Decades ago I had a trigger finger release on my right hand as well as a large cyst removed from my middle finger. All these years later I have not had any other issue with it. My left hand is another story. About two years ago I had a trigger finger release on my left index finger. I had a lot of problems with it. I have since developed dupuytren and a ringer trigger finger. I'm not going to have another surgery. In fact, the 'new' surgeon told me to stay away from surgeons. I wear a support on the ring finger to sleep and sometimes a less cumbersome during the day. It still triggers. I am left-handed. It's painful and quite stiff. I do exercise it everyday. The dupeytren is hereditary. I have three brothers with it.
I've taken glucosamine chondroitin for several years which has nearly eliminated the problem. My friend had an injection and it was very painful for him. Great and appreciated info. I've always wondered about the mechanics of it. I wish we knew more about the causes or a profile of who gets it. Oh well! Thanks!
You're welcome. I provided all the information we have about the causes and contributing factors but unfortunately we don't have all the answers. Thankfully its an easy condition to treat but yes, the injection can sometimes be painful. Best wishes. Stephen.
Except beware, I had my thumb injected using visual aids and the injection went straight onto my nerve, 1 month later thumb surgery with nerve surgery which has left me with electrical charges in my thumb, pins and needles and numbness. Don’t take the risk.
Great post, very informative! As a retired Metal worker (Airframe tech), I deal with two of these, one on each hand (ring fingers), and just figured it's based on job choice, so I live with it ('fun' when I have to manually unlock them using opposing hand...grosses my grandkids out.). My question to you is why instead of cutting the A1 don't surgeons remove the nodule (I'm assuming here that nodules are either fluid or scar tissue build-up)? Thank you.
Great question. The nodules are areas of localised tendon thickening so to remove them you would need to cut away a chunk of the tendon itself which would weaken it, causing a risk of future rupture. Far safer to cut the pulley. One the friction is gone, the nodule tends to resolve over time.
Curious if using lasers to ablate thickened areas would work? A tendons structure, not unlike a cable, is redundantly designed to carry a higher load than needed, and by using a finely focused beam, it would be less about cutting and more about thinning and fusing ablated areas to adjacent fibers (musing here...). @@PhysioMSK
I’m not a surgeon but I imagine it’s because they feel they have more control with a blade. A laser tends to cause more scar tissue as it’s essentially a controlled burn.
@@PhysioMSK so far it did help seeing it in another perspective. I am a drummer and also my work requires me to make consistent boxes for product. Drumming wise , I ended up holding the sticks too tight on a live show causing this trigger thumb.i am on my fourth week and so far no good results from the doctors first steps. Might get the shot if I still have it by next week
I’ve seen this a few times in drummers. Yes, definitely get the shot if it doesn’t settle with usual self treatment. The shot has a very high success rate. Good luck.
Decades ago I had a trigger finger release on my right hand as well as a large cyst removed from my middle finger. All these years later I have not had any other issue with it. My left hand is another story.
About two years ago I had a trigger finger release on my left index finger. I had a lot of problems with it. I have since developed dupuytren and a ringer trigger finger. I'm not going to have another surgery. In fact, the 'new' surgeon told me to stay away from surgeons. I wear a support on the ring finger to sleep and sometimes a less cumbersome during the day. It still triggers. I am left-handed. It's painful and quite stiff. I do exercise it everyday. The dupeytren is hereditary. I have three brothers with it.
It might be worth trying an injection for the current triggering. Nothing to loose and it often works well.
Thanks from Aragón (Spain).
Welcome!
I've taken glucosamine chondroitin for several years which has nearly eliminated the problem. My friend had an injection and it was very painful for him. Great and appreciated info. I've always wondered about the mechanics of it. I wish we knew more about the causes or a profile of who gets it. Oh well! Thanks!
You're welcome. I provided all the information we have about the causes and contributing factors but unfortunately we don't have all the answers. Thankfully its an easy condition to treat but yes, the injection can sometimes be painful.
Best wishes. Stephen.
@@PhysioMSK thanks Stephen. Oops, I'll have to edit my comment. I understand it's impossible to talk about causes when nobody knows.
Except beware, I had my thumb injected using visual aids and the injection went straight onto my nerve, 1 month later thumb surgery with nerve surgery which has left me with electrical charges in my thumb, pins and needles and numbness. Don’t take the risk.
I’ve done many hundreds of these injections without issue. Complications like this are very rare. I’m sorry to hear that you were one of the few.
@@PhysioMSK I have since had another trigger thumb and ring finger and straight to surgery without any complications ,
Great post, very informative! As a retired Metal worker (Airframe tech), I deal with two of these, one on each hand (ring fingers), and just figured it's based on job choice, so I live with it ('fun' when I have to manually unlock them using opposing hand...grosses my grandkids out.). My question to you is why instead of cutting the A1 don't surgeons remove the nodule (I'm assuming here that nodules are either fluid or scar tissue build-up)? Thank you.
Great question. The nodules are areas of localised tendon thickening so to remove them you would need to cut away a chunk of the tendon itself which would weaken it, causing a risk of future rupture. Far safer to cut the pulley. One the friction is gone, the nodule tends to resolve over time.
Curious if using lasers to ablate thickened areas would work? A tendons structure, not unlike a cable, is redundantly designed to carry a higher load than needed, and by using a finely focused beam, it would be less about cutting and more about thinning and fusing ablated areas to adjacent fibers
(musing here...). @@PhysioMSK
I’m not a surgeon but I imagine it’s because they feel they have more control with a blade. A laser tends to cause more scar tissue as it’s essentially a controlled burn.
Thank you for taking the time to help me understand. 😇 @@PhysioMSK
Thank you
You’re welcome. Hope it helps.
@@PhysioMSK so far it did help seeing it in another perspective. I am a drummer and also my work requires me to make consistent boxes for product. Drumming wise , I ended up holding the sticks too tight on a live show causing this trigger thumb.i am on my fourth week and so far no good results from the doctors first steps. Might get the shot if I still have it by next week
I’ve seen this a few times in drummers. Yes, definitely get the shot if it doesn’t settle with usual self treatment. The shot has a very high success rate. Good luck.
FIRST FINGER
Sorry I don’t understand. You mean you have a triggering index finger ?