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Doctor insights on: How To Treat Trigger Thumb

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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

Dr. Jeffrey Wint
75 Doctors shared insights

Trigger Thumb (Definition)

-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


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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

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Is it possible for a trigger thumb to be successfully treated without surgery?

Is it possible for a trigger thumb to be successfully treated without surgery?

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

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Can Trigger Thumb be treated without medicine or surgery by exercising the thumb?

Can Trigger Thumb be treated without medicine or surgery by exercising the thumb?

Trigger: Due to the mechanism of this condition, wherein a tendon has abnormal thickening, it is rarely treatable with simple exercise. There is some benefit to custom splinting, but usually the condition requires injections or surgery for correction. ...Read more

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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

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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

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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

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What are the tests for trigger thumb?

What are the tests for trigger thumb?

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

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How do I tell if I have trigger thumb?

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

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Can you tell me about child with trigger thumb?

Can you tell me about child with trigger thumb?

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

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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

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What is the definition or description of: Trigger thumb?

What is the definition or description of: Trigger thumb?

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

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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

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What is the cure for a trigger thumb?

What is the cure for a trigger thumb?

Shot or surgery: Cortisone injection or surgical release of the A1 pulley.
http://centraljerseyhand. Com ...Read more

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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

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What is the treatment for a trigger thumb?

What is the treatment for a trigger thumb?

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

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What is a trigger thumb operation like?

What is a trigger thumb operation like?

Limited: Surgery requires local anesthesia, a small 1-1.5 cm incision in the distal palm and takes aprox. 10-15 min to perform. No splint or cast is applied just a light soft dressing and motion of the finger is encouraged. Seems simple but be sure to seek out a qualified hand surgeon. ...Read more

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How do you heal trigger thumb without surgery?

How do you heal trigger thumb without surgery?

Trigger thumb: Oral and topical nsaids as well as rest can sometimes be of benefit. Cortisone injections are also very popular and can be quite effective. ...Read more

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Should my child with a trigger thumb get surgery?

Should my child with a trigger thumb get surgery?

Yes: This sounds like a case of congenital trigger thumb, which usually resolves by age 2. If still present after age 2, surgical treatment is the only viable option. See a board certified orthopaedic hand surgeon for treatment. ...Read more

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Has anyone out there done successful surgery for trigger thumb?

Has anyone out there done successful surgery for trigger thumb?

Yes: Trigger release surgery consists of simply opening the tendon sheath so the tendon no longer gets caught. It is almost always successful. ...Read more

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Please help! What is the best OTC medication for trigger thumb?

None work: Pain meds and nsaids will not help. A local cortisone injection may work. If not, surgical release is needed. ...Read more

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What is the best over-the-counter medication for trigger thumb?

What is the best over-the-counter medication for trigger thumb?

Anti-inflammatory: Trigger finger or thumb is an irritation of the tendon. Usually rest and an anti-inflammatory like advil or Aleve (naproxen) will help. If symptoms persist consult your doctor. ...Read more

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How long until I can drive again after surgery for trigger thumb?

How long until I can drive again after surgery for trigger thumb?

The next day: After surgery, I usually dress patients in a soft bandage. This allows maximum flexibility and use of the hand. I allow patients to type, write, and drive one day following surgery. ...Read more

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An operation tomorrow for my trigger thumb. Is success rate around 100%?

An operation tomorrow for my trigger thumb. Is success rate around 100%?

Yes: Trigger thumb release is a very reliable procedure with relatively low risks. Most commonly there may be residual stiffness but surgical complications are low. ...Read more

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I am going for a trigger thumb operation shortly. How long will it be before I will be active again?

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

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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

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Both wrist lock like trigger thumb. They both get stuck. What could this be? Look at utube locked wrist &thats my wrist

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

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What is the best treatment for trigger thumb?

Corticosteroid shot: As a first line, the best treatment is a corticosteroid injection. The long-term success rate for a single injection is 50-60%. ...Read more

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Can trigger thumb surgery hurt?

Can trigger thumb surgery hurt?

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