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Treatment for Trigger Finger

As contrary to popular belief, the fingers are one of the most unique type of biological body structure because unlike other structures, the hands are the most developed, being able to perform any type of motor movement. What’s rather more bizarre is the unknown fact that fingers do not actually contain muscles. They are the only boned moving body structure that does not contain muscles, other than being unique, this fact makes our fingers also fragile. Because of the reason that fingers do not have muscles, their motor movement solely relies on the muscles that can be found in the hands and two long muscles that stretch to the forehand. The concept of motion within our hands is as simple as a puppet show. The bones in the fingers are connected to the muscles of the hands and wrist through string-like structures that are mainly responsible for the motion of the fingers. This is called tendons. Tendons are thin string like structures that are the ones that pull and give the fingers its motor motions, allowing the fingers to flex, stretch and move. They are the strings of a puppet, but like any puppet show, anything that happens with the strings, the puppets will no longer move. The same in fingers when the tendons are damaged, the finger’s capabilities is be either minimized or eliminated.

Treatment for Trigger Finger

A type of inflammation of the tendons in the hands is called trigger finger. Basically, trigger finger is named after the motion done when using a gun. In trigger finger, any finger affected may be locked in a bent position and after some time or struggle will directly pop back in a straight position. This condition affects the tendons in the fingers, what basically happens is that, tendons are thin strands of muscle like properties, the tendons are covered with a sheath like structure and in this sheath like structure is also lined again with another structure called the tenosynovium. This is the one responsible for producing a lubricant which allows tendons and the surrounding sheath to slide smoothly. In the case of trigger finger, the tenosynovium is enflamed causing the lack of production of lubricant, resulting in the inability of the tendons to simply slide through the sheath.

There are a number of reasons that causes trigger finger, namely strenuous activities using the hands may cause the tendons to be damaged or severely over used. Manual labor, baseball and many other forms that may cause regular trauma in the hands are considered some of the reasons. Also aging is a proven cause, as the human body ages, the muscles start to degrade, same as in the tendons, the tenosynovium produces less and less lubricant as an individual gets older. It is even said to occur mostly between the ages of 40 to 60 years and are most frequent in women compared to men. Diabetes, gout and arthritis are also seen as developmental causes of trigger finger. When an individual starts to feel the symptoms like a clicking or snapping sensation when the finger is bent, or pain and numbness on the joints of the fingers, it is likely necessary to seek treatment for trigger finger before the condition gets any worse.

There are a number of treatments used to control or cure trigger finger. Abstinence is a seen way to slowly recover from the injury, stopping all activities that may cause trauma to the hands, like strong gripping. This will help the inflammation to gradually heal and let the tendons recover. Some people who are not required to take surgery take non-steroidal anti-inflammatory drugs. Splinting is a method which is acclaimed to be effective for over 70 percent who have undergone the treatment. This will require the use of splint or a finger orthosis which is a type of brace that will be placed on the finger. This will prevent the finger to perform any type of motion, reducing the inflammation. The amount of time that an individual may be required to wear an orthosis depends on the doctor’s prescription which is also based on the severity of the condition. In even severe conditions, the need of corticosteroid injections may be necessary. This is an anti-inflammatory drug that will be injected to the tendons. Side effects may include slight elevation in the glucose levels of an individual. This might not be that severe but may be damaging to some diabetic patients, slight discoloration of the skin and twitching of the fingers.

The famous type of treatment known are the surgeries, there are basically two types. All of which concentrate in the idea of removing the thickened ligament or separating the sheath and tendon. The open surgery is considered as the most effective, though it is more prone to complications. Anesthetics is applied and an incision is made to remove a thickened ligament that limits the movement of the fingers, also in other terms, the removing the sheath that is constricting the tendon. The end result usually of an open surgery is a large scar. The percutaneous release surgery may not lead to a large scar and is less likely to have any complications, the process includes the use of a needle which will be used to pierce through the skin and separate the ligament through a micro incision. This process though is very dangerous. It may damage neighboring nerves close to the tendon.

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9 Common Finger Joint Disorders

Joints are bestowed a tough function in the person’s optimum movement. They should support the weight as well as provide bones the ability to make smooth and painless movements. These functions make them one of the most worked-out parts of the body. Aside from the joints normal wearing and tearing, the joints are often times injured because of infection, overuse, misplaced immune system attach and degeneration. Among the most common joint disorders are:

Dislocation

This is one of the most common finger joint disorders. It is the luxation or dislocation of a finger joint characterized by a displaced articulating bone which most often is a result of bad landing from a fall. Aside from the finger joint, the joints of the jaw, fingers, elbows, knees and shoulders are typical sites for this kind of injury. This bone displacement produces a joint deformity, swelling, localized pain and inability to move affected bones.

Bursitis

Excessive joint use of bursa stress can cause bursitis – this is the inflammation of the bursa. The bursa, which is located in between the calcaneus or the heel bone and the popular Achilles tendon, might become inflamed when put to sudden strenuous physical activities. Aside from this, a kind of bursitis referred to as the “tennis elbow” actually affects the body’s bursa in between the skin and the olecranon process. Rest is the most efficient treatment of choice for bursitis; however, seeking for the advice of a doctor is beneficial.

Sprains

This joint disorder results from tearing or overstretching of the connective tissues, tendons and ligaments. However, this does not misplace articular bones. Forceful twisting or wrenching the ankles and/or ankles results to sprains of the ankles or wrist. For instance, excessively inverting your ankle could result to a sprain because the ligaments located on the lateral surface are being stretched. Serious injuries might pull all of these tissues from where they are loosely attached.

