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.
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
Causes:
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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