The Simple 2-Phase Framework to Heal Your Nagging Sprain


June 21, 2025 | SUBSCRIBE | SHOP | ARCHIVE

Written by Dr. Nick Golinvaux

Good morning. Welcome to week 10 of my paternity leave from the newsletter. Bon Jovi tells me we're halfway there!

Please enjoy another of my top 20 most popular articles on tap this week, this time covering all you need to know about braces...and how to actually use them!

**This newsletter has occasional affiliate links (at no cost to you). These small commissions will always be re-invested into Rules of Thumb to improve the experience for all.**

NEWSLETTER JUNKY

If you like them as much as I do

To me, email newsletters are like having access to experts, right from the comfort of my own home. Nowadays, there's a newsletter for just about anything, no matter how small the niche.

The only problem is, how to find them? If you like newsletters as much as I do, you can use this free tool to browse what's out there for you and subscribe to your heart's content. Explore Here.

X-RAY OF THE WEEK

It only takes a jet of water at 100 psi to break human skin.

So imagine what happens when a pressure washer at 2800 psi accidentally hits your finger while you clean the driveway (even though that clean is so satisfying)?

That's unfortunately what happened here. This person had a tiny little 1 cm cut from the stream of water as outlined in red above. But look how far the 2800 psi forced gas and water into their hand (outlined by yellow arrows).

A recipe for terrible infection and hand dysfunction.

This causes extreme tissue damage along the nerves and blood vessels of the arm, necessitating emergent surgery. I've seen small wounds in the finger force water (and in the worst case paint!) all the way through the hand, across the wrist, and up to the ELBOW.

So here's your PSA. Be on high alert with these things, even for mundane tasks like washing your driveway...

IF YOU'RE HURTING, I CAN HELP

Your Guide: Carpal Tunnel Syndrome

This is my masterclass on carpal tunnel syndrome. In this short book, I share everything you ever wanted to know about numb hands and how to fix them.

It's more education than the average visit to a specialist — for less than the average co-pay.

ENJOY YOUR WEEKEND

Thank you for reading and engaging with Rules of Thumb! Subscribe for free to receive new posts.

Nick Golinvaux, MD

Hand & Upper Extremity Orthopedic Surgeon

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***Please do not use this email to try to obtain medical advice. I cannot legally or ethically provide that. If you are having a medical emergency, please call 911 and do not attempt to contact me through email.***

Rules of Thumb Archivewww.nickgolinvauxmd.com

DISCLAIMER

Because, you know, lawyer stuff

If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.

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