Why Your Reaction to Trigger Finger Matters

When you are involved in activities that require you to use your hands, you naturally expect the fingers to fold and straighten. What would you do if your finger has inflammation or if it doesn’t move from its bent position? At what point do you seek medical intervention? Unfortunately, because trigger finger initially resolves itself, many people assume this is how it will always be. However, the condition may become worse over time, and surgery may be your only option.

This article written by Dr. Darryl Chew in asiaone.com gives insight on some of the dangers of taking too long before seeing a doctor when you have trigger finger.

Importance of Seeking Medical Attention Early

Three years ago, Mr Lim Ho Soon’s third finger on his right hand began to hurt and swell a little. It would also get stuck in a bent position and required a lot of effort to straighten. Finally, he saw a hand surgeon, who recommended surgery which fixed his condition.

But the experience did not help him recognise the issue when similar symptoms started appearing in his left hand about a year ago. The swelling, stiffness and pain that afflicted the second and fourth fingers on his left hand started out mildly. The swelling would ease after he rubbed and massaged the areas. Read more here

Since trigger finger starts affecting people in their 40s and 50s, many people assume these are age-related aches and pains. Some people with trigger finger believe it is a temporary setback, and because the finger snaps right back at the beginning, they don’t mind the inconvenience. Unfortunately, if left for too long, the only solution will be surgery. Sometimes, even after surgery, the finger may remain bent after the trigger problem is corrected.

In the following article on medlineplus.com, the author analyzes trigger finger and the steps you should take once you discover it.

Monitoring Trigger Finger after Surgery

Trigger finger occurs when a finger or thumb gets stuck in a bent position, as if you were squeezing a trigger. Once it gets unstuck, the finger pops straight out, like a trigger being released. In severe cases, the finger cannot be straightened. Surgery is needed to correct it.

Tendons connect muscles to bones. When you tighten a muscle, it pulls on the tendon, and this causes the bone to move. The tendons that move your finger slide through a tendon sheath (tunnel) as you bend your finger. Read more here

If none of the treatments, including applying heat and ice, stretching the finger, and resting your fingers, work, you may need surgery. After the procedure, you need to look out for any signs of infections. If you notice any swelling, discomfort, fever, or redness, it is best to see your doctor for advice: https://sgbonedoctor.com/hand-wrist/trigger-finger/

In this article on wikipedia.org, the cause, diagnosis, and treatment of trigger finger are discussed in detail.

Conditions that May Lead to Trigger Finger

Trigger finger, also known as stenosing tenosynovitis, is a disorder characterized by catching or locking of the involved finger. Pain may occur in the palm of the hand or knuckles. The name is due to the popping sound made by the affected finger when moved. Most commonly the ring finger or thumb is affected.

Risk factors include repeated injury, diabetes, kidney disease, thyroid disease, and inflammatory disease. The underlying mechanism involves the tendon sheath being too narrow for the flexor tendon. This typically occurs at the level of the A1 pulley. Read more here

Conclusion

It is best to keep track of your health. This makes it easier for you to notice when you have trigger finger. However, it is critical to note that you can get trigger finger even when you don’t have diabetes, thyroid or inflammatory disease. If you are frequently involved in activities that strain the fingers, you are probably going to get trigger finger. Keeping track of the movement of your fingers will help you notice the changes your fingers go through.

Possible Complications after Trigger Finger Treatment Surgery

Like other invasive treatments, surgical surgery of trigger finger carries some risk. You need to ask your doctor about some of the risks. There are at least three surgical options for trigger finger. It is important to find out which one carries the least risk and if it will work for you. Knowing some of the complications will help be better prepared should anything go wrong during surgery. Some of the risks include the finger remaining bent, temporary swelling, and stiffness of the affected finger. Read more about Providence’s trigger finger treatment options here.

In the following article by Fraser J. Leversedge and Rachel Rhode on orthoinfo.aaos.org, trigger finger is analyzed, including how it occurs, why and the possible remedies.

Examinations Carried out by Doctors before Giving a Diagnosis of Trigger Finger

Trigger finger is a condition that causes pain, stiffness, and a sensation of locking or catching when you bend and straighten your finger. The condition is also known as “stenosing tenosynovitis.” The ring finger and thumb are most often affected by trigger finger, but it can occur in the other fingers, as well. When the thumb is involved, the condition is called “trigger thumb.”

The flexor tendons are long cord-like structures that attach the muscles of the forearm to the bones of the fingers. When the muscles contract, the flexor tendons allow the fingers to bend. Read more here

Even though it may seem obvious that you have trigger finger, your doctor will need to confirm it. He will analyze the signs and symptoms while examining your hand. This is done to ensure the doctor understands the gravity of your condition so that he can recommend the appropriate treatment.  Most doctors do not automatically go for x-rays unless it is necessary. Some of the signs the doctor will look for include swelling of the tendon sheath, locking when you bend and straighten your finger, and tenderness on your finger.

