Trigger
finger is a common condition that results in pain and snapping of the
tendons at the base of the finger or thumb.
What
causes trigger finger to occur?
The cause of
trigger finger is not clear. It is thought to be genetic and often
occurs in one or more fingers and at different times. Trigger finger
results from a difference between the size of the tendon and the
entrance to the tendon sheath, usually at the base of a particular
finger. When the size difference between the tendon and the sheath is
at a critical point, the tendon experiences resistance from the
tendon sheath. Trigger finger may be caused by highly repetitive or
forceful use of the thumb or finger.
Carpal
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conditions like gout, rheumatoid arthritis, or diabetes. Trigger
fingers occur more frequently in women than men, predominantly in 40
to 60 years old patients.
What
are the symptoms of trigger finger?
One of
the first symptoms may be soreness at the base of the thumb or
finger. A patient often complains of a painful click when they
attempt to flex or extend the affected finger. Periods of inactivity
can worsen the catching sensation and activity will loosen up the
trigger finger. With severe cases, the finger becomes locked in a
flexed or extended position and must be manually straightened.
What is the treatment of trigger
finger?
Often, the most effective
treatment for trigger finger is an injection of steroids directly
into the flexor tendon sheath. Cortisone, a steroid, decreased the
swelling within the tendon and usually decreases symptoms. Over 90%
of patients find some relief from a steroid injection, though in half
of patients the symptoms recur.
Is surgery required to
treat trigger finger?
If the condition does
not resolve, a procedure to permanently release the tendon is often
required. This simple outpatient procedure, called ‘trigger finger
release’, is a same-day surgery that can be done under local
anesthesia or a regional nerve block. After anesthesia is given, a
small incision is made in the skin of around one centimeter in size,
allowing for permanent release of the tightened structures at the
base of the tendon. Recovery is quite quick, with restrictions
including dressing removal at three days and full function soon
after. Most people enjoy full recovery after this
procedure.
What
are the possible complications of a trigger finger release?
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surgery is very safe and usually quite effective. There are, however,
some possible complications, usually residual stiffness from the
chronic nature of the condition and rarely infection, which is
minimized by antibiotics. Most patients have a high success rate with
the procedure with minimal side effects. Most patients return to work
within 10-14 days, depending on the severity of the job.
If
you have any questions or you think you have a trigger finger, do not
hesitate to set up an appointment. Call 20-295-689 for an
appointment.