not intended for self-diagnosis or treatment. …

1 The information contained herein is for educational purposes only andnot intended for self - diagnosis or treatment . always consult a :Layout 1 1/27/12 9:45 AM Page 1 Abdominal Weakness ..See AbdomenAchilles Rupture ..See AnkleAnkle/Foot Swelling ..See Compression LegwearArthritis ..See Ankle, Joint, Knee, Wrist Basal Joint Arthritis ..See ThumbBursitis ..See KneeCarpal Tunnel Syndrome ..See WristChondromalacia ..See KneeContusion ..See Ankle, Back, Elbow, RibDeep Vein Thrombosis ..See Compression LegwearDegenerative Joint Disease ..See KneeDeQuervain s Tenosynovitis ..See ThumbDiabetic Foot ..See FootcareDislocation ..See KneeEconomy Class Syndrome ..See Compression LegwearEpicondylitis ..See ElbowFat Pad Atrophy ..See FootcareFracture ..See Ribs, WristGamekeeper s Thumb.

2 See ThumbGolfer s Elbow ..See ElbowHeel Pain/Heel Spurs ..See FootcareHernia ..See Specialty SupportsIntercostal Strain ..See RibsLigament Tears ..See KneeLumbar Disc Dysfunction ..See BackLumbar Instability ..See BackLumbar Spine Sprain ..See BackLymphedema ..See Compression LegwearMaternity ..See Specialty SupportsMeniscal Injuries ..See KneeMetatarsalgia ..See FootcareNeuroma ..See FootcareOsgood-Schlatter Disease ..See KneeOsteoarthritis ..See JointPatellar Subluxation ..See KneePlantar Fasciitis ..See Ankle, Footcare, Plantar FasciitisPhlebitis ..See Compression LegwearPosture ..See Specialty SupportsPregnancy ..See Specialty SupportsQuadriceps Tendonitis ..See KneeSacral Contusion ..See BackSacroiliac Sprains/Strains ..See BackSkier s Thumb ..See ThumbSpider Veins.

3 See Compression LegwearSprains ..See Ankle, Back, Knee, WristStrains ..See Abdomen, Ankle, Back, Knee, WristTendonitis ..See Knee, Wrist, Ankle, ElbowTennis Elbow ..See ElbowThrombo-Embolic Disease ..See Compression LegwearTired, Aching Legs ..See Compression LegwearVaricose Veins ..See Compression LegwearThe information contained herein is for educational purposes only and not intended for self - diagnosis or consult a physician when encountering persistent pain, discomfort, inflammation, or :Layout 1 1/27/12 9:45 AM Page 3 CONDITIONS OF THE WRISTA rthritis a disease that slowly destroys the cushioning cartilage surrounding a joint, causing inflammation, pain andstiffening as bones rub against one another. Osteoarthritisor Degenerative Joint Diseaseis advanced arthritis that beginsto break down the bones of the Tunnel Syndrome a painful condition caused by overuse or repetitive bending and flexing ofthe hand and wrist.

4 This causes the tendons and the tendon sheaths (which protect the tendons) tobecome swollen. The swollen tendons place pressure on the median nerve, often resulting in numbness. Strains when tendons (which connect muscle to bone) become inflamed, often because of repetitive or overuse. If untreated,the tendons can tear away from the muscle, leading to a strained, inflamed or slight tear of the tendons from the muscle, commonly due to include tenderness, nagging pain and mild when a sudden forceful twist or blow forces the wrist beyond its natural range of motion. Thismovement causes stretching and/or tearing of the ligaments around the wrist joint, resulting in pain, swelling and bruising. The degree of sprain canrange from mild (slight stretching) to severe (complete tearing).

5 Fracture the breaking of a bone due to excessive force. This can range from a simple crack in the bone to multiple breaks. The most commonwrist fracture, the Colles fracture, usually occurs when the hand is used to break a Cast Removal often, after cast removal, additional wrist stabilization is necessary during the healing and physical therapy process,especially if the wrist and/or hand is severely WRIST Your wrist is the joint between the two bones of the lower arm (radius and ulna) and the five bones of the hand andis made up of eight carpal bones. The muscles and tendons attached to all these bones allow you to rotate yourwrist, as if screwing in a light bulb, and bend and flex your wrist, as if bouncing a basketball. Because of thecomplexity and frequent use of the wrist joint, injuries are and Strains affectthe tendons in the :Layout 1 1/27/12 9:45 AM Page 4 PROLITE LOW PROFILE 6" WRIST SPLINT22-470 Small - XLarge, Black, HCPCS Code L3908 Breathable foam with polyester cover for a breathable alternative to neoprene.

