Trigger THUMB surgery

Posted by kona6 @kona6, Oct 19 10:57pm

This past mid-June, I suddenly found myself afflicted with RIGHT hand trigger thumb--> the RIGHT hand thumb was just suddenly very painful to bend/flex in its outermost joint, the one that has the thumbnail. I'm an older guy late in his 70s. A week after it suddenly started, I went to the ER where a young MD didn't tell me what's wrong but had his male RN make a simple bent aluminum splint for the thumb, to keep it straight. He also told me to not bend/flex that outermost joint. Some 10 days after the ER visit, I did some simple online research/readings and figured I had trigger thumb. I soon recalled what I'd done just before the right hand trigger thumb began: I squeezed something with great force and did this same squeezing a few times. THAT was the cause, as I've read for this physical problem. [There are other reasons for a trigger finger/thumb to start but I spotted the reason for my trigger thumb in a short list of reasons at a top medical website.] Due to my stomach, I can't take NSAIDs nor even use the topical NSAID called Voltaren gel ( = diclofenac). I only have ice but didn't engage in regular use of ice. I saw a hand therapist to checked out my right hand thumb. He graded it as I recall a category 2 which means I can still very, very painfully flex/bend that outermost joint (but I see lots of stars when I accidentally or deliberately flex that outermost thumb joint). In 2 days I meet a hand surgeon (a DO, not an MD) to ask questions and then see this surgeon a week later (last Wednesday this month) for trigger thumb surgery.

A corticosteroid injection into the swollen thumb tendon was offered but I'd read that the tendon can be totally cut by the injection which means the problem has instantly turned into BIG TIME hand surgery to fix the tendon. Therefore, I rejected the offered injection of a corticosteroid.

Since I live alone, with no local friends, no family and no helpers near, I'm a bit worried on how to manage life with a bandaged right hand. [I'm RIGHT-handed.] Also, with my current RIGHT hand trigger thumb, I can't properly practice my hobby which is writing in cursive with one of my many fountain pens (which I collect). Presently, my right thumb is straight when trying to write but it should be flexed in the outermost joint when writing. With a straight, unflexed right thumb, my handwriting is weak and the thumb, being straight, can't properly control the section of the fountain pen. [The section's the part (next to nib and feed which is under the nib) where one holds a fountain pen when writing.]

If I weren't a fountain pen user, maybe I'd forgo surgery IF the surgeon would say my thumb won't worsen without surgery. But, of course, I want to easily and properly write cursively again with my pens.

How'd trigger thumb surgery go for any of you living alone or with someone? Was physical therapy required after healing from the surgery? Was your handwriting changed or altered from the surgery done on your writing hand thumb?

Is there anything else to be wary of, such as hand/finger nerves that can be damaged in surgery?

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I had surgery on both of my thumbs about 20 years ago. Right thumb first along with carpal tunnel fix and left thumb six weeks later. I had help at home but really managed well on my own. I remember that I needed to keep it elevated for a while, and wrapped, but things might have changed since then. Both surgeries were incredibly successful and I’m so grateful to have had them. I have not had trouble again. It did not change my penmanship once they were healed. I didn’t have PT. Good luck and healthy healing.

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Profile picture for valandsheri @valandsheri

I had surgery on both of my thumbs about 20 years ago. Right thumb first along with carpal tunnel fix and left thumb six weeks later. I had help at home but really managed well on my own. I remember that I needed to keep it elevated for a while, and wrapped, but things might have changed since then. Both surgeries were incredibly successful and I’m so grateful to have had them. I have not had trouble again. It did not change my penmanship once they were healed. I didn’t have PT. Good luck and healthy healing.

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@valandsheri Thanks valandsheri for your story and for your kind wishes for me.

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I can sympathize with your issue since I had both hands affected. I had the surgery in my left hand first since I am right handed. I wanted to make sure that the surgery was the best option. I did have the injections first but they lasted only a short time for me. Others that I know that had similiar issues, the injections worked. So I had them do the surgery on left hand. The pin in the side of my hand, even in the cast and doing no work with my left hand, kept falling off in the cast thereby pushing the base of the pin further into my hand. I had the cast removed twice in three weeks. I had severe pain the whole six weeks. They had me on pain pills and I tried to keep it to taking only once a day. I am sad to say that it will be coming up to 1 year since surgery and I still have some pain. The thumb trigger finger comes back but not as much or as painful. I now have scars on the side of my hand and down my forearm. I don't care about the scars, their just the badges of life. But my strength in that hand has decreased. What I did, was going on line and getting all the exercises that are listed and take whatever therapy you can get. My therapist gave me printout's of what they did over 8 weeks. With that plus the exercises that I got online has helped tremendously. I will not let them touch my right hand. I have done the exercises with both hands and it has helped a lot. Good luck.

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I have had three trigger finger release surgeries. My advice - take the steroid injection. Not having the joint inflamed will improve conditions for the surgery in my experience.

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On my left hand I have had surgery on my thumb, long finger and ring finger for trigger fingers. On my right hand I have had my thumb done, my ring finger is scheduled for Thursday. This has been my worst, it is stuck in the bent position 95% of the time, it is very painful when it unbends and when it bends again. I tried a cortisone injection once but the injection was very painful and didn't help much. I can't wait to get this one done even though I have a brace on my left wrist due to a break on June 20, 2025 that is not healing.

I was told that sometimes trigger fingers sometimes happen one after another. I haven't heard of anything to prevent them.

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