Triggered
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"My pronouns are FA/FO." - Mik, 2024
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Damn. Will this get better?
https://en.wikipedia.org/wiki/Trigger_finger
Splinting, non-steroidal anti inflammatory drugs (NSAIDs), and corticosteroid injections are regarded as conservative first-line treatments for stenosing tenosynovitis. However, NSAIDs have been found to be ineffective by themselves. Early treatment of trigger thumb has been associated with better treatment outcomes. Surgical treatment of trigger thumb can be complicated by injury to the digital nerves, scarring, tenderness, or a contracture of the joint. A higher rate of symptom improvement has been observed when surgical management is paired with corticosteroid injections when compared to corticosteroid injections alone.
Treatment consists of injection of a corticosteroid such as methylprednisolone often combined with a local anesthetic (lidocaine) at the site of maximal inflammation or tenderness around the A1 pulley of the finger in the palm. The infiltration of the affected site can be performed using standard anatomic landmarks or sonographically guided, and often needs to be repeated 2 or three times to achieve remission. An irreducibly locked trigger, often associated with a flexion contracture of the PIP joint, should not be treated by injections.
Injection of the tendon sheath with a corticosteroid is effective over weeks to months in more than half of people.
When corticosteroid injection fails, the problem is predictably resolved by a relatively simple surgical procedure (usually outpatient, under local anesthesia). The surgeon will cut the sheath that is restricting the tendon.
One study suggests that the most cost-effective treatment is two trials of corticosteroid injection, followed by open release of the first annular pulley. Choosing surgery immediately is the most expensive option and is often not necessary for resolution of symptoms.[11] A 2009 Cochrane review of corticosteroid injection for trigger finger found only two pseudo-randomized controlled trials for a total pooled success rate of only 37%.
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"Now look here, you Baltic gas passer... " - Mik, 6/14/08
The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.
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So, I've had two injections. Playing the piano is painful, so I've been avoiding.
The second one was in March of this year. I got good relief until 6 weeks ago. The finger started acting up, this time with more pain than actual "locking up."
I saw my hand surgeon yesterday, and after examining me, he says that another injection (I've had two, you're allowed three) probably won't do anything.
I need an operation.
It's really a nothing - done under local anesthesia and there's no rehab, PT, restriction of activity, etc. The only thing is to keep it clean and to keep mobility up.
Gonna schedule for after the holidays.
Damn...
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I'm not all that concerned. This is more of a PITA than anything serious.
D2 was worried whether I could still extend the middle finger independently. I assured her it's not a problem.
"Hold on."
"What?"
"I need to show you something, it's important. Let me just get my hand loosened up and there, there we go. Fuck you."Please love yourself.
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@aqua-letifer said in Triggered:
"Hold on."
"What?"
"I need to show you something, it's important. Let me just get my hand loosened up and there, there we go. Fuck you."I was going to post something along those lines, but you beat me to it, with a post that clearly surpasses ANYTHING I could have come up with.
ETA: By the way, I get along very well with this surgeon. And I pretty much did exactly that when he suggested surgery.
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"Now look here, you Baltic gas passer... " - Mik, 6/14/08
The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.
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DON’T let them eat cake.
- RFK Jr
