Trigger finger is a condition that causes your fingers or thumb to get stuck in a bent position. Those who have trigger finger may have stiffness when bending the finger(s) or hear a cracking and popping sound when moving the finger(s). Depending on the severity of the condition, trigger finger treatment options in Turkey can range from rest to surgery.
What is the phenomenon of trigger finger? Trigger finger?
Trigger finger occurs when your fingers or thumb are stuck in a bent position - as if they are pulling a "trigger". Trigger finger can occur in one or more fingers.
One of the affected fingers is often the ring finger. The condition is also known as narrow tenosynovitis.
Very similar to this case hammer toe in foot. Also, the method of treating it may be relatively similar.
Who appears to have trigger finger?
Trigger finger is most common in:
People who have jobs, hobbies, or tasks that require repetitive, exhausting movements; Such as repetitive or forceful grasping or gripping, or forceful use of the fingers and/or thumb.
For example, trigger finger often occurs in people who use their fingers or thumbs in multiple, repetitive motions.
These people may include:
- industrial workers
- People with osteoarthritis, rheumatoid arthritis, gout or diabetes.
- People between the ages of 40 and 60.
Symptoms and causes
What causes the finger(s) or thumb to remain bent?
Tendons are bands of tissue that connect muscle to bone.
In the hand, the tendons and muscles must work together to flex and straighten your fingers and thumb.
Normally, tendons slide easily through a tunnel of tissue called the sheath.
The sheath keeps tendons in place next to the bones of the finger(s) or thumb.
With trigger finger, tendons become irritated and swollen (inflamed) and cannot easily glide through their sheaths.
A bump (knot) may also form on the tendon, making it more difficult for the tendon to slide easily through its sheath.
What are the signs and symptoms of trigger finger disease?
include signs andTrigger finger symptoms the following:
- crackling or popping when moving the finger(s) or thumb
- Pain at the base of the finger or thumb in the palm of the hand, especially when gripping or pulling.
- Pain and stiffness when bending the finger(s) or thumb.
- Painful swelling or swelling in the palm of the hand.
- Lock the finger(s) or thumb in a bent position (in severe cases). The finger(s) or thumb should be gently straightened with the help of the other hand.
- Inability to fully flex the finger.
- Stiffness in the flexed position of the finger(s) or thumb, worse in the morning.
And less stiffness when using the fingers and thumb.
the pain: Trigger finger may begin with discomfort at the base of the affected finger or thumb, where the finger meets the palm of the hand.
This may be the only initial symptom.
This pain occurs with pressure on the joint area. Pain is often present only with motor activity such as constipation.
Over time, if there is an increase in fluid production in the tendon sheath, it can cause pressure and pain even without using the hand.
Swollen finger treatment: Over time there may be a bump in the pulley area of the hand.
This can be due to a nodular swelling within the tendon or the development of a fluid-filled sac.
Stiffness or loss of movement: Trigger finger may result in loss of the ability to flex the finger.
This can be estimated by how far the fingertip is from the palm of the hand when the patient is asked to bend the finger as far as possible.
This is most common in untreated chronic trigger fingers.
It can be painful to try to bend the finger due to the pressure of the fluid.
Over time, a person may begin to avoid a flexed finger position to reduce pain.
Trigger fingers can also result in a loss of the ability to straighten the finger.
Some patients will feel pain trying to straighten it completely.
When the joint is not fully straightened for several weeks, the ligament called the palmar plate is shortened and limits movement.
Mechanical symptoms: trigger finger can cause abnormal sensations or movement often described as snapping or locking up. These abnormal sensations sometimes occur while the finger is flexed, straightened, or both.
Early on, symptoms may be slightly painful, but as the tendon and pulley interaction becomes tighter, the pain can increase.
treatment or management
Trigger finger treatment without surgery
The goal of treatment in trigger finger is to reduce or eliminate swelling and adhesion/lockdown, allowing full, painless movement of the finger or thumb.
The ability to return the finger to what the patient thinks is normal or 100% is easier when the problem is diagnosed and treated as quickly as possible.
Common treatment options include, but are not limited to:
Night splinting: It is estimated that a lot of body fluid volume collects in the legs during the day when we sit and stand due to the effects of gravity.
When someone lies flat at night, the effect of gravity on the legs is more similar to that of the arms, so fluid may travel from the legs to the arms.
This may lead to increased swelling in the fingers as the pain and locking up can be more frequent at night and in the early morning.
Using a night splint that keeps the finger straight, can prevent locking up during sleep.
However, keeping the finger straight all night may result in the need to spend some time and effort moving it smoothly the next morning.
Non-steroidal anti-inflammatory drugs (NSAIDs): Often, oral or topical anti-inflammatory drugs (such as ibuprofen or naproxen) can be tried to relieve pain and improve the ability to move the finger.
Changing your motor activity: It may be possible to reduce the amount of time you spend holding forcefully repeatedly or continuously.
Treatment of trigger finger with a steroid injection: A corticosteroid injection, also known as a cortisone injection, can be given at any stage or duration of symptoms.
However, there may be better success when they are given early.
Hand Therapy.: Patients may benefit from some supervised exercises at home.
It may be helpful for a hand therapist to teach concepts and techniques such as passive joint motion, differential tendon gliding, proximal joint blocking to isolate more distal joints, edema control, and other treatments.
Surgical treatment of trigger finger
If nonsurgical treatments do not relieve symptoms, surgery to treat trigger finger may be recommended.
The goal of the surgery is to open the pulley at the base of the finger so that the tendon can glide more freely.
The clicking or popping disappears in most cases after the bobbin is cut.
If mechanical symptoms persist after trigger finger release, a second tendonectomy may be considered.
This procedure removes the thickening lining from the surface of the tendons.
If mechanical symptoms persist, a portion of the superficial tendon can be removed to reduce the size of the tendon moving in and out of the rest of the pulley system.
It is best to perform all of the above surgical treatments during the same procedure.
With awake surgical treatment, the chances of recognizing and treating all changes in the finger during surgery are improved. By having the patient be able to flex and straighten their fingers several times, the surgeon can check for the absence of mechanical symptoms.
Finger movement can return at different speeds depending on each patient and their unique timing of symptom development, when treatment began, and the effectiveness of each type of treatment.
Your hand surgeon will develop an individualized treatment plan for you. There are different ways to perform the surgery.
There are many different surgical techniques, anesthesia options, and locations where the procedure can occur.
There can be some persistent stiffness after hand surgery even if there is no longer a lock, and it may persist for a long time.
Therefore, physical therapy for the hand can be beneficial after surgery whether or not it is used prior to surgery.
There may be some mild to moderate pain in the area of surgery for up to several months after surgery.
However, most patients resume their normal lifestyle within a few weeks.
Trigger finger surgery cost in Turkey
The price of the trigger finger operation varies according to the type of hospital and the doctor’s degree, but in general it ranges between 1000 and 2000 US dollars, including all the necessary tests.