The A1 pulley is divided (released) so that the flexor tendon can glide freely.
Surgery is performed through either a small open incision in the palm or with the tip of a needle. The goal of the procedure is to release the A1 pulley that is blocking tendon movement so the flexor tendon can glide more easily through the tendon sheath. Typically, the procedure is done in an outpatient setting with an injection of local anesthesia to numb the area for surgery. The surgical procedure for trigger finger is called “tenolysis” or “trigger finger release.” If, however, your finger or thumb is stuck in a flexed or bent position, your doctor may recommend surgery to prevent permanent stiffness. The decision for surgery is based on how much pain or loss of function you have in your finger. If your finger does not get better with nonsurgical treatment, you may wish to consider surgery. They can cause a short-term rise in blood sugar, so glucose levels in diabetic patients should be monitored after injection. Steroid injections are less likely to be effective in patients with diabetes, but may still help avoid surgery. If two injections do not help the problem, surgery may be considered. If symptoms do not improve with time, a second injection may be given. A steroid injection may resolve the triggering over a period of one day to several weeks.
Corticosteroid, or cortisone, is an anti-inflammatory agent that can be injected into the tendon sheath at the base of the trigger finger. Over-the-counter medications, such as acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs), can help relieve pain and inflammation. Gentle stretching exercises can help decrease stiffness and improve range of motion in the involved digit. Wearing a splint at night to keep the affected finger or thumb in a straight position while you sleep may be helpful.Įxercises. Resting your hand and avoiding activities that make it worse may be enough to resolve the problem. A joint that is overused may feel warm and tingling, in addition to being painful.Initial treatment for a trigger finger is usually nonsurgical. When your thumb is overused, it can feel sore and painful at the joint. Just like any other joint, the thumb can be overused or overextended. This deep, inner pain may make you feel nauseated. If you have a broken thumb, you’ll feel intense pain radiating from the site of the break. Your thumb may also be in pain if it’s broken. A sprained thumb could also result in swelling and stiffness. These injuries, commonly caused during contact sports or falls, can cause pain at the site of your joint. Thumb sprains, a jammed thumb, and “skier’s thumb” are all caused by damage to the ligaments in your thumb. Women are more likely to have the condition than men. Carpal tunnel syndrome pain can feel like weakness, numbness, tingling, or burning at your wrist, in your fingers, or in the joints of your hands.Ĭarpal tunnel is not uncommon, affecting as many as 6 percent of adults in the United States.
Pain at your thumb joint can be a symptom of carpal tunnel syndrome. Thumb pain at your thumb joint caused by arthritis can feel like burning, stabbing, or a more subtle creaking pain. Thumb arthritis can be related to osteoarthritis (which affects the joint and the bone) or rheumatoid arthritis (an auto-immune condition). Other symptoms include loss of grip strength and thumb mobility. The cushion-like cartilage inside your thumb joint can break down as you age, causing the symptoms of thumb arthritis. If you have pain in your thumb joints, there are a couple of things that could be causing it. Our opposable thumb joints come in handy, and we tend to use our thumbs for lots of purposes.
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