Trigger Finger

What is Trigger Finger and Thumb?

Trigger finger is a common disorder of the hand which causes painful snapping or locking of the fingers or thumb.

Trigger Finger Video

What are the causes of trigger finger?

Trigger Finger
Trigger Finger

The exact cause of trigger finger or thumb is not readily evident. In many cases, the condition may be the result of repetitive strain of the area due to work or hobby activities. Tasks that require monotonous grasping or prolonged use of tools for example scissors, screwdrivers, etc. which press firmly on the tendon sheath at the base of the finger or thumb may irritate the tendons and result in thickening of the tendons themselves or the tendon sheath. Trigger finger may also be associated with conditions such as rheumatoid arthritis, gout or metabolic disorders such as diabetes that produce changes in the connective tissues and synovium.

What are the treatments for trigger finger?

Conservative non-surgical treatment involves avoiding or modifying the activities that have caused the inflammation. Oral anti-inflammatory medications are used to reduce the inflammation or discomfort. Steroid injection may be administered directly into the tendon sheath to reduce the soft tissue swelling. In the event when it does not respond to conservative treatment, surgery may be recommended. Surgery is performed where a horizontal incision is made in the palm at the base of the affected finger or thumb. The surgeon will release the first annular band, relieving the constriction of the tendon as it passes through the sheath.

What is Shoulder Pain Due to Rotator Cuff Injury?

Rotator cuff injury is the damage to the rotator cuff. This condition is one of the most common causes of shoulder pain.

Rotator Cuff Tear

How is Shoulder Pain due to Rotator Cuff Injury Diagnosed?

Diagnosis is done through understanding the patient’s history of activities and symptoms of pain in the shoulder. Plain x-rays are also done to exclude bony injuries. The MRI scan is the best to delineate the tissues of the shoulder.

What are the Causes?

The rotator cuff can be injured due to degeneration associated with aging or inflammation of the shoulder. The rotator cuff is also commonly injured by trauma for example falling and injuring the shoulder or overuse during sports activities. Rotator cuff injury is particularly common in people who perform repetitive overhead motions that can stress the rotator cuff. These motions are frequently associated with muscle fatigue.

What are the Treatments?

Treatment of rotator cuff injury depends on the severity of the injury to the tendons of the rotator cuff and the underlying condition of the patient. Mild rotator cuff disease is treated with ice, rest, anti-inflammatory medications and gradual exercise rehabilitation. More severe rotator cuff injuries require surgical repair.

Ganglion Cyst In Wrist

What is Ganglion of the Wrist?

Ganglion Cyst In Wrist
Ganglion Cyst In Wrist

A wrist ganglion is a swelling that generally occurs over the back of the hand or wrist. These are benign, fluid-filled capsules. Ganglions are not cancerous. Although they may grow in size, they will not spread to other parts of the body.

Symptoms of Ganglion of the Wrist?

The ganglion usually appears as a bump or mass that which appear over time or appear suddenly. It may also get smaller in size and even go away, only to come back at another time.

What are the Causes?

The cause of ganglions is not known. One possible cause is the trauma causing the tissue of the joint or tendon sheath to break down forming small cysts, which then join into a larger, more obvious mass. The most likely cause involves a flaw in the joint capsule or tendon sheath that allows the joint tissue to bulge out.

What are the Treatments?

Many cysts (38-58%) disappear without any treatment at all. Treatments include using a needle to remove the cyst’s contents (aspiration). Surgical removal of the cyst is needed when the mass is painful, interferes with function especially when the dominant hand is involved, or causes numbness or tingling of the hand or fingers.

Frozen Shoulder

What is Shoulder Pain due to Frozen Shoulder?

Frozen shoulder is a disorder where the connective tissue surrounding the glenohumeral joint of the shoulder becomes inflamed and stiff and abnormal bands of tissue form restricting motion and causing chronic pain.

The joint becomes so tight and stiff that it is nearly impossible to carry out simple movements for example raising the arm. The range of movement is severely restricted.

Frozen Shoulder
Frozen Shoulder

What are the Causes of Frozen Shoulder?

The cause for frozen shoulder is unknown. Nonetheless, there are a number of risk factors which includes diabetes, stroke, accidents, lung disease, connective tissue disorders, and heart disease.

 

Shoulder Adhesive Capsulitis
Shoulder Adhesive Capsulitis

How to Prevent Shoulder Pain due to Frozen Shoulder?

To prevent shoulder pain due to frozen shoulder, a common recommendation is to keep the shoulder joint fully moving. Often a shoulder will hurt when it begins to freeze.

What are the Treatments?

The treatment is a combination of medication, physiotherapy and home exercise. Some patients require manipulation of the shoulder joint under anaesthesia to break down the abnormal tissue bands. Arthroscopic debridement of the scar tissue may be necessary for more severe cases.