hand therapist and have them do serial casting to

2015-10-16 Shoulders and weight training:

Anything overhead puts much more stress on the body than other exercises.  Anything that hurts don't do it.  I'm assuming you're talking about deltoids (ant, mid, post) and traps. I'd skip the traps due

2015-10-12 very sore fingers after a wrist fracture:

Likely this is extrinsic flexor tendon tightness.  You are also probably developing PIP joint contractures which are very difficult to correct without a very skilled hand therapist.  I would recommend

2015-10-04 apley scratch test pain:

Stretch the pectoralis minor, then the traps.  Directly after, strengthen the scapular stabilizers such as the rhomboids, serratus anterior, and low trap.  Look up exercises for these particular muscles

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