Trigger Finger Surgery
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- čas přidán 8. 09. 2024
- www.handandwris... - Of all of the conditions that can affect the hand, trigger finger is among the most common. As with many conditions of the fingers, it is typically caused and exacerbated by repetitive activity such as typing or text messaging, although it is not limited to these activities alone. Trigger finger most commonly affects the ring finger, but it not uncommon in any of the digits of the hand, and it typified by a snapping of the finger, accompanied with pain.
Trigger finger affects the flexor tendons, which control flexion of the finger; that is to say, they pull the fingertips into the hand towards the palm. These tendons can develop nodules, or knots, which then become stuck on the pulley bands that normally keep them in position against the finger bones. In particularly bad cases, the nodules can become so large that the tendon is unable to pass through the pulley at all, making it impossible to flex or extend the finger, depending on the position when it becomes stuck.
Conservative treatment of trigger finger consists of cortisone injection, which can be an effective remedy in up to 50% of occurrences. Should this injection prove ineffective then surgery may be necessary. The procedure is a simple one, and only requires local anesthesia. A small incision is made in the affected finger(s), through which the pulley band upon which the knotted tendon is caught is sliced, freeing the tendon to return to its standard mobility. The wound is then closed and sewn shut with three to four stitches. Mobility returns to the finger almost immediately.
A light dressing will be placed over the wound, and this must be kept dry for ten days, after which time the stitches are taken out by the doctor, and light activity may be resumed. By about four weeks, any tenderness at the scar site should resolve, and full function returns. It is not uncommon to see trigger finger occur in different digits of the same hand at different times, although recurrence is extremely unlikely in the same digit.
I am a retired horticulturist. I have a trigger middle finger that I’ve had for at least 15 years. It came from repetitive use of that finger to dig small holes for 6 pack flower planting jobs instead of using a tool to get the jobs done faster.It has not hurt but it is worse from time to time and I have to sometimes manually open it -it gets stuck. I have an appt soon with an orthopedic surgeon to fix it. I don’t want cortisone shots , I just want it fixed with surgery because it is a huge annoyance when cooking , crocheting and general everyday activities. I’m just sick of it, so I’m strongly going for the surgery. Wish me luck!
Good luck. I'm in canada so it will be at least half a year before i get my surgery but i'm the same, got NOTHING to do with keyboard use. I hate these videos because I"m almost like "hey, I could do this myself":)
I had that exact surgical procedure for a middle finger. Results were outstanding with minimal recovery hassles. That was about 8 yrs ago.
Mark, did you try the cortisone shots prior to surgery?
@@philwhitt6462 , no Phil, I did not. But over the years, I had cortisone in an elbow, a shoulder and a knee. The elbow and shoulder eventually needed surgery. The cortisone gave encouraging effects at first but eventually were ineffective. There was a lot therapy involved also, nothing worked. The knee did get better over time with one shot. It was a sprained MCL as I recall. The hand surgery was a piece of cake. Good Luck
@@MarkSmith-js2pu Thanks Mark, I wasn't very happy with my consultation at The Cleveland Va Medical Center on 8/30/2021. I wasn't given any options other than surgery, and I still can use my finger. It is sore and does stick a lot. I sent my primary VA doctor who referred me there a message about not being happy, hopefully, she'll reply back soon. I saw that some doctors do not operate, they use a needle to cut the sheath. I was told that I would be put out with a General Anastisa too, not a local. I am really not sure about having this done now. Thank you once again, Mark Smith.
When were you able to go back to work
@@philwhitt6462 I can’t believe they want to use general anesthesia for such a simple outpatient procedure. I went to a hand specialist.
I love the way you explained the process. Thank you. I need surgery on my thumb. This condition is so painful.
Hello, I just had this surgery on my thumb 6 days ago. WOW, it really smarts. It has been 6 days and it is a different pain, and it hurts. My Dr. is fantastic, hopefully no other issues will occur.
Excellent presentation. I am going to have this surgery done and it was good to know what was going to happen. Thanks.
