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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Can Cause Trigger Finger Especially At Night In An 80-year-old Diabetic?

I have trigger finger what the cause specially at night I wake up every day with my middle finger is bend , I am 80 years I have diabetes, over all I am very healthy , just had a complex check up very thing is normal except the glucose level is elevated,
Thu, 21 Feb 2019
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  User's Response
Hi, thanks for your question. I have read it and understand your concerns.

Answer: There are different types of treatment options available for a trigger finger. As you know that in this condition a sheath around a tendon gets inflamed and constricted which then doesn’t allow the free sliding/movement of the tendon and at times gets stuck.

The conservative or noninvasive approach includes;

1. Pain killers such Ibuprofen etc.

2. Rest to the affected hand, avoid repetitive movements.

3. Use of a splint for maybe 6 weeks

4. Physiotherapy

If the above treatment/s do not help, then your doctor may decide to give a steroid injection into the affected tendon area. Most patients get relief after the injection. Even if the injection doesn’t help then the last option is surgery where the constricting sheath around the tendon is released. Before surgery, your doctor may attempt to release it by using a needle.

It’s important to keep your blood sugar levels in the normal range to avoid complications associated with diabetes.

Hope this help. Please feel free to ask for any further clarification.
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What Can Cause Trigger Finger Especially At Night In An 80-year-old Diabetic?

Hi, thanks for your question. I have read it and understand your concerns. Answer: There are different types of treatment options available for a trigger finger. As you know that in this condition a sheath around a tendon gets inflamed and constricted which then doesn’t allow the free sliding/movement of the tendon and at times gets stuck. The conservative or noninvasive approach includes; 1. Pain killers such Ibuprofen etc. 2. Rest to the affected hand, avoid repetitive movements. 3. Use of a splint for maybe 6 weeks 4. Physiotherapy If the above treatment/s do not help, then your doctor may decide to give a steroid injection into the affected tendon area. Most patients get relief after the injection. Even if the injection doesn’t help then the last option is surgery where the constricting sheath around the tendon is released. Before surgery, your doctor may attempt to release it by using a needle. It’s important to keep your blood sugar levels in the normal range to avoid complications associated with diabetes. Hope this help. Please feel free to ask for any further clarification.