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Symptoms of Trigger Finger

The complex anatomy of the hand consists of 27 bones, along with muscles, joints, tendons, nerves, and ligaments. If any of these structures become injured, pain and loss of function can put a damper on almost all activities. In other words, you rely on the use of your hands for almost everything you do on a daily basis. However, when you have constant pain and discomfort in your hands or wrists, these simple tasks become more difficult and uncomfortable. Some conditions, such as trigger finger, are not only painful, but also affect your appearance and function.

Any hand or wrist problem causing pain, swelling, discoloration, numbness or a tingling sensation, or abnormal shape, that persists for more than two or three days should be evaluated by your orthopedist to establish the cause, and allow treatment as early as possible. Early diagnosis and early treatment generally give the best results.

So, you notice that one day when making a fist, you try to straighten your fingers afterwards, when one catches when attempting to bring it back into a straight position, causing pain. After you go to a doctor to check it out, they diagnose you with a condition called trigger finger, caused by overuse.

Trigger finger, known medically as stenosing tenosynovitis, is a condition that causes pain, locking, popping or clicking of the fingers or thumb when the hand is opened or closed. Muscles in your forearm attach to tendons that run all the way down to the bones at the ends of your fingers. These muscles are what help you bend your fingers into a fist. 

The reason why we are able to open and close our hand is due to our tendons being pulled close to the bones of the fingers by pulleys. If these pulleys become too thick, stiff, tight or swollen, commonly due to inflammation, this causes the finger to “trigger” or get stuck when trying to straighten your fingers after being in a fist. Therefore, if the tendon cannot glide freely, trigger finger occurs.

Symptoms of trigger finger can occur differently for people, which is why it is not always easy to identify the cause. In its early stages, trigger finger can cause pain on the palm of your hand, or on the back side of a finger. Trigger finger causes inflammation, creating symptoms of stiffness and swelling. As the muscles and tendons in our fingers give us the ability to move, when someone is diagnosed with trigger finger, there can be a painful snapping sensation when opening and closing the hand. Often one of our fingers can get stuck in a certain position, making it painful and impossible to straighten or bend it.

To learn more about trigger finger and its symptoms, call Colorado Center of Orthopaedic Excellence in Colorado Springs at (719) 623-1050 or request an appointment online.

The Complete Guide to Carpal Tunnel

Carpal tunnel syndrome is a common cause of hand pain, sensations of numbness and weakness, and that “pins and needles” feeling in the hands. At the Colorado Center for Orthopaedic Excellence, we are experts in all aspects of hand and wrist care. That’s why we created this complete guide to carpal tunnel syndrome.

What is Carpal Tunnel Syndrome?

Affecting nearly 10% of the US population, carpal tunnel syndrome is caused by compression or entrapment of the medial nerve. The medial nerve runs under the skin in a narrow passageway known as the carpal tunnel. The tunnel extends from your forearm into your wrist. It is formed by the carpal bones and nine tendons. The medial nerve is responsible for signals to and from the thumb, index, middle and part of your ring finger. If the tendons and connective tissues become inflamed due to overuse or other factors, they can swell, placing pressure on the delicate nerve.

When the nerve is compressed, the signals cannot fire properly and patients often begin to notice pain, a tingling or burning sensation, and numbness. People with carpal tunnel syndrome may have trouble gripping or holding objects, or performing fine motor functions such as writing or playing a guitar. The onset of symptoms tends to be gradual and may come and go, especially at first.

If the condition is left untreated, it can cause the muscles to atrophy (waste away). While either hand can be affected, approximately half of the people diagnosed with carpal tunnel syndrome experience problems involving both hands.  Risk factors for carpal tunnel syndrome include:

  • Arthritis
  • Diabetes
  • Autoimmune disorders such as Lupus or multiple sclerosis (MS)
  • Hypothyroidism
  • Circulatory disorders
  • Obesity
  • Work that is highly repetitive, such as typing

Fortunately, carpal tunnel syndrome is highly treatable. Depending on the severity, it may require only rest, bracing, or other treatment such as anti-inflammatory medications. If you do not respond to treatment, surgery may be required.

The most common corrective surgery for carpal tunnel is known as an open release. In an open release procedure, the surgeon can correct the issue by opening a space to relieve pressure on the median nerve. The procedure requires a three-inch incision in what is known as the transverse carpal ligament, in order to enlarge the tunnel. This procedure usually takes about 15 minutes to perform.