Which place
Community Services Networks Daniels Hi Friend latest video of trigger finger live surgery step by step helps u to understand more czcams.com/video/_488RYhK5v8/video.html
I have had 7 fingers done for trigger finger and 3 for Dupuytren's the past 4 years. Two of the trigger fingers were a single finger and done in the docs office with just a numbing injection. Not fun. The others done in the hospital, under general anesthesia, as more than one finger was done. On one Dupuytren's I waited too long as the finger does not straighten out fully. I did a couple of steroid injection and they were a waste of time as well as hurt like hell. Always Always have a board-certified hand surgeon do the surgery and any injections you may have, as mine was. I am 76 yo. Excellent video.
@Samantha Sumstine my hands work almost perfectly and I pray yours does also. Since my last post I have had 3 more surgeries under general anesthesia. Sept-20, Nov-20 and April -21. 2 trigger fingers, 2 dupuytren's and a carpal tunnel. All were painless and my hands work very well now. As soon as a symptom shown up in my hands I get my old butt to the doc asap. The sooner the doc see me the easier it is to fix. My doc ask me if I want to take an injection or do I want it fixed. I get it fixed. Prayers and good luck to ya.
@Samantha Sumstine The consequences of not getting your hands fixed are horrible. A 81 yo friend of mine, fingers are curled up into his palms from dupuytren's disease. Several years ago I told him to go see a doc and he did not. Today he can't control his bowels and must wear a diaper. He is unable to put his diapers on, because of his hands. Because he lives alone, he runs around his house naked. That is pretty bad ! If this sounds like the kind of life a person wants go for it and do nothing.
Have had 4 of these issue and this surgery fixed it.
+Rich Lo How much did it cost? I mean with or without insurance? I got one too and its irritating..
+Jerum Distura I had insurance so I only paid around 200 but without yiu know how they exaggerate the price it was like 4k I think.
Rich Lo Where are you from? Am from Seattle Washington USA..
did it hurt
Rich Ok
what's the disadvantage of cutting the pulleys? After all were born with them for a reason
Outstanding explanation. Thank you very much.
Thank you it help me to understand what I am going to get done with my finger a whole lot better.
I had this done several years ago and the surgery was very painful. Will never do it again!
I tried it ALL! ON DECEMBER 6TH 2021 I had 6 trigger fingers SURGICALLY repaired! Had DISTAL TRIGGERING AS WELL!! CORTISONE IS LIKE PUTTING A BAND AID OVER A SHOTGUN WOUND!!
Excellent presentation, greatly reduced my anxiety over impending procedure.
Did you get the procedure done? If so, how was it and how is your hand now?
Same here. My surgery is scheduled for this month
Very well explained, thank you
good explanation. thank you very much. But new technology is that Ultrasound -Guided percutanness Tigger finger release is better because they just used the needle only without incision
Can the patient be completely awake during the surgery? If not, why? Does the sheath heal with time? If not, why do we need the sheath in the first place? Thanks.
Awful condition u really don't no how much you need your hands till u get this condition it totally sucks n is painful
Great illustration!
I planned on taking only two days off from my typing job. Also diabetic and worried about infection. Yikes. But has to be done.
I have had both wrists done for carpal tunnel. I am going for my 2nd trigger finger on my right hand on 2/18, and my 3rd trigger finger on my left hand on 3/18.
Studio musician here. Concerned about losing dexterity to play piano and/or guitar. Anyone know how long before playing these instruments can resume
My surgery on 2 fingers was a week ago and I am now able to type and play piano. Holding off until stitches come out to try guitar but doctor told me I should be able to play that also.
Excellent video. Going tomorrow to get my surgery for trigger finger.
Superb explanation. Thank you!
What happens to the sheath/band after you cut it? Will it fuse together again? If not, what is the purpose of the sheath?
Okan Korsal Hi Friend it’s called A1 pulley that has been cut it creates a tunnel to pass tendon .. thr r so many of them .., if fuses it may recurs in some inflammatory conditions.. czcams.com/video/_488RYhK5v8/video.html this links helps u more to understand
I was just thinking that the other day. Will it fuse itself back or just hang there forever 🤔, guess I'll watch that video he just attached and see if the answer is in there.
