What you need to know about the finger that crashes and “crip”

Almost every one of us has ever felt a sort of hardening in the morning, but the feeling when our finger gets stuck in a bowed position and then released with a painful “klix1> is something else entirely. This phenomenon, known in medicine as the stensive technonov, and popularly like “trigger fing” or “gist that points to”, is the result of an inflammatory process affecting its tendon and wrap.

Tendons that bend their fingers slide through narrow fibrous channels; when inflammation occurs, tendon thickens and moves harder. In time, the tendon itself may form a small knot that makes the mechanical barrier worse. Symptoms are not limited to the characteristic “clicking” they are often accompanied by pain and sensitivity at the base of the touched finger on the palm side.

The warmth is more pronounced in the morning or after long periods of time without movement, while in more severe cases the finger may remain fully of “kur” in a tilted position, seeking the next hand's help to resolve, the Telegraph broadcast.

Sometimes a small hump under the skin can be touched on the base of the finger.

While it can happen to anyone, statistics show that “trigger fing” does not appear equally to all. It's the most common tendonopatry of the hand flexibles, and much more often it affects women, about 75% of the time. The most common is at 52502 years of age. The danger is higher for those who carry out repeated movements of capture or of strong tribulation as well as on those who use hand tools. However, the cause is not always mechanical.

This condition is often related to chronic illness: It is estimated that 520% of diabetes patients develop “triggers finging”, while they also have increased risk of rheumatoid arthritis, giht, or thyroid gland disorder. Most often, the thumb, the middle finger, and the ring are touched, but it is not uncommon to appear on several fingers at once, even on both hands.

How is it treated?

The approach to treatment depends on the severity and duration of symptoms, but it usually begins with conservative methods. The first step is to avoid any activity that worsens, such as the strong grip of objects. Using soft pillow gloves can help during work. The doctor may recommend keeping a trip (shin), especially at night, to keep his finger spread and to give the tendon an opportunity to rest and lower inflammation.

Pain and inflammation are used to relieve nonsteroidal antiinflammatory drugs (NSAID), which can be taken from the mouth or applied locally in the form of cream or video. The soft exercise of expansion helps maintain mobility, but training with the force balls should be avoided because it can further irritate the tendon. If initial measures fail to produce results, the next step is cortichosteroid injections, which have shown high efficiency. The medicine is injected directly into your tendon, quickly lowering inflammation and swelling, and allowing the tendon to move freely.

The effect may last more than a year, and in many cases the symptoms disappear completely.

It is essential to consult a family doctor or an expert on time. The diagnosis is usually determined only with clinical examination and a discussion of symptoms; additional X - rays or examinations are rarely needed. The need for timely treatment is important, for lack of care can lead to permanent damage to tendons and finger deformities.

When is surgery required?

When conservative methods fail to produce results or symptoms are at first very serious, surgical intervention is recommended. There are two main approaches:

The less invasive needle procedure is carried out by local anesthesia, where a needle can break a thick tissue that prevents your tendon from moving.
The use of ultrasound instruction increases the accuracy and success of the procedure.

Operation open through a small cut in the palm, the surgeon cuts the narrow part of the tendon wrap (called A1 pulley). Thus, the mechanical barrier is finally removed, and the tendon moves quickly. The operation is done with local anesthesia, it lasts very little, and patients can move their finger almost immediately after the intervention.

The Role of physical therapy and prevention

Despite the method of treatment, physical therapy plays a key role in healing and maintaining the function of the hand. The therapist may use laser, ultrasound, or magnetic therapy to lower inflammation and promote tissue healing.

Exercise of extension and mobilization of joints is important to preserve the full range of movements and avoid rigidity. Similarly important is the patient's education in ergonomia and avoidance of movements that have caused the problem to prevent relapses.

Understanding the situation and active participation in treatment are the best way to successful and sustainable manual recovery. /Telegraphy/Periscope.