Doctor insights on:
Trigger Finger And Celebrex
Physical examination: Trigger finger is caused when the space between the flexor tendon and the tendon sheath (tunnel) becomes tight. It becomes difficult to bend the finger and it may become stuck, either in flexion (bent) or extension (straight). This can be seen on physical exam. Typically the hand is tender over the horizontal crease in the hand. This is more common in diabetics. ...Read more
Trigger fingers: Come in different grades. From mild pain with no catching. To locked fingers that do not hurt. If there is a slight click and no pain you may decide not to do anything after you see your doctor as long as the diagnosis is verified. Having a slight painless trigger finger is a common finding ...Read more
Do U mean U=artist?: There r 2 things that can b done besides nothing. An injection helps quite a few, but most need a surgical release of the tendon sheath. If u mean arthritis ; a trigger thumb, the treatment 4 trigger is the same, but depending on where the arthritis is, it is treated as a separate condition. ...Read more
Sometimes: Surgery has excellent results in relieving trigger finger. Occasionally patients will respond to conservative management such as steroid injections and do not require further treatment. Patients with diabetes generally do not respond as well from injections and require surgery more often than those without diabetes. Other options include endoscopic and percutaneous release. ...Read more
See a hand surgeon: Trigger finger symptoms can be bothersome and progressive. While many will resolve with steroid injection alone, some require surgical release. The a1 pulley is the structure that is released in this procedure allowing the tendon to glide freely. ...Read more
OMT Technique: Myofascial release is an osteopathic manipulative treatment used by dos to relieve strain/restriction in muscle & its surrounding tissue (fascia). Strain keeps the tissue "stuck" in 1 position, making it harder to move in that position. Different ways to do it. It is often done by moving the tissue the way it wants to go, which in turn frees up the strain. Can be used to treat most restrictions. ...Read more
No: Though we have not identified a genetic cause for trigger fingers, I have found anecdotally that some people have a genetic predisposition to getting trigger fingers. In other words, I have had patients with trigger fingers who told me that one of their parents also had a trigger finger. Diabetes can increase your chance of developing a trigger finger. ...Read more
Trigger finger: Can respond to ice if it is painful and swollen in the palm. Miil heat if it is stiff and locking without swelling, massage of the palm, topical anti-inflammatories placed in the palm and gentle not forceful range of motion, How ever the clinical presentation or severity of trigger finger varies a lot i.e. they are not all the same. If one tries these and fails see a hand doctor ...Read more
Can respond to ice and antiinflammatories. However if the problem is persistent it's been shown that between 47 and 90% of trigger fingers get better with a single solitary corticosteroid injection
In cases where persistent problems exist that are bothersome surgery can be offered but just existence of a click does not mean one needs treatment ...Read more
Cause trigger finger: Trigger finger occurs from swelling or inflammation in the palm at the base of a finger where the flexor (bending) tendon enters the finger. This swelling leads to pain and sometimes popping and locking in one position as the finger is bent and straightened (so called 'triggering'). Direct trauma or overused of the hand for grasping can cause this, as can diseases like diabetes but not scoliosis. ...Read more
Traumatic tiggering: With a laceration may resolve if it is due to a small minor injury to the tendon or the tendon sheath or to swelling but a partial tendon laceration or a partial sheath laceration could result in triggering that continues and the tendon or the sheath may need to be derided or at least released. Make sure there is not inflammation related to infection or foreign body, see a hand surgeon. ...Read more
No: No trigger finger does not spread from a finger but it can affect more fingers if you continue highly repetitive/ gripping finger activities. ...Read more
Usually not: Trigger finger is a problem with finger tendons and how they work to move a finger. Raynaud's phenomenon is a problem with spasm of arteries in the fingers, blocking blood flow. They are not directly related, but people with raynaud's syndrome can have connective tissue disorders, so may also have trigger finger. Overuse injuries, such as in certain jobs, can cause trigger finger and/or raynaud's. ...Read more
Yes they are: Repeated gripping. If you routinely grip an item — such as a power tool or musical instrument — for extended periods of time, you may be more prone to developing a trigger finger. You're also at greater risk if you have certain medical conditions, including rheumatoid arthritis, diabetes, hypothyroidism, amyloidosis and certain infections, such as tuberculosis. Good luck. ...Read more
Have there been any advances in the last few years in surgery for trigger finger? What surgical/non-surgical advances do you expect?
This surgery is very: Straightforward in the absence of contracture, significant tenosynovitis, overlyng inflammatory disorders, gouty tendon invasion, tenodesis or arthritic joints that add stiffness. The surgical approach is often the same, incision direction and size may differ but its still in the scheme of things the same. Some speak about limited exposire or ultrasound guided but one still needs to release pulley ...Read more
Trigger finger on 3rd finger. Shot helped for 8 wonderful weeks now it's back! Should I do another shot or just do surgery? Kind of worried.
Trigger finger: Problem is created by overuse of the involved digit. It usually will improve by lessening the irritating source. This can be accomplished by decreasing the amount of time using that finger. Using NSAIDs, splinting the finger in extension at nite can also help. Try those first before another injection and or surgery. ...Read more
Is it normal for the finger to become somewhat black and blue 2 days after trigger finger release? There is minimal pain/no sign of infection.
No: Not if it is the entire finger. A colour change like that would make you think of insufficiency of blood flow. Have it assessed now. All the best. ...Read more
One of my fingers feels like it might be broken - what is the difference between a broken finger and trigger finger? How could I tell if it's broken?
Finger: The two are very different. Trigger finger is a sticking tendon that usually comes on over time with no history of trauma. If you sustained an injury - eg a fall or blow to the finger then it may be bruised or possibly fractured. ...Read more
Pulley limitation: Trigger finger or thumb most commonly occurs when swelling or a nodule of the tendon which bends (flexes) the finger gets caught passing through a tight ligamentous pulley (tunnel) and the nodule hits the tunnel the finger gets caught and with forced bending eventually pops through. This is responsible for a trigger finger. ...Read more
Surgery: Trigger finger developes due to binding of the flexor tendons at the a1 pulley at the distal palmar crease. Sometimes responds to steroid injection but frequently requires surgical release of the pulley to allow for tendon glide allowing finger to straighten. If triggering is chronic this can cause ligament contracture at pip joint limiting joint extension. See hand surgeon. ...Read more
Corticosteroid shot: Corticosteroid injections are often beneficial in relieving the painful clicking or locking of trigger fingers/thumbs. Consult your hand surgeon. Occasionally, surgical intervention is needed in those cases where corticosteroid injections are not particularly helpful. ...Read more
Trigger finger: Can respond to ice and inflammatories. However if the problem is persistent it's been shown that between 47 and 90% of trigger fingers get better with a single solitary corticosteroid injection ...Read more
Tendonitis: A trigger finger is form of tendonitis of the tendons that bend down the finger. They can cause just pain, just locking and catching or pain and locking. The most effective treatment is an injection of cortisone. This reduces the inflammation around the tendons. You have an approximately 70% chance of this going away with just injections. If not surgery is an option. ...Read more