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Painful Thumb. Diagnosed For Rheumatoid Arthritis. Also Have Lumps On Wrist. Given Steroid Injections.
hi i have a phsyiotherapist from falls come to see me and she looked and felt my thumb as it very painful and bent when i straighten it its ouch but as soon as i try use it it goes bent again its the whole thumb and joint and got a problem i cant grip with it the therapist is almost sure that ive got rhuematoid arthritis ive also lumps on my wrist which she says is associatei also with rhuematoid arthritis i just wondered if you had any ideas on this my right also my fingers are starting to feel triggery ive had the finger next to my little finger was trigered my dr gave me 3 steroid injections before i got relief from it thanking you christine oh im 62 yrs old
Tue, 19 Nov 2013
Hi, thanks for writing to HCM.
The management of trigger finger is conservative initially which involves -
- The first step is to rest and splint the finger. The goal of splinting is to prevent the friction caused by flexor tendon movement through the affected pulley until the inflammation resolves. It has been shown in many studies that this form of treatment may offer relief in approximately 60% of the patients.
- Avoiding activities that require repetitive gripping, repeated grasping or the prolonged use of vibrating hand-held machinery for at least three to four weeks.
- Nonsteroidal anti-inflammatory drugs (NSAIDs): Medications such as ibuprofen or Naproxen may relieve the swelling constricting the tendon sheath and trapping the tendon. These medications can also relieve the pain associated with trigger finger.
- An injection of a steroid medication near or into the tendon sheath also can be used to reduce inflammation of the sheath. This treatment is most effective if given soon after signs and symptoms begin. Injections can be repeated if necessary.
If all the above measures do not work , then surgery is indicated.
Hope this information is helpful. Good day
The management of trigger finger is conservative initially which involves -
- The first step is to rest and splint the finger. The goal of splinting is to prevent the friction caused by flexor tendon movement through the affected pulley until the inflammation resolves. It has been shown in many studies that this form of treatment may offer relief in approximately 60% of the patients.
- Avoiding activities that require repetitive gripping, repeated grasping or the prolonged use of vibrating hand-held machinery for at least three to four weeks.
- Nonsteroidal anti-inflammatory drugs (NSAIDs): Medications such as ibuprofen or Naproxen may relieve the swelling constricting the tendon sheath and trapping the tendon. These medications can also relieve the pain associated with trigger finger.
- An injection of a steroid medication near or into the tendon sheath also can be used to reduce inflammation of the sheath. This treatment is most effective if given soon after signs and symptoms begin. Injections can be repeated if necessary.
If all the above measures do not work , then surgery is indicated.
Hope this information is helpful. Good day
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