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Thursday, November 10, 2016

Trigger Finger problem

Trigger Finger 

Bismillahirahmanirahim , one of the common problem that will affected in either of our finger is called Trigger finger. As we understand the Trigger finger is a condition that causes stiff fingers in the same position. This disease mainly affects the layer of tissue around the fingers is called tendon. Tendons are thick fibrous tissue associated with skeletal muscle.

The Facts of Trigger Finger that we must know.

  • ·         Also known as stenosing tenosynovitis
  • ·         Finger that becomes 'locked' after it has been bent (flexed)
  • ·         It is difficult to straighten out without pulling on it by the other hand
  • ·         May hear a click when it is pulled straight
  • ·         This clicking may be worse in the morning
  • ·         Mild pain and/or a small swelling at the base of the affected finger
  • ·         Trigger finger most commonly affects your little finger, ring finger or thumb
  • ·         It is actually more common in the right hand

A tendon is a strong tissue that attaches a muscle to a bone. In this case the tendon comes from a muscle in the forearm. It passes through the palm and attaches to the finger bone. The muscle pulling on this tendon bends (flexes) the finger towards the palm.

A tendon sheath is like a tunnel that covers and protects parts of a tendon. Normally, the tendon slides easily in and out of the sheath as you bend and straighten the finger. In trigger finger the tendon can slide out of the sheath when you bend your finger. However, it cannot easily slide back in due to the swelling. The finger then remains bent (flexed) unless you pull it straight with your other hand.

Treatment Of Trigger Finger.

Mild cases.
 Mild cases of trigger finger can be overcome with a splint, which is installed in the finger up to six weeks. Finger splint keeping the straight position during the healing process, which means that the movement of the hands will be a little limited. The aim is to provide a period of rest so that joint pain can recover and the inflammation is reduced. It also keeps the somewhat crooked fingers, when the patient is unconscious, for example asleep. Using a splint also help reduce the pain caused by trigger finger, especially early morning when the pain peaked. Once the inflammation heal, physio or Dr will recommend exercise finger to help patients restore mobility diseased joints in full. Although the condition is mild, the patient is also advised to reduce repetitive gripping motions for 3-4 weeks.

Severe cases.
In severe cases, patients have three treatment options: injectable steroid, release per cutaneous and surgical. Treatment with injected steroids are used directly on the sore tendon sheath to reduce inflammation in the section. This treatment is usually done because it is simple and caused little pain. However, this is only recommended if the patient does not suffer from diabetes. For those who have diabetes, the success rate decreased from 90% to 50%. Sometimes, the patient is injected for a second time in order to achieve the desired results.

What can we understand of the Treatment.
In some cases, patients requiring the per cutaneous release of trigger finger, a procedure in which a needle is used to remove the finger snaps. Per cutaneous release the most effective use of the index finger, middle, and sweet.
In more severe cases, surgery may be necessary, for example in rare situations. However, surgery is only used as a last resort if the finger is locked do not respond to other disposal techniques. To treat trigger finger surgery, an incision is made at the base of the fingers are sore, through the incision, orthopedic surgeons will cut the sheath that is narrow, so the tendon can be shifted back easily. This action is only performed in the operating room with a local anesthetic, but it can be done in clinic only.

The conclusion is the Trigger finger is a condition that is painful, but it need not be a permanent condition. Existing techniques for treating trigger finger to help ensure that patients do not need to live in constant pain and finger movements can normally be restored. Its Important to us to understand what is the sign and the best of treatment we can use on that situation . Wallahuaklam.

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