Trigger Finger & Trigger Thumb - Everything You Need To Know - Dr. Nabil Ebraheim
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- เผยแพร่เมื่อ 7 พ.ค. 2024
- Dr. Ebraheim’s educational animated video describes the conditions of trigger finger and trigger thumb.
Trigger finger is a condition where the involved finger will catch as it bends.
The finger is straightened with a pop or a snap. The flexor tendon becomes thick and irritated as it slides through the tendon pulley causing a thickened nodule and triggering of the tendon. The discrepancy between the diameter of the tendon and the size of the pulley opening causes the triggering.
Symptoms
•Pain may be located in the palm at the base of the finger.
•Tenderness at the A1 pulley.
Causes
•Occurs more in women •More in diabetics •Rheumatoid arthritis
•Repetitive injuries •Occupational.
Locking can occur when the tendon is unable to pass through the sheath. As the tendon becomes inflammaed, it gets caught.
Treatment
•Rest •Splinting •Injection into the sheath not the tendon •Injections can be repeated •Surgical release of A1 pulley.
When releasing the A1 pulley, the release should be done at the level of the MP joint.
The A2 and A4 pulleys are important and should not be touched, excised or released.
A1 pulley is cut and the flexor tendon is released.
Technique of injection
•Injection into the flexor sheath may provide relief for triggering of the finger.
•After the site is marked, use a 25-gauge needle.
•Advance the needle through the midline down to the bone.
•Pull the needle back slightly and inject the medication freely.
How do you surgically release the A1 pulley?
•The incision is marked on the MP flexion crease.
•The incision is marked out in the palmar crease for surgical division of the A1 pulley.
•The A1 pulley is exposed and released.
•The tendon is released.
•Patient is asked to move the fingers to confirm the success of the operation.
•Incision for trigger thumb release placed in MP flexion crease.
•When releasing the flexor pollicis longus tendon, watch out for the digital radial nerve in the field of surgery.
Sagittal view ultrasound showing the flexor tendon going through the A1 pulley of the finger.
Transverse view ultrasound showing the flexor tendon going through the A1 pulley of the finger.
0:00 Introduction
0:09 TRIGGER FINGER
0:56 Symptoms
3:25 TREATMENT
5:00 TECHNIQUE OF INJECTION
6:45 SURGICAL RELEASE
Excellent presentation 👍
This video is the best and clearest explanation of trigger finger that I have found so far. I have a much better understand of how and why, and what to do. Thank you
I had a very painful trigger finger on my middle finger, I went to a local clinic, the Doctor gave one shot of steroid injection 💉, after a week the pain was still there, I went over to the Clinic again, and the Doctor 😷 gave another steroid injection 💉...i forced my hand to force and push a cabinet 🗄, I felt something cracked inside my hand 🖐️....I went and checked with a specialist Doctor, he said my tendon on the middle finger is cracked due to the frequent steroid injection 💉, it has soften my tendon and he said not safe to take the steroid injection frequently....now I have to do a surgery for the broken tendon and my trigger finger pain as well...i can't bend the end of my middle finger, it's a very disappointed experience for me 😥...pls be careful before taking the steroid injection 💉....better get a specialist opinion...just sharing my experience with the trigger finger effects
Thanks for sharing your bad experience🙏I hope you have better recovery after surgery.
I have had several surgical procedures for this problem years ago. Injections did not help me at all. After surgery, the pain was gone. I have a new area acting up on my ring finger left hand. I am trying massage this time. I’d like to avoid surgery although it was not bad at all.
@@RitaWachs😅I j😊 0:44
I’m so sorry your tendon cracked . I just had my first injection trigger thumb injection . After your story I will not get them repeatedly . Maybe one more time then surgery I suppose . My doctor mentioned surgery to release that tendons if the injection fails . Thanks again 🙏🏽😊
I have an appointment with a hand surgeon this week. Massage did not help.
Your information; the detailed pictures, the corresponding narrative, is very helpful. Additionally, making a distinction between patients to suffer from carpal-tunnel your video and accompanying narrative took a great deal of preparation and production value. I so appreciate your efforts towards this video. syndrome, diabetes, hypothyroidism, etc. is very helpful.
Fabulous presentation. Helps me understand the procedure. Thank you
High risks also include hand scrubbing and cleaning. Including, but not limited to floors, walls, dishes & toilets.
Typing and working with constant fingers being used for strength and injuries where the fingers were stretched out too far.
I didn't do a study but that's my problem with finger and thumb.
I had trigger finger for around almost 2 years, never saw a doctor, never did anything about it, it came overnight and also disappeared over night all on its own. It was difficult to work and tie my shoe laces while I had it. Now gone and it never came back again. That is my story !
