Top
20
Doctor insights on: Trigger Thumb

Share
Dr. Jeffrey Wint
73 doctors shared insights

Trigger Thumb (Overview)

-Otis of the thumb flexor. There is swelling that forms a problem for it 2 glide thu the confining pulley. Since the flexor is much stronger than the extensor, when U flex the thumb the swollen part is able 2 B pulled thru the pulley, but when U try 2 extend it feels locked, but then pops thru the pulley, & hence the name trigger thumb. U feel the snap as it pops thru.


1

1
What is trigger thumb like?

What is trigger thumb like?

Painful triggering: Trigger thumb is a stenosing (constricting) tenosynovitis resulting in inflammation and pain, often worsened by movement. When the symptoms are severe, triggering or catching at the thumb may be noted. Non-operative modalities include anti-inflammatory medication, temporary splinting, and corticosteroid injection. Open trigger thumb release may be warranted for recalcitrant cases. ...Read more

See 1 more doctor answer
Dr. Jeffrey Wint
73 doctors shared insights

Trigger Thumb (Overview)

-Otis of the thumb flexor. There is swelling that forms a problem for it 2 glide thu the confining pulley. Since the flexor is much stronger than the extensor, when U flex the thumb the swollen part is able 2 B pulled thru the pulley, but when U try 2 extend it feels locked, but then pops thru the pulley, & hence the name trigger thumb. U feel the snap as it pops thru.


3

3
Is trigger thumb a symptom for a medical condition?

Is trigger thumb a symptom for a medical condition?

Condition: A trigger thumb/ finger is a medical condition where the flexor tendon gets caught in a pulley in the hand causing the finger to lock in a flexed position it is usually treated with local injections and surgical release to eliminate the problem. ...Read more

See 1 more doctor answer
4

4
Does trigger thumb, or cts need immediate care and diagnosis? I have had a problem with it before but was years ago, it is happening more often

Does trigger thumb, or cts need immediate care and diagnosis? I have had a problem with it before but was years ago, it is happening more often

Depends up on your -: Symptoms and how bad are they. You need to get yourself checked up by an orthopedist who can determine how bad or severe your problem is and take it from there. Where nerves are concerned, i personally will treat earlier than late, as you don't want to wait till your nerve gets damaged beyond being recoverable, as then even surgery might not give you a full relief of your symptoms. So see him soon. ...Read more

See 1 more doctor answer
6

6
What are the tests for trigger thumb?

What are the tests for trigger thumb?

Physical exam: Trigger thumb is diagnosed after talking with the patient about their symptoms and performing a physical examination of the thumb. The diagnosis is usually clear at this point. Often, x-rays are obtained to make sure that there is not associated arthritis of the thumb. ...Read more

7

7
I need to know what is trigger thumb /carpal tunnel?

I need to know what is trigger thumb /carpal tunnel?

These are 2 very di-: Fferent conditions; 1: in trigger thumb, the tunnel of tissue in which the tendon passes, narrows enough to cause the triggering (catching) sensation when its moved; 2: in ct syndrome, the main nerve (median) is trapped in a tunnel and pressed against the thick ligament, which forms the roof of the tunnel, resulting in pain, discomfort and numbness/tingling in fingers. ...Read more

8

8
What is the cause of a " trigger thumb" or "trigger finger"?

What is the cause of a " trigger thumb" or "trigger finger"?

Flexor tendon : What usually occurs in this problem is that the flexor tendon gets caught in on of the pulleys in the palm of the hand if mild it can be relieved with ice, nsaids and possible cortisone shots if it persists, you might need to have a release of the pulley performed to alleviate the catching. ...Read more

See 1 more doctor answer
9

9
Mri shows bone marrow edema of pisiform, trigger thumb, mcp capsulitis and mild distension of first cmc joint capsule. What does it all mean?

Mri shows bone marrow edema of pisiform, trigger thumb, mcp capsulitis and mild distension of first cmc joint capsule. What does it all mean?

