Doctor insights on:
How To Treat Trigger Thumb
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
-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 ...Read more
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
Trigger Thumb: Sometimes a trigger thumb can be treated with an injection of a corticosteroid into the tendon sheath. However, if this doesn't work then surgery is really the way to go. Its a simple procedure that only takes minutes to perform and can solve the problem with minimal risk and downtime. ...Read more
Does squeezing on a stress ball help w trigger thumb & please adv also what other ways to treat besides splint & anti inflamatory drugs, desperate, no ins?
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
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
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
Thumb joint with:
Limited mobility and clicking, pain where the thumb meets the palm, often called the finger palm crease, pressure causing pain can be a sign of stenosing tenosynovitis or trigger finger
it is treated by antiinflammatories, corticosteriod injection and perhaps surgery if symptoms do not go away. ...Read more
Trigger: These can present in one of three ways. Just pain over the palm side of the finger at the base, just catching of the finger or both. 70% of patients get complete relief of the symptoms with injections of cortisone. ...Read more
Treatment: Most resolve on there own in first 12 months of life. If not resolved by 24 months surgery is indicated and should be done prior to 36 months. No surgical treatment is indicated prior to 12 months. Problem is at the level of the a1 pulley at base of thumb with binding of tendon at that level preventing tendon excursion, and treatment is division of the pulley. ...Read more
It is due 2 tenden-: -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. ...Read more
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
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
I am going for a trigger thumb operation shortly. How long will it be before I will be active again?
Quickly: Light dressing is applied with no splint to encourage range of motion. Use of the thumb assures a better result as tendon gliding is important to healing and avoiding adhesions. Sutures removed at 10-14 days but able to use thumb normally well before that. Maximum range of motion and edema reduction may take up to 4 -6 weeks. ...Read more
I had shots on my trigger thumb about 6 weeks ago and it not working. Should I get another shot or go for surgery?
Your choice: While there is little harm in trying the injections again, I usually tell my patients that is the injection has no effect, surgery is the best way to be sure that we fix the problem permanently. Speak to your surgeon about the risks and benefits of the surgery so you can make a choice you feel comfortable with. ...Read more
Both wrist lock like trigger thumb. They both get stuck. What could this be? Look at utube locked wrist &thats my wrist
Clicking and locking: In a wrist could be a ligament injury or tear, a looseness in the wrist causing a "clunk" when the wrist bones ar out of position and suddenly "catch up" and snap into place, a snapping tendon that is out of place and other things (btw. I looked up wrist lock on youtube and all I saw was defensive moves). ...Read more
Trigger digits: Thumbs, fingers are typically repsonsive to corticosteroid injections. For those that are not or are associated with a more severe triggering or a fixed contracture or a tendon adherance or are just resistent to treatment and are uncomfortable, surgical release can work well. While any procedure can have a complication or side effect, in general the procedure works well. And many have local only ...Read more
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