Damn that’s a long time! I have had trigger thumb for almost a month and will see a PA this week. I don’t have much pain associated with it though so I’m surprised it hasn’t healed by now.
I have trigger thumb wearin a splint and exercising thumb came overnight weeks after falling on my hand from jogging fall I think it's improving itself the clicking is very scary at first I thought my thumb be broke very very frightening now ordered plastic thumb splint I agree stopping the bending aids recovery any clicking sets it back inflammation hopefully the tendons not fully torn by the accident n will repair, with rest at the same time fascitis plantar on right foot (arch).elbow burning weak muscle pain rotator cuff injury both shoulders I think I'm worn out and just need to rest 😢
Thanks for the clear and concise video. I’m having my right middle and ring fingers A1 pulleys released end of this month. I hope it doesn’t hurt….!
Very helpful. I now have a better understanding of what is going on with my thumb.
I play the piano and bass guitar, triggering is now a problem with me at age 74, this video is quite helpful...
It is often a shortage of Vit B6 after taking it for about 4 months I no longer needed an operation and a year later still no sign of triggering
Thanks Dr Nabril A. Ebraheim. It is very helpful.
As a medical student , I enjoyed and understood this condition you mentioned all things related to it. Thanks Prof 🌹🌹
I told my doctor I had trigger finger. He examined it and agreed. I treated it myself with daily massages in the painful areas. When I went back I showed my doctor my trigger finger was cured. He smiled and looked at it and said how'd you do that? I cheated because I had worked for a doctor who treated and cured trigger finger repeatedly with massage. No expensive surgery needed.
you have only massage it
Hi how did you do that? Trigger thumb now almost 2 weeks
what massage did you do? i have trigger thumb almost a month from now
@@drinkwithmetoday me too 😩
People in pain are asking you what massage methods you used to cure your trigger thumb and your ignoring them , smh
I now can understand so much more about what is going on for the last 3years....Thank You so very much 💝
I had this problem for many years. Whenever I fell asleep sleep, the middle finger of my right arm went bent. Then one day I held my cup of hot tea against the bent finger - and that worked like a miracle, and I my problem went away after some days.
You are a great Professor sir. Oh if I could get you Sir in the beginning era of 1970 when I was a student of Medical Science. What a great art of teaching you have Sir 🙏
Telugu,,ar,hinndy,
Great illustrated explanation. Wow! I understand my condition and I can ask questions to my doctor with a better understanding. Thank you Dr. Ebrahim.
Very detailed information...thanku soo much .Your way of teaching is superb. MashaAllah
Excellent explanation!
Thank you 🙏🏻 doctor , yes, was very helpful!!!
This is an excellent video with very precise graphics and explanations. Very good information.
Thanks for very useful information
Finally! someone explained this with detail ! thank you.
Thank you for this video it was verý helpful...God bless you Doc!
Very helpful.I have a trigger finger..
Thanks so much for this video, it sure was helpful. Had to save it for later.
Very well done video...could you make one with more of a description of trigger thumb? Cheers ~
Thank you very much. This video is helpful for me😍
Great video. Exactly what i was looking for.
Thank you Professor! That’s very helpful.💕👍🏿
Thank you for your valuable information.
Mine trigger thumb was healed by prayer 🙌
For me, God made sure the doctor and the cortisone were there for me. All things through God, including doctors and medication.
Please pray for my thumb!
my physio thought i had a ganglion cyst and xray didn't show any arthritis. He did wax of my hand, ultrasound, stretches and I wore a thumb brace but it didn't help. but he referred me to surgeon who said it was trigger thumb. it was a painful bump but it wouldn't catch at all. I play guitar a lot with chording - it's not a thumb movement but more a long term gripping motion.
Very informative thank you and God bless you 🌹
I had this in my RH middle finger when i was in school and thought it was strange but it disappeared over time and this week i started working a physically demanding job in groundworks. My hands were stiff but then i realized that my finger problem was back but would lock pretty hard. Especially in the mornings, it's so stiff.
I had surgury on my should twice in the last 2 years but if it was associated with arthritis i would have imagined it would have come on sooner. So hopefully this passes
Great explanation doctor very clear
Excellent video and demonstration always ..thank you great prof
Wow what a good prof 👏👏👏 thank you you are an amazing explanatory
My trigger fingers and thumbs healed with rest from typing and localised self massage and no drugs or surgery.
How long will trigger thumb last. Does it require full rest? No typing?
@@user-mu6zn6zm1hI still had to do some typing, but did extra stretches and exercises afterwards.
It took my hands about a year to fully recover; so it can be a slow process but they are fully healed now.
