Trigger Finger

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Trigger Finger

Trigger Finger is a condition that occurs as the finger is extended and flexed. The finger locks in a bent position and a pop is felt as the finger is straightened or bent. Usually this movement is accompanied by pain and in more severe cases the finger may stay locked. CAUSES Trigger Finger is caused by the narrowing of the tunnel surrounding the tendons that control finger movement. This tunnel is made up of tissue which forms loops or pulleys that keep the tendon in the correct position. As the tendon and tissues become irritated, inflammation occurs which creates a constricted area for the tendon to pass through. As the finger is extended or flexed the tendon becomes caught in this tight inflamed area and clicks or snaps as it pops through. Continual catching of the tendon can create additional swelling and worsening of the condition. Most cases of trigger finger are isolated occurrences. In some cases it may be related to other conditions such as rheumatoid arthritis or a trauma to the finger such as a tendon laceration. The aim of surgery is to open or enlarge the tunnel SYMPTOMS The symptoms felt by trigger finger sufferers include; finger stiffness; pain in or around the knuckle joint; pain in the palm; clicking sensations with finger movement; increased tenderness in the finger particularly in the area where the pop or click is felt; and in more severe cases the finger may remain locked in a bent position. Symptoms are usually more prominent with inactivity. This is why trigger finger may be worse after sleeping or holding an object for an extended period of time. TREATMENT Treatment depends on the severity of the condition. Following a clinical examination Dr Cutbush can advise regarding treatment and offer surgical advice. There are risks involved in all surgeries and these risks will be discussed with you prior to any surgical treatment from Dr Cutbush. around the tendon. This allows the tendon to move freely when the finger is extended and flexed. Opening the tunnel involves releasing the pulley that is constricting the tendons movement. This is done through a small palmar incision. Recovery is usually within a few weeks depending on the initial severity of the condition. Surgical These options may only provide temporary relief and surgery may need to be considered should symptoms return or continue. Cortisone injections for trigger finger may not be suitable for people suffering some medical conditions such as diabetes or rheumatoid arthritis. Treatment options will vary depending on the severity and how long you have been suffering from trigger finger. Non-Surgical Pain and anti-inflammatory medication may be helpful to reduce the severity of symptoms by relieving inflammation and lessening pain in the affected area in the finger. Another non-surgical treatment option used is a cortisone or steroid injection. The steroid medication is injected into the area surrounding the tendon. This is used to reduce inflammation in and around the tendon which in turn relieves the associated symptoms.

KENNETH CUTBUSH
M B B S F R AC S FAO r t h A

Trigger Finger 2010 Kenneth Cutbush Privacy and Disclaimer www.kennethcutbush.com

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