Trigger thumb

Posted by ellerbracke @ellerbracke, Sep 16 6:17pm

It may seem fairly unimportant, considering the major joint issues here, but I got punished for extreme (weather/timing) related repetitive motion – weed pulling, pruning – by suddenly having a trigger thumb. It is very irritating, mildly painful, and definitely limiting in what I allow myself to do. It is hard to impossible to resist using the thumb as usual – 73+ years of no problems can’t overcome innate moves. PT person I saw for back issues told me to lay off, and maybe it will resolve itself in a week or 2. Stiffness, clicking, and pain easing up some after 5 days, but not much. Any quick-fix suggestions so I can get back to normal hand use? I usually do not take anti-inflammatories as a matter of course. Or pretty much any OTC meds, period, so I have not tried that route. May try Voltaren topical treatment…. .

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Trigger thumb needs surgery usually. I’ve had trigger fingers and it’s not fun I understand that. The tendons and ligaments get caught and it will not resolve itself as far as I know. The surgery is not a big deal. I had two trigger fingers on my left hand it was the ring finger in the middle finger. They would get caught and I have to literally pull them up. My son was born with a trigger thumb and when he was 18 months old he had to have the surgery. Again, it’s not a big deal it be better for you to have the surgery and to put up with that. Best of luck with that. My hand is so much better now.

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I’ve had two steroid shots, a few months apart, for a trigger finger (“tall man” on left hand”). They help for about six weeks, then the trigger returns. It takes me two months to get another appointment with the orthopedic specialist I am seeing. When he gave me the second shot he mentioned surgery if it returns, and it is now returning. What is the downside to multiple steroid shots? And what is the recovery time after the surgery, and what limitations may I face while recuperating? I live alone and may need to plan ahead. Is one trigger finger often followed by another? I’m afraid that my left-hand ring finger may be developing the same problem. “When troubles come, they come not in pairs but in legions.”

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@ellerbracke

Have you had an x-ray to make sure you do not have bone on bone arthritis too? I had combo of them. Mine got overworked taking care of my mom. I slowed a few of her falls and a couple of times she caught my thumb. The pain was horrible. Trigger thumb might calm with an injection. I have two trigger fingers on my left hand. I don't cook much anymore and they only bother me if I do repetitive stuff or grasp onto something too tightly… stair railing, steering wheel.. I try to not grasp the steering wheel. Years ago my right ring finger would catch and I had it fixed. The right thumb was in 2020. Before having the right ring finger fixed I grabbed hold of a cast iron frying pan with a potholder, thankfully, with both hands and my trigger fingers would not open. I managed to slide the frying pan off because of the pot holder and used the edge of the counter to unclamp my fingers. I was by myself .. I can get myself in some predicaments.

If you haven't had an x-ray get one. Ice or heat can help with pain. A soak in epsom salts might help too. Cream or injection.. as the other suggestions might help. The surgery is not much .. does not take long. I needed no pain meds after the trigger finger surgery. The trigger finger surgery fingers were working fine afterward. Had to keep incision dry … recovery is short. I had a tightrope procedure for my bone on bone arthritis and that takes a long time to heal.

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@jnb

I’ve had two steroid shots, a few months apart, for a trigger finger (“tall man” on left hand”). They help for about six weeks, then the trigger returns. It takes me two months to get another appointment with the orthopedic specialist I am seeing. When he gave me the second shot he mentioned surgery if it returns, and it is now returning. What is the downside to multiple steroid shots? And what is the recovery time after the surgery, and what limitations may I face while recuperating? I live alone and may need to plan ahead. Is one trigger finger often followed by another? I’m afraid that my left-hand ring finger may be developing the same problem. “When troubles come, they come not in pairs but in legions.”

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Please know that the trigger finger is a result of the tendon and ligament getting caught with each other. I don’t know how anything other than surgery can fix it. It’s like tangled rubber bands.

The surgery is easy peasy. Recovery is minimal. I’ve had it done. You will feel so much better afterwards I promise.

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