Very helpful ! Thanks so much
This video is absolutely amazing! Fantastic explanations and diagrams. Unfortunately I have developed this in my middle finger and this helped me to get a much better understanding of the condition and it's treatments. Thank you!
Very helpful
I'm scared to have it done because it hurts and I am scared of needles
@@michaelcoady828 Just think, it's a few seconds of pain for years of relief. I've had mine done since the above comment and It solved the trigger issue. I also had the carpal operation at the same time and it got rid of incessant pins and needles which I used to get in my hand all the time. The operation itself only took 10 minutes.
same, in the middle finger
@@aanis9601 I've had my other hand done since my last comment. It takes about eight months for full recovery but the results have been amazing. No discomfort whatsoever now, first hand now feels completely back to normal. I'll give the other eight months and I'll update but I'm sure will be the same. Totally worth having it done 👍👍
Fantastic video, thanks for this
Ty Doc,the video is very precise and interesting
Thanks Doc very well explained
Thanks doctor a tons, I developed this some days ago and I was looking answar for this condition, then I saw your video it helped me a lot, I have trigger finger condition on my left hand little finger
I had the surgery and it is common in people with diabetes. It was a quick recovery and an easy surgery. I was awake and they did a blocking shot in my armpit and I didn't feel a think. My thumb and index fingers were both unusable. Now I have full use again and in the six years since.
Feel free to message me if I can answer any questions. Take care and best wishes
You give us a good information... I have a trigger finger for five years but my finger still crooked back and doesn't return as normal..I used physical treatement but there is no any improvement.
EXCELLANT teach😅ng and video. How many trigger releases can be done at the same time?
Very clear and informative. Thanks
It was very helpful. Thank you!
Thank you for this. I’ve had this for over 20 years and never knew what it was.
So helpful,thanks so much for the knowledge👌😍
Absolutely amazing I have trigger finger in both index fingers and both thumbs I've had injections in all but 1 it has helped a lot
Thanks for sharing your impormision doc
Assalaamalaikum Sir. Can you demonstrate the cure for bent fi gers N bunion on hand thumb, homemade treatment. Excellent video shown.
Thank you very much I was had this Trigger finger in my ring finger for time’s now it was getting stuck in morning thanks this will help me to understand better .
This is really useful info. I've got trigger finger in two fingers on my right hand. I'm having carpal tunnel release surgery next week on the same hand and I'm duabetic!! Whats the outlook like???
I wish everyone who reads the comments health and happiness to you and your children. Good luck !!!
I worked on an assembly line for many years putting fruit cup in snack boxes used both hands ; it wasn't until after retired my fingers on both hands would lock up and I would just reset them. They didn't hurt just weird they did that. Started crocheting and playing key board and piano and it stopped happening. I have noticed drinking sodas makes my body hurt more so slacking on that . Yes ty for video.
Always, great videos.
thanks a lot Doctor for this excellent video...now i know the condition of my 2 fingers.
Thank you sir.
Very helpful information. Thank you very much.
Thanks doc! God bless!
brilliant information
Thank you very much for this easy to follow overview. I have begun to have problems with my right thumb and this helped me to understand my condition.
Na polski
Si it possible to do something to avoid surgery?
These videos are golden! 🔥Thank you!
I had both at same time. It was extremely painful. First went through a series of steroid injections and finally surgery. What a relief and pain from the surgery wasn't as bad as I thought would be. Didn't have carpal tunnel or diabetes, but I do have Rheumatoid Arthritis which continually causes inflation of the tendons in my hand.
I never even knew this is what it was in my two fingers. And then to know that there's a surgery that could fix this? Or injections? God I just wish this pain would stop but I'm a house cleaner so I don't even know how I would take time off for a surgery let alone recovery. But at this time my hands are in so much pain that I have no choice but to take the time off. It's like I'm stuck because I have to make money to pay my bills. I went on TH-cam to look up how to open up your fingers in the morning cuz I try and I put pressure underneath my fingers where it hurts so I can open them and it takes forever to do and it's so painful to unpop them. Thanks for your comment, I found it helpful. I hope you're doing good still
@@wendyk6875 injection of steroids by trained doctors is possible, it will help to reduce the inflammation at the affected area. Usually some light physio therapy , topical cream and a finger guard to use may also be necessary. The finger guard has a special fit to help keep the finger straight ( extended). But being able to let the affected finger rest will help. This is my personal experience, surgery was not an option because of other underlying conditions. Hope you are well by now.
@@liztan8814 no unfortunately it's only been a few days and my hand doesn't open. I got to go to work and usually takes a few hours to even ease my hand open but thank you for the advice I appreciate it very much
@@wendyk6875 wendy. I will pray for your recovery.
