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Skin Protection

An injury to the hand or arm often results in a lack of sensation or normal feeling to your hand.  This lack of sensation increases your risk of injuring your hand.  It is important for you to be aware of any skin changes or injuries that may occur during your daily activities.

1.      Observe the affected area of your hand or arm for changes in skin color, nail color, and temperature.  If the area is difficult to see use a mirror for inspection.  If you smoke, use your uninjured hand to hold your cigarette to avoid burns.

2.      When taking a bath or shower make sure to test the temperature of the water with your uninjured hand before you bathe to make sure the water is not too hot.

3.      When cooking always wear an oven mitt on your injured hand or use a pot holder when handling pots and pans, or pulling something out of the oven or microwave.

4.      When gripping an object, do not apply more force than needed.

5.      Observe the skin of your injured hand frequently during activities to check for redness, swelling, cuts, or blisters.

6.      Take extra care when cutting food or chopping vegetables to prevent cuts.

7.      Try to keep your skin soft and moist by applying hand lotion or oil daily.

If you notice any signs of skin  irritation or injury stop the activity immediately.   Notify your therapist and/or doctor of any changes or injuries to your hand.

Desensitization

Exercise #1

Your doctor has recommended a program to help decrease hypersensitivity and improve the feeling in your hand.  This program is to be performed __________times a day.
  1. Beginning with the texture which causes the least discomfort, ______________________.
    Rub the sensitive area with this texture lightly for  ___________ minutes or until the area feels numb and no longer sensitive.
  2. When this texture no longer seems to cause abnormal feelings, it is time to progress to a rougher texture.  DO NOT return to the softer texture.  Gradually progress through the list of textures below until you complete it.

LIST OF TEXTURES:

 

Exercise #2

Fill a bucket or large container with  _______________________.
Place your hand into the bucket or container until it is completely covered.  Slowly move your hand up and down in the bucket while moving your fingers through the  ______________________. Continue this for ____________ minutes or until your the area feels numb and no longer sensitive.

If you have any questions about these exercises, contact your therapist.

Therapist