I am a Physio working in predominantly Musculoskeletal outpatients at the moment. I have already started having pain in my thumb MCP joints after only 4.5 years working, with just over 2 years of that in Musculoskeletal therapy. Does anybody have any tips for preventing/ reducing the damage caused to thumb joints with manual therapy work (massage, trigger point release, mobilisations). I try to support my thumbs with my other thumb or fingers, but don't find it effective. Are there any splints/ supports that might be helpful? Or any specific techniques (especially for trigger points) that are less stressful on thumbs. I try to use my elbow or pisiform when i can.

Thanks!

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