Basal thumb joint OA: The base of the thumb is a very common spot for osteoarthritis. This diagnosis can usually be made without imaging studies, so if your doctor ordered an MRI scan, i suspect the doctor had some special concern or diagnosis in mind. ...Read more

See 1 more doctor answer
11

11
What is trigger thumb and how is it treated?

What is trigger thumb and how is it treated?

Tendon swelling: Trigger finger or thumb occurs when the digital flexor tendon begins to swell, from either trauma or overuse. As it swells it becomes stuck at the entrance of the finger, based in the palm at the base of the finger. This will cause occasional clicking, stiffness, and occasionally overt locking. Treatment is rest, antinflammatories, occasionally steroid injections, or a simple trigger release. ...Read more

See 1 more doctor answer
12

12
What is the treatment for trigger thumb?

What is the treatment for trigger thumb?

Trigger thumb: Initial management is nsaid's. Many times a cortisone injection into the tendon pulley can be curative. If neither of these treatments resolve the condition, surgery is curative. A small incision at the base of the thumb is made, and the pulley overlying the tendon is released. Stitches out in 2 weeks, and return to activities shortly thereafter. ...Read more

See 1 more doctor answer
13

13
What is the treatment for a trigger thumb?

Cortisone injection: Best method with greatest chance of resolution short of surgery. ...Read more

See 1 more doctor answer
14

14
Is there a non-medical cure for trigger thumb?

Splint?: You could try a splint but I have not found that they are very effective. The best treatment is injections of cortisone which has a 70% chance of a complete cure. ...Read more

16

16
Trigger thumb-finger last 2 mo.Thumb almost frozen and pain severe if force to bend. Should I force to bend or keep straight? Can meds cause?

Trigger thumb-finger last 2 mo.Thumb  almost frozen and pain severe if force to bend. Should I force to bend or keep straight? Can meds cause?

Trigger thumb: Typically has a locking or clicking tendon, other things can click in a finger or thumb such as a joint, a tendon snapping over a bone spur , other areas of tendon irritation in the wrist, even a cyst or tumor on a tendon or just a joint click from. Typically is ok to bend but pain prevents in many, Many get permanent relief from corticosteroid injection. and if no help surgery ...Read more

See 1 more doctor answer
17

17
I had trigger thumb and carpal tunnel surgery on March 17, 2015. I still have numbness,tingling, tightness,sensitivity,is this normal ?

I had trigger thumb and carpal tunnel surgery on March 17, 2015. I still have numbness,tingling, tightness,sensitivity,is this normal ?

Yes: It takes time for the inflamed tissue to heal both from where the surgery was done and from around the nerve that was injured. Then it will take time for the nerve itself to heal. I just had this discussion with my hand surgeon. The nerve heals approximately 1-2 mm a day not counting the first month after surgery. Give it time. ...Read more

See 1 more doctor answer
18

18
What is a trigger thumb?

What is a trigger thumb?

Locking: In the a1 pulley at the base of the thumb on the palmar side of the mp joint the flexor policus longus tendon can get bound up and not glide properly. This causes clicking or locking on attempted thumb motion. The motion of the ip joint is primarily affected. This is usually an overuse syndrome. Treatment consists of steroid injection , splinting, or surgery to release pulley. ...Read more

See 1 more doctor answer
19

19
Does trigger thumb hurt?

Does trigger thumb hurt?

Yes: The triggering or clicking is caused by some swelling of the tendon as it tries to slide through a fascial pulley or tube. If the swelling is severe enough, it can cause the finger to get stuck in a flexed position and this can be painful to straighten out. You can try a splint, anti-inflammatory medication or a cortisone injection to treat this. ...Read more

See 1 more doctor answer
20

20
What is trigger thumb like?

Painful triggering: Trigger thumb is a stenosing (constricting) tenosynovitis resulting in inflammation and pain, often worsened by movement. When the symptoms are severe, triggering or catching at the thumb may be noted. Non-operative modalities include anti-inflammatory medication, temporary splinting, and corticosteroid injection. Open trigger thumb release may be warranted for recalcitrant cases. ...Read more

See 1 more doctor answer