Is reducing the inflammation of the tendon and or pulleys via dietary changes an option?
Thanks much for the explanation and video.
Surely cutting the pully prevents its use? Can the tendon be shaved or thinned somehow instead? Once the pully is cut, it is ruined, isn't it?
Think mine is my middle finger as when I close my hand my middle finger remains mostly out with a slight crook as I can't fully extend it flat either. Part of it my finger and only that finger is swollen.
He said awaken her during the surgery to move her fingers and LOST me.
It’s not done under general…..it’s local with sedation
Thx i have this and im going for the second shot at the VA
When would it be nessisary to make the insision vertical and 2 inches long instead of horizontal and 1/2inch wide
Great explanation. Coming into this winter (AUS) is when i have experienced trigger finger. Both left and right middle fingers. Throughout the day it tends to be normal. During the middle of the night and at first wake is when it is at its worst. I tend to stretch the fingers forward and backward to relieve the trigger position. So annoying. Not sure if i should try the bandaid fix or just get the snip. Want to see what happens in summer though.
Guitarist Steve Vai just had this done which brought me here.
Yeah same goes for me. Steve vai bring me here
I’m a guitarist, who can’t currently play. This makes me feel better. If its good enough for vai. I can handle it. Thanks
Was offerd this opperation today my hand has been swollen for 6 months now with tigger finger .not sure if to have the opp .had 3 injection and not worked
I’m having this in 3 fingers in 2 days. Will it make it a longer recovery time with multiple fingers affected?
I had a car accident and had surgery last Oct 2020. My 3 fingers are still stiff until now and still undergoing therapy.
Tendon damage from an accident is different than tenosynovitis, which is possibly from localized bacterial or viral infection of the tendon or tendon sheath.
Reptitive use is not the cause, but just irritates it more.
Wait too long to get it fixed, you learn to stop using that finger, which is interconnected with others, then grip strength lessens and rehab of the hand becomes more difficult.
I have had my elbow, thumb, wrist and finger 'released'.
What happens to the pulley after its cut and the skin is closed with stitches?
I had the surgery. Didn’t work. Finger is completely numb. Pain in palm when I make a fist. Numbness in thumb.
Sir I am suffering from rest less leg syndrome from many years, sir can you please make video on what happens in rest less leg syndrome, and how can I get relief from it, please help sir please help...
My father has had this operation at almost every finger.
Raqu Hi Friend latest video of trigger finger live surgery step by step helps u to understand more czcams.com/video/_488RYhK5v8/video.html
Great explanation . Thank you. I already had a cortizone shot for my ring finger last year and the triggering stopped for about 6 to 7 months and is now coming back. Would you recommend another shot or basically just get the surgery. I know you're not supposed to take too many of those shots, so would a second one be okay. This time with the triggering i have noticed a small darker spot on the palm of my hand almost an inch below the affected finger. It is a tender there as well. Thanks for your advice.
I have had two shots withing 7 months. It is back. Waiting on a call from the nurse to see if he recommends the surgery. Last time I was in March, he left my case open to see how things are going. I am so tired of not being able to grip or even brush my teeth with out weakness and pain.
@@happyme6153 I feel you. Every morning is a ritual of trying to get my hand to feel good enough to go throughout my day. I have just made my second appointment in a week from now to see what's next. I actually have a dark spot on my palm right at that joint where I feel the pain ..didn't have that the first time, so we'll see. But it does look like the surgery will be the ultimate solution. Good luck with yours.
@Dave Munsie cortisone isn't good for you to take often, so I got the surgery, which was awesome... and right after the surgery there was no more trigger finger. You have to keep exercising your fingers (flexing them etc...) right after the surgery and do that as often as you can and then eventually your hand and finger is back to normal and any scaring completely heals. Sometimes I forget which hand I had the surgery because they both look and feel the same. Good luck.
Do I have to get surgery cuz I have it on my middle finger and I have it my whole life
Thanks billy bob thortan
I have it now but not fancy to have operation,don't like public hospitals here and privates are very expensive..my friend had it and her doctor told her to use Glucosamine Chondroitin 2 a day for 6 months she said nothing happened till end of six months but last munite it was gone...what do you think about it?
