Trigger finger

Trigger finger is a condition where a finger gets stuck in a bent position and suddenly releases with a clicking sound when trying to straighten it. This condition occurs when the tendons that bend the fingers become inflamed or swollen, leading to difficulties in sliding through the narrow canal that holds them in place. This condition typically occurs in the thumb or middle finger but can also occur in other fingers. Trigger finger can be caused by overuse, inflammation, arthritis, or other conditions that affect the hand tendons. In most cases, trigger finger can be treated conservatively, using anti-inflammatory medications, physical therapy, wearing a splint, or injections of corticosteroids. In severe cases, surgery may be needed to facilitate the sliding of the tendons through the channels in the hand.

How is it treated?

The treatment of trigger finger depends on the severity of symptoms and the cause of the problem. In mild cases, treatment may include simple measures such as:

• Avoiding activities that worsen symptoms
• Resting the affected finger
• Applying cold to the area to reduce inflammation
• Using anti-inflammatory medications (e.g., ibuprofen) to relieve pain and inflammation
• Physical therapy that includes stretching and strengthening exercises for the hand and fingers
• Wearing a splint (bandage or ring) to reduce the load on the affected finger

In more severe cases, when conservative measures do not help, a doctor may recommend a corticosteroid injection directly into the area of inflammation or a surgical procedure called tenolysis. This procedure involves cutting part of the tendon to reduce friction and facilitate sliding through the channels in the hand. It is important to emphasize that treatment for trigger finger should begin as early as possible to prevent further progression of symptoms and tendon damage.

How to prepare for surgery?

Before trigger finger surgery, it is important to follow your doctor’s instructions. Depending on the patient's health condition, additional tests and consultations may be required before surgery. Here are some general tips for preparing for trigger finger surgery:

1. Talk to your doctor about all medications you are taking, including dietary supplements, to avoid drug interactions and complications during surgery.
2. If you smoke, it is recommended to quit smoking at least two weeks before surgery to reduce the risks of complications and speed up recovery.
3. Bring comfortable clothing and shoes that you will wear home after surgery.
4. If the surgery is performed under general anesthesia, you may need to stop eating and drinking 8 hours before surgery, according to your doctor's instructions.
5. Consider arranging for transportation home after surgery, as you may not be able to drive independently for a few hours after the procedure.
6. Prepare for the expected recovery. Your doctor will give you instructions on how to care for your hand after surgery, including exercises you need to do to speed up recovery.

In any case, it is important to follow your doctor's instructions to prepare for trigger finger surgery and ensure the most successful recovery.