Trigger Finger Release Of Orthopedic Doctors In Asheboro, Nc
Trigger finger release may mean aiming and shooting to some
, but to orthopedic doctors in Asheboro NC, it means something quite different. It means restoring proper functioning to the tendons in your hand so you can flex and straighten your fingers and thumb, and do it without pain. If you have a finger or thumb that worries you, give them a call.
Anatomy
The tendons that move your fingers and thumb run along each digit and are held in place on the bone by cross pieces of ligament, which arch over the tendon running under it. A slippery coating called tenosynovium reduces friction between the two tissues as the flexor tendons glide through the space created by the ligaments.
Causes
Trigger finger appears where constant or harsh movement causes a swelling response in the tendon where it hits the ligament arch. Irritation can come from rheumatoid arthritis, tendon lacerations, repeated trauma such as pistol-grip power tools, chopping wood, or even long hours gripping a steering wheel. If the synovium is damaged or infected, a growth called a nodule may form in the tendon.
How does a finger get into that flexed trigger finger position?
Triggering generally occurs when the irritated tendon thickens and forms a knob, or nodule in reaction to friction against a ligament cross-piece. When you bend the affected finger, this nodule slides under the ligament, and you feel a clicking sensation and pain. The finger or thumb can sometimes become stuck in the bent position, if the nodule has outgrown the space formed by the now-swollen ligament, and cannot move back through the ligament arch.
Symptoms
A clicking sensation on bending finger or thumb
Pain on bending and/or straightening the digit
Tenderness at location of nodule near base of the digit
What can be done for trigger finger?
If the condition has been present for a short time, splinting, special exercises, or cortisone injections may help, but generally a surgical procedure called trigger finger release is necessary. Trigger finger release is generally performed as an outpatient procedure.
What is trigger finger release surgery like?
Depending on your individual needs, your orthopedic surgeon will administer either a general anesthesia (one that puts you to sleep) or a regional anesthetic to block feeling in your hand only. He or she will make a small incision in your hand at the site of obstruction, and carefully cut the ligament section which is interrupting tendon movement. Your hand is then stitched back up. The ligament will repair itself over time.
Recovery and Rehabilitation
You will probably carry a big bulky bandage on your hand for the first day or two after the surgery, but soon a simple band-aid to protect the incision site will be enough, until the stitches in your palm are removed. There will be tenderness in the area of the incision, but you can begin gentle range-of-motion within a few days after your trigger finger release surgery. You may have physical therapy for a few weeks to safely improve strength, dexterity and fine finger control while your hand heals.
Trigger finger release may be the answer to your finger-flexing problems. Visit the orthopedic doctors in Asheboro NC for an examination today.
by: Shirley G. Dudley
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