In the next article on webmd.com, the author discusses everything about trigger finger, from the moment you discover it, to recovery after surgery.

The Different Stages of Trigger Finger

Trigger finger is a painful condition that makes your fingers or thumb catch or lock when you bend them. It can affect any finger, or more than one. You might hear it called stenosing tenosynovitis. When it affects your thumb, it’s called trigger thumb.

Most of the time, it comes from a repeated movement or forceful use of your finger or thumb. It can also happen when tendons — tough bands of tissue that connect muscles and bones in your finger or thumb — get inflamed. Together, they and the muscles in your hands and arms bend and straighten your fingers and thumbs. Read more here

The symptoms of trigger finger start mild and progress to become severe. This is why many patients first ignore trigger finger when they first notice it. Failure to deal with it at the on-set in the hope that it will go away only makes the situation worse. Some of the first signs include pain when you bend or straighten your finger and a popping sound when moving the finger. When left unattended, the symptoms will become more pronounced.

In the following article on physio-pedia.com, the author gives a clinical presentation of what happens when you experience trigger finger. 

Importance of Confirming if You Have Trigger Finger

Each digit of the hand has the ability to move freely throughout a full ROM into flexion and extension. The efficiency, fluidity, and forcefulness of such movement is made possible by several “pulleys” along each digit of the hand. These pulley systems are comprised of a series of retinacular-type structures that are either annular or cruciform in nature.[1] There are five annular pulleys (A1-A5) and three cruciform pulleys (C1-C3).

Trigger finger is thought to be caused by inflammation and subsequent narrowing of the A1 pulley of the affected digit, typically the third or fourth. A difference in size between the flexor tendon sheath and the flexor tendons may lead to abnormalities of the gliding mechanism by causing actual abrasion between the two surfaces… Read more here

Conclusion

It is easy to assume that you have trigger finger when your finger locks when you fold it. However, there are several ailments associated with the finger behaving this way as well. You might start treating trigger finger, yet there may be an underlying condition. Some of the illnesses which have finger popping as a symptom include focal dystonia and flexor tendon or sheath tumor.

Identifying Trigger Finger, its Causes and Treatments

Do you sometimes experience stiffness in one or more fingers, especially in the morning? If yes, then you will likely benefit by treating for trigger finger. You may also discover a popping sensation when moving your fingers, or your finger may catch in a bent position. When your finger locks, it may suddenly straighten with a pop, or you may fail to straighten it. Most people experience trigger finger or its symptoms in the morning.  

In this article written by Singapore General Hospital in singhealth.com.sg, the symptoms and signs of trigger finger are discussed in detail. The writer also discusses steps to take once you discover you have trigger finger.

Prevalence and Solutions of Trigger Finger

One of the very common conditions encountered by clinicians in their outpatient setting is trigger finger. As prevalent as 2% in the general population, the prevalence approaches 20% in diabetic patients.

Recognised as a pathological condition of the flexor tendons, it was first described by the French physician Notta in 1850.2 Saldana later refined this in 2001 as a pathologic disproportion between the volume of the flexor tendon sheath and its contents. Read more here

Although the cause of trigger finger is not truly known, people with diabetes are reported to suffer from trigger finger. It is also prevalent between people aged 40 to 60. Trigger finger occurs in various stages. While some patients can straighten their finger with a little difficulty, some struggle a lot more with trigger finger.

Treatment depends on the severity of the trigger finger. For example, if the finger catches and straightens quickly, occupational therapy and splinting are the preferred treatments to take. If the finger locks and you struggle to straighten it, you may need medical intervention.  

In the following article by Steven D. Waldman, the clinical aspects of trigger finger are further discussed, including conditions that may lead to trigger finger.

Activities that May Lead to Trigger Finger

Trigger finger is caused by inflammation and swelling of the tendon of the flexor digitorum superficialis resulting from compression by the head of the metacarpal bone. Sesamoid bones in this region may also compress and cause trauma to the tendon.

Trauma is usually the result of repetitive motion or pressure on the tendon as it passes over these bony prominences. If the inflammation and swelling become chronic, the tendon sheath may thicken, resulting in constriction. Read more here

Although some reports show that a significant number of people with other ailments, such as diabetes, are more likely to get trigger finger, some of the physical activities you are involved in may contribute to the trauma of the tendon. Some people with trigger finger, especially when it affects the thumb, is caused by repetitive behavior such as texting, playing video games, or card playing.

In this next article, William C. Sheil Jr. discusses possible home remedies and the risk factors of trigger finger.

Home Remedies and Risk Factors of Trigger Finger

Trigger finger is a “snapping” or “locking” condition of any of the digits of the hand when opening or closing. Stenosing tenosynovitis is the medical term for trigger finger.