Im a 15 years old violinist and i have in almost all my fingers... Im really worried about the future of my career
I'm scheduled for one of these next week
I’m having this issue right now in 3 fingers and my wrist is killing me. Not from a keyboard though. Been playing guitar for 34 years.....I haven’t picked it up in 2-3 months. I can’t even make a chord without being in pain.
My man. I’m with ya. Any better?
I had the surgery a month ago exactly. The finger moves fine but I cannot lean on my hand. I cannot understand why. Trying to understand if I need any physiotherapy.
will that band be recovery after you do the cutting in the surgery???
I went to Cleveland VA about my middle finger giving me problems. I was diagnosed with a Trigger finger by my Primary Doctor, He didn't say anything about injections and went straight into surgery. I am wondering if the cortisone injections will work, is this a temporary fix?
😰my brothr lost his 2 fingers when he wipe his bullet chain. I found that, the bottom of 2 fingers were seperated...3 hosptls rejctd us &they said, it will not rdy.😔At the time, sombdy contctd a dr and now he is in anothr hosptl and dr checkd hiz fingrs with Xray. We are wytng fo wht nxt.so im searchd here fo anything +ve chance to remake his fingers like yestrdys.😔😔..he iz only 24..he iz a hardworker, he leads our family very well. Now we nvr know tht, how it is posssible.😔😔... Here i saw more succesfull experience with finger surgry from cmnts. Its a greatst hope for us. Thnku sir your vedio. We could suddnly undrstnd this. Include my borthr in your prayers all😔😔😔😔.. He is my evrythng....😔😔😔😔
You don't necessarily have to have surgery . I had my doctor that replaced my wrist on my right hand take a look at my trigger finger on my left hand. She stepped out the treatment room and came back and put a steroid shot in my finger , the next day it was gone . That was in Jan.2022 I haven't had any problems yet .
I did that and 7 months later I needed another shot. the cortisone shots can cause long term issues when repeated use so I had surgery to fix it.
Surgery is for those when 2-3 cortisone shots 3-6 months apart do not work.
Hi.. IAM suffered from Dupuytren's contractures. Need help for the treatment.
I've had it on both hands and each finger, couldn't play musical instruments or tattoo for a while til Dr gave me a shot in each finger , 5 hours later I was good BUT NOW I have it again after 5years on my thumb and middle finger
??can it heal on its own ??
I play guitar and have it in my ring finger. I want to get the surgery because I can’t play anymore. After the surgery do you lose strength in that finger from them cutting the pulley? Thanks so much !
Hi. I just had endoscopic trigger thumb release and endoscopic carpal tunnel surgery 5 days ago. I didn't do my research. The tip of my thumb is numb. That's my only concern. I thought it was astronomical chance of nerve damage happening. So what I'm wondering is does this normally occur post op? The surgeons office said give it a couple weeks. Thanks for any feed back.
I had trigger thumb surgery 6 days ago, took 5 minutes. I feel better already. YES, it is sore because it is your thumb but avery day I feel better.
Vreat explanation
Thank you so much for an informative video!!!!!!!
My ring finger is really really flexible and it just happened after I stopped drawing, what's going on???
it's probably because drawing is also repetitive
It took me 16 months to recover. And I’ve had to be checked for it twice after that. I’m 12, got diagnosed when I was 10
Did you have surgery? I play wide receiver and mine kinda healed but is very easy to tweak then takes weeks to kinda heal again
@@Alejandro-mv1lh yeah. I had the surgery back in may 2019. I had a lot of complications that weren’t supposed to happen. I had an injection done 2 months ago. I had my last hand appointment today, and I’m in the clear.
@@ashp1360 😭😭😭
@@Alejandro-mv1lh it was a journey to say the least
Thanks for this..
Had some back surgery last winter and before and after, watched videos on similar procedures, which I fund interesting and informative and didn't bug me one bit..
