Trigger Thumb

Trigger thumb, also known as stenosing tenosynovitis, is a condition where the thumb becomes locked in a bent position, causing difficulty in straightening it. It occurs when the tendon that bends the thumb (flexor tendon) becomes inflamed or thickened, resulting in restricted movement. At Dr. YV Rao Clinics, we specialize in the diagnosis and treatment of trigger thumb, offering personalized care to alleviate symptoms and improve hand function.

Causes

Symptoms of trigger thumb may include

• Difficulty extending or straightening the thumb
• Clicking or popping sensation when moving the thumb
• Pain or discomfort at the base of the thumb
• Swelling or tenderness in the thumb area

Diagnosis

Diagnosing trigger thumb typically involves a physical examination of the hand and thumb, assessing range of motion and examining for any signs of inflammation or tenderness. In some cases, imaging tests such as ultrasound may be performed to evaluate the severity of the condition.

Treatment Options

Treatment for trigger thumb depends on the severity of symptoms and may include

Conservative Management

• Rest: Avoiding activities that aggravate symptoms and resting the affected thumb.
• Splinting: Wearing a splint to immobilize the thumb and allow the tendon to rest and heal.
• NSAIDs: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) may be recommended to reduce pain and inflammation.

Corticosteroid Injections

Injecting corticosteroids into the tendon sheath can help reduce inflammation and alleviate symptoms. This treatment is often effective and may provide long-lasting relief.

Surgical Intervention

If conservative treatments fail to provide relief, or if the condition is severe, surgical release of the affected tendon may be necessary. This procedure, known as trigger thumb release surgery, involves cutting the tight portion of the tendon sheath to allow for smooth movement of the tendon.

Recovery and Rehabilitation

Following treatment, patients may undergo a period of recovery and rehabilitation. Physical therapy exercises may be recommended to improve thumb strength, flexibility, and range of motion. Our team provides comprehensive post-treatment care and support to facilitate a smooth recovery process.

Why Choose Dr. YV Rao Clinics?

• Expert Diagnosis and Treatment: Our team of experienced hand specialists utilizes advanced diagnostic techniques and offers personalized treatment plans tailored to each patient's needs.
• Compassionate Care: We understand the impact of hand conditions on daily life and provide compassionate support to help patients achieve optimal outcomes.
• Cutting-Edge Techniques: We stay updated with the latest advancements in hand surgery and employ minimally invasive techniques whenever possible to minimize discomfort and promote faster recovery.

If you're experiencing symptoms of trigger thumb, don't hesitate to contact Dr. YV Rao Clinics for expert evaluation and treatment. We're here to help you regain comfort and function in your hand.

1. What is Stenosing Flexor Tenosynovitis of the Thumb?

Stenosing Flexor Tenosynovitis of the Thumb, commonly referred to as trigger thumb, is a condition in which the flexor tendon and its surrounding sheath become inflamed. This inflammation leads to restricted movement, causing the thumb to catch, lock, or click when bent or straightened.

2. What are the symptoms of Stenosing Flexor Tenosynovitis of the Thumb?

Common symptoms include:

• Clicking or snapping sensation when moving the thumb
• Stiffness or reduced mobility, especially in the morning
• Swelling or tenderness at the base of the thumb
• Difficulty fully extending or bending the thumb

3. What are the treatment options for Stenosing Flexor Tenosynovitis of the Thumb?

Treatment options vary based on severity and may include:

• Rest and activity modification
• Splinting to keep the thumb in a neutral position
• Nonsteroidal anti-inflammatory drugs (NSAIDs)
• Steroid injections to reduce inflammation
• Surgical release of the tendon sheath in severe or persistent cases

4. Is surgery necessary for Stenosing Flexor Tenosynovitis of the Thumb?

Surgery is typically considered when non-surgical treatments fail or if symptoms are severe and limit daily activities. The procedure involves releasing the tight tendon sheath to restore smooth tendon movement.

5. What is the recovery time after surgery for Stenosing Flexor Tenosynovitis of the Thumb?

Recovery time varies, but most patients can expect to wear a splint for a few weeks post-surgery. Light activities can resume soon after, but full recovery—including strength and range of motion—may take a few months.