Скачать или смотреть Tired of splints that don’t fix stiff PIPJ joints? Try this 3-step cast method.

Still stuck with stiff PIPJs that won’t extend—no matter how many splints you try?

Here’s a 3-step method that consistently gains at least 20° of extension in just 5 days—without relying on patient compliance.

📩 Want my step-by-step cheat sheet?
Comment “Cheat Sheet” below and I’ll send it your way.

00:00 – Intro
00:22 – Why splints fail
01:15 – My 3-step cast method
02:45 – Why this works
03:30 – How to get the cheat sheet

I’m Robyn Midgley, and I help hand therapists treat stubborn post-op and post-injury PIPJ deformities using cast-based solutions that work fast and predictably.
In every post, I share one practical technique you can use immediately—no fancy tools or overcomplicated splints.

Let’s talk about the fixed flexion deformity of the PIPJ.
The joint has potential—but it’s stuck. And most therapists are struggling to move the needle.

Usually, the go-to is a dynamic splint or a removable POP cast that wraps the finger.
But the design is off—or worse, it’s removable. So the patient’s in and out of it, getting nowhere.

Here’s why that fails:
✔️ Not enough time in the right position
✔️ Poor comfort = poor compliance
✔️ No true 3-point pressure

Here’s what I do instead:
Step 1: I apply a 3-point POP cast that gently straightens the PIPJ while locking down the MCPJ. It stays on for 5 days—creating real tissue change, not just hope.
Step 2: After 5 days, I remove the cast and immediately work on regaining flexion—because yes, it’ll be stiff, but it’s now pliable.
Step 3: Didn’t get full extension? I re-cast for another 5 days and repeat. Each round builds progress.

Why does this work?
Because we’re applying consistent, strategic pressure—not relying on the patient to “wear it when they remember.”
And the cast design does the work for you.
#handtherapy #PIPJstiffness #fixedflexiondeformity #castbasedrehab #handtherapist