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What is a trigger finger? How it can be treated?

• Trigger is a common ailment.
• This is a disorder or precise disease.
• In this condition the patient is suffering and wants to get rid of it.
• It is common ailment of later adulthood.

It is characterized by:
• Catching
• Snapping
• Locking of involved finger flexon tendon
• Pain
• Dysfunction of the affected finger
• Thumb leading to discomfort
• Disparity between flexon tendon and surrounding retinacular pulley system

Signs and Symptoms of Trigger Finger

• Swelling
• Tenderness
• Pain affecting limb
• Warmth and redness
• Crepitus (crackling)

Causes of Trigger Finger

• Overuse
• Under training
• Poor technique in sports
• Repetitive movement in some jobs
• Falling
• Lifting heavy objects
• Extreme or repeated injury
• People who are overweight
• Pressure on tendons, ligaments, and bones
• Reiter syndrome
• Ankylosing spondylitis
• Autoimmune disorders

Etiology
• The trigger finger or trigger thumb is named as “Stenosing tenosynovitis”.
• Commonly affected sites are:
– Thumb
– Middle finger
– Ring finger

Diagnosis of Trigger finger

The diagnosis of trigger finger or thumb is made primarily on
• Complete history
• Nature of complaint and its progression, and
• Clinical examination.

Characteristics of Trigger Finger

• Triggering is usually profound in morning.
• Triggering is profound while gripping firmly.

Treatment of Trigger Finger

• Conventional mode of treatment: Corticosteroids injection may relieve 50% of patients
• Surgical treatment:
– Surgeon cuts the sheath restricting the tendon.
– This is done when conventional treatment fails.

• Investigative treatment:
Investigative treatment includes therapy with:
– NSAIDs
– Occupational therapy
– Splinting
– Therapeutic ultrasonography
– Acupuncture

Treatment Options:
• Massage
• Strengthening exercises
• Physical therapy
• High energy shock wave therapy

Nutrition and Supplements
• Bromelain, 250 mg twice a day
• Vitamin C (250 – 500 mg two times a day)
• Calcium (1,500 mg a day)
• Magnesium (750 mg a day)
• Vitamin A (15,000 IU a day)
• Vitamin E (400 – 800 mg a day)
• Primrose oil (1,000 – 1,500 IU one to three times a day)
• Vitamin E
• Fish oil

Homeopathic Treatment for Trigger Finger

• Bryonia
• Calc carb
• Causticum
• Gelsemium
• Nux vomica
• Rhus tox
• Ruta

Homeopathy Dosage Directions

Several homeopathic physicians recommend the usage of the remedies be used as follows:
• Take one dose.
• Wait for a response.
• If improvement is seen, it is best to wait for the remedy to work.
• If improvement lags then another dose can be taken.
• The frequency of dosage differs with the condition.
• It also differs from individual to individual.
• A dose may be needed several times an hour in some cases.
• In other cases, a dose may be needed several times a day.
• In some other cases, one dose per day can be said to be enough.
• If there is no response then after waiting for some time, it is best to switch to another remedy.
• Follow the same as above with the other one.

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