Going to need Trigger finger treatment within the next year, (As soon as the bills from the back are paid, Lol) But the vids I've found for this ailment have made me feel queasy and anxious...
I wonder why that is.
Anyway, this vid made me feel a lot better.
What is the nodule made of? Fat? Calcium?
Great video, thank you! Does the way in which one uses or moves the fingers contribute to developing TF?
grumbles Hi Friend latest video of trigger finger live surgery step by step helps u to understand more czcams.com/video/_488RYhK5v8/video.html
I thought I would have to have surgery but I got the Doctor that replaced my wrist to look at my trigger finger and she gave me a steroid shot where my finger hooked on my hand . She did good no surgery. One year ago .
Is it possible for grow new finger after cuted ? (Babies) please replay .
PLESE ANSWER MY QUESTION BELOW!
Pls sir tell me how to bend hand surgery
I can't wait for my treatment of cortisone shot for my hand ...soon I hope it's my right hand too and owww! Thanks
I had the shot. Amazing.
Please help Sir!...few years back i had a nerve surgery in my wrist...and now i can't move my middle and ring finger individually....i think the doctors have attached both the nerves together....what can i do to make it normal... please help Sir🙏
Sir i lost my half trigger finger of my right hand can it transplant.
Will the nodule go away after the surgery? Is it possible to go back to normal tendon without nodule("the ball")?
Yes can someone answer the question about the nodule? I was told the nodule would need to be removed also, but not exhibited here. Thoughts
What is the cause of that nodule? What is it made of? Is it calcification?
scar tissue.
Hello Sir my little finger cuted unexpectedly 15years back
Now I hoped replaced my finger
I would have thumbed the video but didn’t want to break 666! 🤣
Great explanation. Thanks!
But why is the actual surgical video shot using a potato?
at the moment recovering from this procedure second time round
How long does it take to heal?
I'm considering this surgery,I"m 69 and in good health...how long was your recovery period...I play guitar.
Please tell me
Why do i feel a ball in my middle finger. It hurts when i touch it
Xyanni You have a cyst which can be quite even more painful later on if you ignore it and much worst. Go get it checked it may be likely you may have to have surgery for it.
Mines too I have a huge ball on my thumb
I had a steroid shot in my trigger finger an it was gone the next day.
I haven't bent my thumb in months. Surgery Tuesday
I had to have this surgery 3 times
Sir i have lost my finger tip now what should i do ?
damn thought there was a surgery for a better trigger finger. #codproblems
I work in an office, Can I use my hands or come to work the next day and use my hands??
I had the surgery 8 days ago, still painful when in use....
Hi Pat...how old are you and how long was your recovery....I'm considering the surgery...I'm 69 , in good health...
@@1Phoebus nice
I have trigger Thumb,how to be Better?
I had trigger thumb surgery 6 days ago. I feel better, YES it is sore but I feel I am healing well. Take care of yourself.
Hi i am avijit this sarjari where? And i need too u help
Rock avi rock Hi Friend latest video of trigger finger live surgery step by step helps u to understand more czcams.com/video/_488RYhK5v8/video.html
FROM JAPAN
NICE！
Otqkw 6 ans
Had this surgery, a week later accidentally hit my finger and it locked up.
Is that normal 1 week after surgery? I figured might be due to stitches and swelling possibly it was done on my a1 pulley for my pinky finger.
My range of motion was already a lot better but didn’t lock up until fully closed
Here's what I'm doing tomorrow...😏
Omg i have that it hurts
Take P5P. It will go in an out 3 weeks. NO NEED FOR SURGERY.
The secret of an OSU! player.
very good
Mine is my middle finger
Sar finger heart damage mera mobile number per Sampark image
CoD players would kill FOR this
After remove of k wire my finger is not working properly
sk ibraheem oh that’s sad
Hindi .Mai.samjhao
I was born with it :(
My pinkie does this
My Sister has THIS... it is terribly painful 😖😣
So I told her THIS joke to make her happy.
There was a BLACK MAN AND A MEXICAN MAN RIDING IN A CAR!! WHO WAS DRIVING???
ANSWER IS BELOW!!
THE POLICE....