6 Splintprovides comfortable compression. Low contour allows full finger dexterity andimproved grip strength. Breathable spandex insert for easy application. Low profile, 6"length. Specify right or 8" WRIST SPLINT22-450 XSmall - XLarge, Black, HCPCS Code L3908 Breathable foam material with a low contour at palmar crease to provide full fingerdexterity and hand use. Removable palmar stay and side stays give maximum supportand immobilization. Loop lock closures. Specify right or FORM WRIST SUPPORT22-560 XSmall - XLarge, Beige, HCPCS Code L3908 Made of a soft, fleece-lined spandex material with a metal palmar stay to helpmaintain the wrist in a neutral position. Low palmar crease for full finger closure. Specify right or Fit Suede Finish Wrist Brace22-450 ProLite 8" Wrist Splint22-470 ProLite Low Profile 6" Wrist Splint22-560 Soft Form Wrist Support75891 ProLite Airflow 8" Wrist SplintAfter Cast Removal Arthritis Carpal Tunnel Syndrome Sprain, Mild Sprain, Moderate Sprain, Severe Strain, Mild Strain, Moderate Strain, Severe Tendonitis Weak, Aching Wrists SELECTIONGUIDEUse this chart to findthe support that is rightfor FIT SUEDE FINISH WRIST BRACE22-150 XSmall - XLarge, Beige or Black, HCPCS Code L3908 Perforated suede finish material with a padded liner.

7 Metal palmar stay holds the wristin neutral position and prevents flexion; metal dorsal stays prevent extension. Easy,one-hand lace-pull closure. Ideal for treating Carpal Tunnel Syndrome. Specify right AIRFLOW 8" WRIST BRACE75891 Small/Medium, Large/XLarge, Black or Tan, HCPCS Code L3908 Breathable mesh material for increased comfort. Contoured metal palmar stay anddorsal stays prevent flexion and extension. Low profile. Easy, one-hand right or :Layout 1 1/27/12 9:45 AM Page 5 CONDITIONS OF THE THUMBDeQuervain s Tenosynovitis(also called DeQuervain s Syndrome) the inflammation of tissue on the inside of the inflammation causes swelling of the tendon sheath (lining) and synovium (a fluid-filled sac that lubricates thetendons) which pinches the tendons and makes them painful and unable to slide easily.

8 Symptoms include pain,tenderness and possibly a small knot on the thumb side of the Joint Arthritis arthritis occurring at the Basal joint, often caused by repeated wear and tear on the is a disease that slowly destroys the cushioning cartilage surrounding the joint, permitting the bones torub against one another, causing inflammation, nagging pain and stiffening. Pain is experienced during lifting,or activities such as turning a door handle or unscrewing a jar s Thumb involves an injury to the ligament at the MCP joint. It is one of the most common injuriesto affect skiers, usually the result of a fall or direct impact, and results in significant thumb pain and possiblejoint s Thumb involves the hyperextension of the thumb at the MCP joint. This is avery common sports injury characterized by displaced and non-displaced tears of the attachedligament, usually the result of trying to break a backwards fall or jamming/stubbing the THUMBYour thumb is very different from your other four fingers.

9 To begin with, the thumb only has two bones (or phalanges) while the other fingers have three. Thethumb is also opposable, meaning its enhanced freedom of movement enables you to touch your thumb to the tips of your other four fingers, allowing you tograsp objects. A system of muscles makes all this movement possible, and repeated use of these muscles puts stress primarily on two joints the Basal joint,located at the very base of the hand between the thumb and the wrist, and the Metacarpophalangeal (MCP) joint, located at the base of the JointDiseased BasalJointDeQuervain sTenosynovitisBasal JointArthritisTendonSheathSwollenSynoviu mInflamedTendonSkier sThumbGamekeeper s :Layout 1 1/27/12 9:46 AM Page 6 MCP JointBasal JointCarpal Bones25-120 Soft Fit Thumb Spica25-130 ProLite Neoprene Pull-On Thumb Support25-170C3 Deluxe Thumb Splint22-460 ProLite Wrist Splint w/ Abducted Thumb75718 ProLite Airflow Wrist Brace w/ Abducted ThumbBasal Joint Arthritis DeQuervain s Syndrome Gamekeeper s Thumb Skier s Thumb SELECTIONGUIDEUse this chart to findthe support that is rightfor NEOPRENEPULL-ON THUMB SUPPORT25-130 Small - XLargeBeige or BlackHCPCS Code A4466 SOFT FITTHUMB SPICA25-120 UniversalBlack/NavyHCPCS Code L3999C3 DELUXETHUMB SPLINT25-170 UniversalBlackHCPCS Code L3923 PROLITE WRIST SPLINTWITH ABDUCTED THUMB22-460 XSmall - XLargeBlackHCPCS Code L3908 PROLITE AIRFLOW 8"WRIST BRACE WITHABDUCTED THUMB75718 Small/Medium.

10 Large/XLargeBlackHCPCS Code L3907 Neoprene provides soothing warmth and uniformcompression to aching or injured thumbs and for Arthritis of the thumb joints. Comfortabledesign allows for full hand use. Fits right or of breathable foam with a self -wicking liner toabsorb perspiration. Anatomically designed to ensure acomfortable fit. Closure straps are stretchable for easyapplication and removal. Fits right or C3 Tri-Laminate material is cool, comfortableand allows for changes in swelling. Contoured staysand closures help restrict movement and wrist rotationand provide maximum support. Fits right or foam thumb spica is contoured to givesupport, immobilization and thumb to protect the thumb from impact orshock without any binding or stitch seams.