Trigger Finger
Trigger finger, also known as stenosing tenosynovitis, is a condition that affects the tendons responsible for flexing the fingers and thumb. Let’s explore the details:
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Symptoms:
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Finger Locking or Catching: You’ll experience a sensation of your finger getting stuck in a bent position. This occurs because the affected tendon isn’t moving smoothly within its protective sheath.
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Pain and Stiffness: The fingers and thumb may become painful and stiff.
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Tenderness: You might notice tenderness in the palm near the last skin crease.
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Causes and Mechanism:
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Tendon Sheath Irritation: Trigger finger occurs when the tendon sheath (a protective covering around the tendon) becomes swollen or thickened.
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Restricted Movement: The irritated sheath restricts the smooth gliding of the tendon, leading to the characteristic catching or locking sensation.
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Risk Factors:
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Age and Gender: It’s more common in women over the age of 50.
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Underlying Conditions: People with diabetes, low thyroid function, or rheumatoid arthritis are at higher risk.
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Treatment Options:
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Splinting: Immobilizing the affected finger with a splint can help reduce irritation.
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Steroid Injections: Corticosteroid injections into the tendon sheath can reduce swelling and improve movement.
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Surgery: In severe cases, a surgical procedure called percutaneous release or small incisions may be necessary to free the tendon.
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Therapy: Heat or cold therapy and gentle exercises can maintain finger mobility.
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