A hand therapy protocol for the treatment of lunate overload or early Kienbock's disease

J Hand Ther. 2013 Jul-Sep;26(3):255-59; quiz 260. doi: 10.1016/j.jht.2012.12.004. Epub 2013 Mar 7.


We describe a hand therapy protocol aimed at unloading the wrist and increasing blood supply to the wrist, specifically to the lunate. The protocol was used in a series of patients with clinical radial wrist pain, dysfunction and changes on wrist imaging studies. The patients were not candidates for surgical treatment. Application of the therapy protocol improved objective and subjective parameters such as pain and motion, and may provide a viable treatment option for patients with lunate overload or early Kienbock's disease that are not candidates for surgery.

Keywords: Early Kienbock's disease; Lunate; Overload; Therapy protocol.

MeSH terms

  • Adult
  • Aged
  • Cryotherapy
  • Disability Evaluation
  • Early Diagnosis
  • Exercise Therapy / methods
  • Female
  • Hand Strength / physiology
  • Hot Temperature / therapeutic use
  • Humans
  • Lunate Bone / blood supply
  • Lunate Bone / pathology*
  • Male
  • Middle Aged
  • Osteonecrosis / diagnosis
  • Osteonecrosis / physiopathology
  • Osteonecrosis / rehabilitation*
  • Pain Measurement
  • Range of Motion, Articular / physiology
  • Ultrasonic Therapy