This surgery is also possible with an endoscopic carpal tunnel release. An incision is made in the palm of the hand and the surgeon gently slides a small endoscope into the opening. The surgeon then makes another incision in order to insert a specialized instrument that will be used to relieve pressure on the nerve.

After the procedure has been completed, the wound is wrapped in a soft sterile dressing. Patients are required to wear bracing to protect the area and promote healing. Patients can move their fingers right after the surgery, and are advised to avoid gripping heavy objects or picking up heavy loads for another six weeks. To learn more about carpal tunnel syndrome, or any other orthopedic related concern, please call Colorado Center of Orthopaedic Excellence at (719) 623-1050 to request an appointment.

Types of Hand Pain

The anatomy of our hands is complex. The hand has 27 bones, muscles, joints, and ligaments. Due to the fragility of the hand, they are extremely prone to injury. Hand pain can also be caused by disease or injury affecting any of the structures in the hand.

Any problem causing pain, swelling, discoloration, numbness or a tingling sensation, or abnormal shape of the hand or wrist that persists for more than two or three days should be evaluated by your doctor to establish the cause and obtain the best treatment as early as possible. The early the problem is dealt with, the better the outcome or diagnosis will be, and the more treatable it will be. Conditions that affect the hand and wrist include:

Sprains and Strains:

Sprains and Strains are common with the hand and fingers. A strain involves the soft tissues of the hand, wrist or fingers. A sprain involves injury to your ligaments (bands of tissue that connect the bones together).

Fractures:

The common cause of a hand fracture is falling and landing on your arm or hand. Fractures are usually treated by splinting or putting on a cast, to allow the fracture to be supported and heal properly.  

Carpal Tunnel Syndrome:

CTS is a condition in the hand and wrist which causes numbness and tingling. The carpal tunnel is the part of the wrist. Permanent damage can occur if not treated properly.

Arthritis: Osteoarthritis, Rheumatoid:

There are two major types of arthritis that can affect the hands. Osteoarthritis is the most common type of arthritis, which gets worse with age and is caused by wear and tear. This type of arthritis affects the smooth cartilage lining of the joint. Osteoarthritis makes movement more difficult than usual, leading to pain and stiffness. Once the cartilage lining starts to roughen and thin out, the tendons and ligaments must compensate and work harder.

Rheumatoid arthritis occurs when the body’s immune system targets affected joints, which leads to pain and swelling. The outer covering of the joint called the synovium is the first place that becomes affected. This can then spread across the joint, leading to further swelling and a change in the joint’s shape, and may cause the bone and cartilage to break down.

Trigger Finger:

Trigger finger is caused when the fingers bend, but lock and become stiff, causing severe pain.

If you’re living with hand pain, it may be time to take a closer look at your symptoms and explore treatment options. Call Colorado Center of Orthopaedic Excellence at (719) 623-1050 to request an appointment.

Could Your Hand Pain Signify a Spine Disorder?

Everyone has probably experienced pain in his or her hand, whether it’s just from a bump or perhaps overuse. However, if hand pain persists or is accompanied by tingling, numbness, or weakness that interferes with important daily tasks, such as gripping items or typing on a keyboard, then an underlying medical condition might exist.

There are many causes of hand pain and numbness, including wrist problems such as carpal tunnel syndrome, or systemic diseases such as rheumatoid arthritis. What many people don’t know, however, is that hand pain and numbness can often originate from a problem in the neck and spine.

When a nerve root in the cervical spine becomes compressed or irritated by a problem in the neck, symptoms can appear anywhere from the shoulder all the way down into the arm, hand, and fingers. Pain that travels along this nerve pathway, the radicular nerve, is called a cervical radiculopathy.

The most common conditions that can trigger radiculopathy include:

  •       Cervical herniated disc
  •       Cervical spinal stenosis
  •       Cervical degenerative disc disease
  •        Cervical osteoarthritis

The pain experienced from cervical radiculopathy can range from mildly achy to sharp and stabbing. It can also cause numbness and/or pins-and-needles tingling sensations. Symptoms can affect different sections of the hand, depending on what area of the spine the source of the irritated nerve is signaling from.

If hand pain and/or function don’t improve on their own, then a doctor should be consulted. Many conditions are more easily treated early in the process. If a nerve is compressed, then it’s especially important to get treatment before permanent damage can happen.

Everybody is different and unique in the way they experience or explain their pain, so a consultation is important when diagnosing the problem and coming up with the right treatment plan. If you’re experiencing persistent pain in your hand – especially if it travels down your arm – contact Colorado Center of Orthopaedic Excellence at (719) 623-1050 to request an appointment.