What Is The Most Cost Effective Treatment For Trigger Finger?
A common hand disorder that normally affects the elderly is the condition referred to as trigger finger. This disorder causes the locking of the flexor tendon in the affected finger. It is often characterized by a snapping or popping sound with pain, swelling and limited or no mobility. This is due to an inconsistency in the size that is between the flexor tendon and the retinacular pulley system that surrounds it. When the finger unlocks, it will suddenly pop back, similar to when releasing a gun trigger.
When individuals seek treatment for trigger finger the first line of treatment usually considered by the trigger finger release surgery Los Angeles doctor is a corticosteroid injection into the thickened area of the tendon sheath. A second injection of corticosteroid is usually administered three to four weeks after the initial injection. If these injections are unsuccessful at treating the condition, a trigger finger release surgery Los Angeles doctor may recommend surgery. Individuals who have diabetes usually have this surgical repair, as corticosteroid injections are often unsuccessful in patients with diabetes mellitus.
Medical research suggest that the most cost-effective and successful treatment for trigger finger is with the use of two steroid injections before surgical treatment is done. Oftentimes these injections will relief the condition and trigger finger release surgery is not needed. Traditionally, corticosteroid injections were injected into the sheath of the tendon and not the tendon itself. Scientific studies now indicate that using a subcutaneous injection can be just as effective as injecting into the tendon sheath. Some studies have shown that when steroid injections are administered into the subcutaneous tissue the results were more effective than sheath injections alone.
When corticosteroid injections fail to deliver proper results, the surgeon will often perform a trigger finger release surgery to correct the condition. The surgery is usually done with local anesthetic or a nerve block. The surgeon will make a small cut into the skin to expose the flexor tendon sheath. The sheath is then released and the hand is bandaged. The bandage is removed within a few days and the finger can then begin to be used once again. The trigger finger release surgeon will often advise patients to exercise the finger to help prevent scar tissue from forming.
Most individuals who have surgical repair for trigger finger have full recovery without recurrence. Trigger finger release surgeons take every possible step to prevent surgical treatment of trigger finger. Most cases are treatable with one or two corticosteroid injections as well as resting the finger, avoiding gripping, warm water soaks massages and a splint to keep the finger in a straight position. This is the most cost effective treatment available although with diabetics or others that fail to respond to injections, a trigger finger release surgeon can provide effective results with surgery.