Trigger finger is one of the most common hand conditions, leading to a significant incapacity for work. In the elderly, a trigger finger occurs in more than 50% of patients and is often corrected by hand surgeries.
Why does a “Trigger Finger” occur?
Due to the thickening of the tendon, the finger tendon no longer slides through the tendon sheaths. As a result, finger movement is impaired or even blocked.
Besides ageing, the tendon may thicken due to:
What are the symptoms of a trigger finger?
Typical symptoms of trigger finger, also called snap finger, are
- Pain in the palm
- Difficulty in stretching the finger
- Sudden finger snapping with pain
In addition to pain during movements, there is a significant impairment of the gripping function with a significant impairment in everyday life.
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How can you treat a Trigger Finger?
For treating patients with trigger fingers, we use an integrative therapy concept. In principle, conservative and surgical therapy for trigger finger treatment can help.
The best therapy for treating age-related trigger finger is to avoid incidents that trigger them. Wear and tear may happen due to repetitive motions, excessive strain, lack of exercise, and poor diet. So the best treatment is to prevent them.
The doctor may also prescribe anti-inflammatory treatment or physiotherapy to ail painand restore finger agility.
Following non-surgical treatments can be used successfully, especially when symptoms manifest for the first time:
- Oral anti-inflammatory treatment
- Cortisone injection.
If non-operative treatment does not lead to full recovery or symptoms persist for longer, surgery is the treatment of choice.
The tendon sheath (A1 pully region) is relieved via a mini-incision.
Prof Dr Robert Hierner ensures that adequate postoperative pain therapy is provided. Medications (e.g. Arcoxia 90 mg, 1-0-0) should be taken one day before surgery.
After surgery, the hand should be moved immediately to test mobility. Physiotherapeutic follow-up should be started as early as possible.
A large bandage or immobilisation on a splint is not needed for every case. The suture is removed 10 – 14 days after surgery.
After suture removal, scar massage with Vaseline 3-5 times/day for the next 4 – 6 weeks is recommended.
Patients with desk jobs will be able to resume work in 1 – 3 days, whereas manual workers can restart after 2 – 3 weeks.
This patient information only gives a general introduction for a better understanding of aesthetic and medical surgeries. It cannot replace the personal and detailed doctor-patient discussion. To answer your questions about your personal, individual situation, arrange your non-binding personal consultation appointment.