Local swelling from inflammation or scarring of the tendon sheath (tenosynovium) around the flexor tendons causes trigger finger. These tendons normally pull the affected digit inward toward the palm (flexion). When they are inflamed, they tend to catch where they normally slide through the tendon sheath. Read more here

Trigger finger is usually unexpected. However, some high strength activities, when done repetitively, could lead to trigger finger. Gardening, clipping, and pruning are some of the activities that may lead to trigger finger. This, however, does not mean everyone who undertakes these activities will have trigger finger. They are simply at a higher risk of getting it. Trigger finger is also associated with underlying conditions, such as rheumatoid arthritis which occurs in the older ages.

Conclusion

Some of the home remedies include massaging the finer before using cold packs, resting, and using over the counter pain and anti-inflammatory drugs. Understanding some of the symptoms and solutions of trigger finger will help you monitor and quickly identify trigger finger.

Occupational Hygiene – Moving Towards a Safer Workplace

In the contemporary world where labour rights are held in extreme reverence, a term that is increasingly being heard in the professional world is Occupational Hygiene. This practice is a component of the bigger discipline of occupational health and safety. It practically involves the deterrence and control of workplace hazards and the consequent mishaps. To put it in a nutshell, occupational hygiene deals with the overall well-being of the employees and the workers.

The reasons for workplace hazards

The reasons for workplace hazards could be broadly classified into physical, chemical, biological, physiological, psychological, ergonomic and social. In fact, there are occupational hygiene professionals who deal with the factors leading to the hazards and try to eliminate those factors. These professionals employ methodical and scientific processes to determine the potential risk factors in order to neutralize those. Although psychological factors are increasingly being considered today in the field of occupational hygiene, the biggest risk factors involve physical objects. For example, a worker employed in a chemicals-manufacturing facility has high exposure to harmful chemicals. Here it is important to reduce this exposure in a rather non-disruptive way such that future accidents could be avoided.

A lot of organizations today are analyzing their workplace in order to determine the workers’ hygiene factors. If any parameter is found to be on the negative side, precautions are undertaken and changes made depending on the necessities.

The role of education and awareness in preventing workplace injuries

Awareness and education are also important to ensure the hygiene of the employees. Sometimes, it might be possible to avoid a disaster if the employee is aware of the obvious consequences. An employee needs to be wholly aware of his working environment so that better hygienic practices could be ensured. Different hygiene credentials are being adopted by various countries across the world. Thus, there is an emphasis on the employers implementing the strict hygiene parameters set by the respective countries.

Some examples of occupational hygiene include:

1. The careful analysis of strictly physical and chemical hazards encompassing dust, chemicals, toxins, noise and radiation.

2. Giving consultancy services to corporate entities.

3. Deciphering the right practice in order to reduce occupational hazards.

4. Finding out ways to mitigate a disaster as and when it happens.

Today, international benchmarks have been developed to determine the hygiene levels adopted by the various employers. Thus the process has been largely streamlined to suit the interests of the employees on a larger scale.

For other safety measures, check these out:

Benefits of Environment Management System

Environmental management systems are very important to an organization for various reasons. The EMS helps in the organization to comply with the legal requirements and also to improve the efficiency and quality of the organization’s product or service. We shall look at these benefits an organization enjoys after implementing an EMS.

Cost effective

A successful EMS can evaluate all the opportunities to save costs. EMS helps determine the environmental aspects and its significance, it also helps in complying those aspects to the legal requirements and hence avoids any fines, government intervention or bans on business. This greatly helps in cutting down costs, another important way it save costs is by implementing energy efficient plans and processes along with better waste management.

Customer requirements

The customers in recent years have become more adhered to protecting and caring for the environment that an EMS is an important aspect for them to choose the brand and products. By adopting EMS and complying with the legal requirements, you sent out a message that your organization cares for the environment. This is appreciated by the customers and helps in boosting sales. Reputation of the organization is very important when it comes to customers, as they wouldn’t choose an organization with a tarnished reputation which could be a result of not complying with the legal requirements of an EMS.

Legislation

This is one of the biggest benefits of an EMS system. The penalty and punishments for non adherence to the legal requirements of environmental aspects are becoming very severe. Getting caught up in unwanted law suits can tarnish the reputation of an organization as well as destroy it. An EMS system checks these requirements time to time and updates its processes to meet the legally set standards.

Investment

An eco friendly organization attracts more investors than a non eco friendly organization. These have more potential for sustainable development and better reputation in the market and among its customers. The main aim of an organization is always to grow and expand, which requires investments. Implementing an EMS helps the company to move along the path eco friendliness which helps in improving the portfolio of the organization for investors.

Insurance

Poor environmental performance leads to higher risks and more chances of failure of a company. This risk is assessed by the insurance company which plays a key part in the decision of the insurance premium. A greener portfolio gives organizations better leverage in negotiating a lower premium for their insurance.