The Casting Motion to Mobilise Stiffness Technique (CMMS) was used to treat this lady's stiff and oedematous hand. Initially, an intrinsic minus cast was applied to the hand. This cast design supported the wrist in neutral and immobilized the MCP joints. Motion was directed to the PIP and DIP joints into a hook fist position. After 3 weeks the cast design was changed to an intrinsic plus cast in order to regain flexion of the MCP joints, whilst maintaining the gains made in PIP and DIPJ flexion.
The oedema improved significantly and produced a scar that is soft, mobile and tolerant to frictional forces.
In addition to the CMMS technique, the patient has been provided with Forever Freedom Gel. Forever Living have combined Glucosamine Sulfate and Chondroitin Sulfate - two naturally occurring elements that have been shown to help maintain healthy joint function and mobility - and married them with their stabilized Aloe Vera gel.
The Aloe Heat Lotion contains warming agents and aloe. This rich emollient lotion provides blissful relief from joint pain and was used to massage into the fingers 3 times per day.
The combination of the CMMS technique, the Forever Freedom drinking gel and the Aloe Heat Lotion has enabled the significant changes in the tissue as well as joint motion in a relatively short space of time.