Medical Library
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- Skier's Thumb (Gamekeeper's thumb)
- Carpal Tunnel Syndrome
- Guyon’s Canal Syndrome (Handlebar Palsy)
- De Quervain's Tenosynovitis
- Fractures of the Forearm/Wrist
- Distal Radius Fracture Colles, Smith Fractures
- Scaphoid Fracture
- Fracture of the Hook of Hamate
- Mallet (Baseball) Finger
Guyon’s Canal Syndrome (Handlebar Palsy)
Like Carpal Tunnel Syndrome, this condition is often seen in cyclists when the ulnar nerve is compressed in its canal over the wrist. Resting the palms of the hands on bicycle handlebars is typically the cause. Treatment is similar to that for Carpal Tunnel Syndrome - activity modification, such as wearing a padded glove during cycling, rest, splinting, hand therapy - including ultrasound/iontophoresis, exercise, and less often, surgery. |
Possible Treatments
- Active Range of Motion (AROM)

- Active Assistive Range of Motion (AAROM)

- Cryotherapy or Cold Therapy

- Electrotherapeutic Modalities
- Isometrics

- Iontophoresis
- Mobilization

- Proprioceptive Neuromuscular Facilitation (PNF)

- Progressive Resistive Exercises (PRE)

- Passive Range of Motion (PROM)

- Physical Agents
- Soft Tissue Mobilization

- Stretching/Flexibility Exercise

Possible Treatment Goals
- Decrease Risk of Reoccurrence
- Improve Muscle Strength and Power
- Decrease Nerve Compression
- Increase Oxygen to Tissues
- Improve Range of Motion
- Improve Relaxation
- Self-care of Symptoms
- Improve Tolerance for Prolonged Activities
Additional Resources
Disclaimer
The information in this medical library is intended for informational and educational purposes only and in no way should be taken to be the provision or practice of physical therapy, medical, or professional healthcare advice or services. The information should not be considered complete or exhaustive and should not be used for diagnostic or treatment purposes without first consulting with your physical therapist, occupational therapist, physician or other healthcare provider. The owners of this website accept no responsibility for the misuse of information contained within this website.