Are you sure you are a doctor? This was actually helpful.
Thank you it's help me so much.
An excellent information for the trigger fingers patients.
Thank you for a great n informative video
THANK YOU DOCTER
Thank you very much for the explanation.
I am on trigger finger #4. These are my experiences. The injection lasts about 6-8 weeks then I was right back where I started. Surgery works well but can reduce range of motion slightly when closing hand into a fist. I did the shot on all of them first. But on #4 I got the shot and scheduled the surgery at the same time. There is a long wait to get surgery scheduled. I don't even notice any adverse side effects after the surgery. The noise it makes when they make the cut is creepy.
yes Dr is right my trigger finger at 65 starting after 30 years working with player in my hand and squise. thanks
I hurt my ring finger and have a trigger finger now. It been 6 months but hopefully it’s starting to be less tight. Having Physio has helped.
Thank you, very informative!!!! Does a plant based diet help, how about eliminating all sugar? Thankyou.
I’ve got a locked ring finger and I have surgery next week, and cortisone in my right hand, then in about three months they’ll do surgery on that hand too. My hands have been painful for a very long time, I also have Rheumatoid Arthritis. Now I see what they will be doing for me. The shots I’d been having no longer worked and my ring finger has locked up, had to go to a Jewelry store to have my wedding ring cut off. Looking forward to feeling better soon
Nice presentation. Thanks sir
Thenk you for this ,am in that,
Tell me the treatment plz
I had the surgery done on my ring finger and my long fingers in Dec 2022. My hand did not heal properly and my fingers became very gnarled. I could not use them at all. Thankfully, this was my non dominant hand. Later, the doctor said that severe arthritis had caused the joints to become dislocated and I had to have all of the upper knuckle joints replaced. The hand still did not heal properly and my fingers are in very bad shape. He is now recommending that I have joint fusion done to straighten my fingers. Would this be the only option. I don’t like having a useless twisted hand. I would love to send you a picture of my hand. It is unreal that my two trigger fingers caused me to have a deformed hand. I am so disappointed. Why would arthritis cause such a bad outcome to my hand surgery? It has been almost a year. The joint replacement was done in April of 2023.
Excellent explanation. But are there not home remedies like soaking in hot water with Epson salts or finger stretching?
Thank you so much doctors it’s helpful 👍
hello sir will the A1 pulley grow back after surgery or is it cut off forever ?
Thank you that was helpul information.
Thank you so much Doctor, it is very helpful 🙏
Thanks for the valuable information.
This let's me know what's wrong with my middle finger on my left hand . As we get older our bodies start to go kaput , but that is life and we must deal with it . Thanks for posting this info , it helps ease a lot of questions .
I also have a left middle trigger finger problem. I just went today to set up a day for surgery. I do not want a shot. Because I had surgery on my right hand same problem it was a piece of cake. Never felt pain during or after.
I Don't want any foreign unnatural injections in my body. I had a shot in my index knuckle it hurt for hours and hours. I couldn't hear that again. The surgery did not hurt so that's my solution. Just fix the problem and I can move on ....
I hope your issues are resolved soon and relief you of your discomfort.
@@20greeneyes20 Thanks for the input , I just finished up with my last follow-up appointment for my eyes . Got some other things to get out of the way , then I will make an appointment with my doctor about my finger . My sister said it might be from holding my phone so much , Iam not so sure about that . Our grandmother on our Dad's side had rheumatoid arthritis in both hands , I thought maybe that was what was wrong , but after watching that clip . It isn't any fun getting old , I dread it every day 😫 . You have a great day , and thanks again 😊 .
Very useful information, thanks
Thank you for this video, I believe I have trigger thumb and I'm type 1 diabetic... I also have a condition that causes easy dislocations and the thumb is struggling with that.
Extraordinary.
Great video ‼️ Since I'm not into western medicine and drugs.. I have been using Castor oil. So far, the pain went a couple of days. The stiffness is lasting shorter and shorter in the morning. Read up on Castor oil..
thank you dr for sharing God bless you more
Tq sir
It was very helpful
Have Sarcoidosis, and Diabetes. Left thump started to act weird during sleep and now it straightens with a snap. Thanks for letting me know what it is.
Dr. can someone with cervical myelopathy at C5, C6 and C7 caused by OPLL, with a history of hyper reflexes and hypertonus muscles suffer Trigger fingers and thumb, not caused by carpal tunnel syndrome?
I did a Gua Sha treatment on my trigger finger hand and Voilá! No more trigger finger!!
What kind of treatment is that?
ممتاز يا دكتور واتمنى ان تكون هناك ترجمه بالعربي والتركي
Thank u for ur expertise.