Trigger finger means that the finger joints are painful or the finger is lock
While moving the finger joints. It is a common disease in general people. Who have to use their hands to hold objects or equipment continuously. This disease is not dangerous. It just causes pain and makes it difficult to use the hand properly. It is a disease that can prevent and cured.
Symptoms of this disease are divide into 4 stages:
1. In the first stage, pain is the main symptom. The pain will be at the base of the finger and more painful if the finger is press at the front base of the finger. However, there is no sign of sticking.
2. The second stage has triggering as the main symptom and the pain tends to increase as well. When moving the finger, bending and straightening the finger, there will be a feeling of triggering.
3. Stage 3: Lockedness is the main symptom. When bending the finger down. It will be locked to the point where it cannot straightene out by itself. The other hand use to help straighten it out, or the symptoms may worsen to the point. Where the finger cannot be straighten out by itself.
4. Stage 4: There is severe swelling and inflammation, https://ufabet999.app to the point. Where the finger is stuck in a bent position and cannot be straightened, even if the other hand helps to straighten it.
Treatment for trigger finger is divide into 2 method
Method 1: Treatment by injection Treatment of trigger finger In patients with level 1-3, it is recommended to inject local steroids at the base of the finger. This will be effective and cure more than 60 percent. In some reports, it is effective and cures more than 70 percent. The remaining 30-40 percent, the trigger symptom will come back. It depends on the severity of the disease and the use of the finger. In this group that has a new recurrence, steroid injections can be repeated 2-3 times. But the chance of getting better and cured is less. Orthopedic doctors will recommend surgery instead. Because repeated injections of local steroids will not improve the symptoms and may cause complications of tendon rupture.
Method 2: Surgical treatment can be divided into 2 methods.
- Open surgery is the standard method. Local anesthesia is use to incise the tendon sheath. You can go home after surgery, but you must avoid heavy use and touching the wound for about 2 weeks.
- Closed surgery by using a needle to poke or poke the tendon sheath through the skin with almost no scars, but it can damage the tendons and nerves in the surrounding area, causing pain when moving the fingers, stiff joints, and numbness in the fingertips.
Using a special tool (A-knife)
New innovation in percutaneous trigger finger release with A-knife
A-knife or skin trigger finger surgical knife is a new innovation in surgical tools for trigger finger. It is a knife with a small tip, approximately 2 millimeters in size. The special feature of the knife is that the tip is rounded, preventing injury or impact on other organs. Previously, open surgery required cutting the skin approximately 1.5 centimeters and using the knife to cut the tendon sheath. Which is the cause of trigger finger.
Advantages of Percutaneous Trigger Finger Knife Surgery
- Small puncture wound (approximately 2-3 millimeters)
- No stitches required
- No need to cut stitches
- Does not cause injury to surrounding tendons
- The operated hand can be used immediately.
- Live your daily life normally.
- No need to stay in hospital
- Reduce pain from surgical wounds
- Reduce the time taken to take painkillers and antibiotics