A joint that is sprained is swollen and painful, almost all of the time restricting movements. The first aid for sprain is taking a rest, while the more serious cases need medical attention. Nevertheless, joint immobilization for some specific time-frame could cause ligament weakness and bone resorption. Also, exercises could help in strengthening the joints.

Arthritis

This is disease condition which causes painful, swollen and inflamed joints. There are several kinds of arthritis and have affected more than 50 million citizens of US. Also, arthritis could be a member of some syndromes. The most usual forms of arthritis are:

Lyme Arthritis

Often called the Lyme disease, this is an infection caused by bacteria. The infection is passed through a tick bite which will then cause an intermittent arthritis of the body’s joints. Intermittent arthritis usually happens after the first few symptoms occur like pain, flu-like syndrome, fatigue and rashes.

This disease was first discovered in the town of Lyme, Connecticut where a woman wrote a journal about her younger neighbors’ juvenile and rare rheumatoid arthritis. This woman’s observations became the basis of Allen Steere’s research about this tick-borne infection. When antibiotic treatment is started during the appearance of the first few symptoms, other kinds of arthritis will be prevented.

There are also other kinds of bacteria which causes arthritis. These include the common Streptococcus and Staphylococcus species, Mycobacterium, and Neisseria gonorrhea. Furthermore, arthritis, a few times, is associated with acquired immune deficiency syndrome due to the fact that while the immune system of the affected person breaks down, the risk of developing the infection will increase.

Osteoarthritis

This is a degenerative disorder and is recorded as the most common kind of arthritis. This most often comes with age. However, an arthritis that is inherited may occur earlier in life. The most common initial form of symptom is an unusual joint pain. Slowly, the affected joint will deform. For instance, fingers affected with arthritis appear gnarled or the knees are bulged.

With osteoarthritis, the articular cartilage gradually disintegrates and softens, slowly roughening the surfaces of the affected parts. Joints then are unable to make full range of motion and eventually become very painful. For instance, fingers affected with arthritis might lock in place while playing an instrument or tying his shoelaces. Most often, osteoarthritis affect joints which are utilized the most like those that are found on the knees, hips, fingers and vertebral column.

Luckily, NSAIDs have the power to control the symptoms of osteoarthritis. Exercise could make joints become more flexible. If the daily exercise routine is successful, wearing gloves and tying shoelaces will become easier.

Rheumatoid Arthritis

This is an autoimmune disorder where the person’s immune system attacks healthy tissues. This kind of arthritis is the most debilitating and painful. The body’s synovial membrane located in joints thickens and becomes inflamed, forming a tissue mass referred to as the pannus. The articular cartilages then become damaged giving the fibrous tissue the chance to infiltrate it, hence, interfering with the movements of the joints. Eventually, the joints will ossify and the articulated bones fuse together. Surgery is the treatment of choice for RA especially when the joints are damaged severely.

Gout

This actually is a metabolism error acquired even before birth. This is an inherited illness where the missing or defective enzyme causes the certain bodily chemicals to build up. With gout, the crystals of the uric acid accumulate in the joints, most often in the metatarsophalangeal joint. In the past, gout was thought to have been caused by consuming rich foods. In a certain condition referred to as the pseudogout, a different kind of uric acid crystal accumulates most often in the wrist or knee joint.

9 Common Finger Joint Disorders

Dupytren’s Contracture

This condition attacks the palmar fascia – the tissue that is lying beneath the palm. This is a thickened tissue which lies just above the tendons and under the skin in the hand region. Palmar fascia is actually attached to both the structure below and the skin above. This condition causes tightening or contractures of the hand tissues. Due to the contractures, the person’s fingers could be permanently bent; thus, making the hand’s movements impaired.

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What Causes Trigger Finger

If you ever held a gun before, you know how it feels when you place your finger in the trigger. The formation of the finger when it is in such of a position and after shooting the gun, when the finger snaps back to its original place, is where the term trigger finger has been derived. Basically, the disease trigger finger is normally like that. The finger is caught in a lock when the finger is in a bent position but is then released just like shooting a gun. Trigger finger may happen in any of the five fingers. It does not affect mainly the bones or joints but in severe cases or if left untreated, this may result to inflicting damage to the joints of the affected part. What causes trigger finger is basically as common as it may seem, everybody knows that our body is composed of muscles, bones and tendons. Tendons are the biological structure in our body and are mainly responsible for connecting the muscle to the bone structure. In the hand for example, the tendon along the finger connects the muscle tissue, the bones, and the joints. Other than connecting these two structures, the tendon is also covered with a sheath and the sheath is lined with tenosynovium. This structure is capable of producing and releasing a type of lubricant that allows the finger to simply bend back and forth, now in the case of a trigger finger. The tenosynovium is swollen or inflamed, thus disabling its ability to produce and release the lubricant making the sheath that surrounds the tendon to be constricting. As a result, the action of bending the finger can no longer simply glide back and forth and is sometimes locked in its bent position known as then the trigger finger. If left untreated, the lack of lubricant may then cause damage on the joints and will later lead to pain.

What Causes Trigger Finger

Causes for these to happen may vary depending on the age or activity the individual have undergone. It is sometimes related to rheumatic arthritis which is commonly present in the older years. It is found that trigger finger might be developed as a person ages. Also, the degradation of the tendons is related to medical conditions like diabetes. Other than that, traumatic damage applied on the hand may cause damage to tendons leading them to be injured. Trauma like what we get from hard manual labor, sports like boxing and even accidents leading to application of strong pressure to the knuckles may lead to cause the tendon to be swollen.

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