Trigger Finger is the painful condition where your finger or the thumb gets stuck in the bent position. The condition may affect only one or more than one finger and it causes stiffness and pain, making it difficult to move the affected finger. In most of the cases, the Trigger Finger is caused due to the repetitive or forceful movement of the thumb and finger. When the tendons get inflamed Trigger Finger occurs. The condition is common amongst the people whose job involves repetitive gripping actions and people with diabetes and women are likely to develop it. The treatment plan for Trigger Finger depends on the severity of the condition.
The symptoms of Trigger Finger usually start with mild signs and as it progresses it turns to be severe and the symptoms include:
Remember, more than one finger may be affected by Trigger Finger and you may have Trigger Finger in both your hands.
Tendons are the fibrous cords that are responsible for attaching the muscles to the bone and each of these cords are bordered by a protective sheath. When the tendon sheath is inflamed or irritated it caused Trigger Finger and this interferes with the usual gliding motion of the tendons via the sheath. Because of prolonged inflammation and irritation, the tendon sheath may produce scarring and bumps tend to form in the tendons that hinder the motion of tendons. This prevents the bending of the thumb and finger as the tendons are inflamed and can’t be pulled through the barrowed sheath, thereby making it popping and snapping.
There is no elaborated testing available to confirm the Trigger Finger. Doctors would start the testing with physical examination and the diagnosis is based on the physical tests and medical history. During your physical examination, the doctors would ask you to open and close the hand and in the process, they will check the areas of pain, evidence of locking and smoothness of motion.
Doctors may also check the palm of the patients to check the presence of a lump, especially if they suspect the presence lump due to Trigger Finger.
The treatment for Trigger Finger depends on the severity of the condition. There are both surgical and non-surgical procedures available.
The nonsurgical procedure involves using medications like NSAIDs and other therapies. Doctors will tell you some exercises and therapies which you need to perform to improve your condition.
If the symptoms are not improved with the traditional treatment options, surgery is prescribed. Steroid injection is administered near the tendons sheath to reduce inflammation and enable the tendons to glide naturally. The percutaneous release is the procedure where doctors insert the needle into the tissue around affected tendons and move the needle so that the finger helps break apart from constriction which is blocking the smooth motion of tendons. Open surgery is also performed.
The risk factors that increase the chance of developing a Trigger Finger include:
There are no complications until you undergo the surgical procedure. The surgery may cause complications like:
There are certain measures which can prevent you from developing a Trigger Finger. You must give sufficient rest to the affected finger and avoid gripping harder or involve your finger in activities that provoke pain. You must also make use of splint so as to protect and keep the finger in rested position and this may help you to avoid developing Trigger Finger.
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