Understanding Trigger Finger

• Trigger finger occurs due to the

thickening of a ligament at the base
of the finger.

• Specifically, this condition involves

thickening at the first pulley (known
as A1) of the hand, situated where
the finger meets the palm.

• This thickening leads to painful

irritation during finger movements,
sometimes causing the flexor tendon
to get trapped or stuck in a bent
position, especially in severe cases.

Available Treatment Options:

• Over-the-counter anti-inflammatory
medications like ibuprofen, Naproxen
(Aleve), Aspirin, and Acetaminophen
(Tylenol) may help alleviate symptoms.

• Steroid Injections are utilized to reduce

irritation and swelling. The injection,
typically administered in the palm of the
hand, involves using cold spray to numb
the area beforehand.

• Surgery involves a brief procedure

where a small incision is made, often
along a crease to minimize visible
scarring. The surgeon works under the
skin to release the tension.
Important Reminders:

• Limit usage of the operated hand for

ten to fourteen days to facilitate proper
healing.
• Activities like dressing, driving, eating,
and light activities are permitted.
• Avoid lifting anything heavier than 15
pounds during the recovery period.
Understanding Dupuytren’s
Disease
• Dupuytren’s disease, also known as
Dupuytren’s contracture, involves an
unusual thickening of fascia, a
specific layer of tissue situated
beneath the skin, specifically in the
palm of the hand near the base of
the fingers.

• This thickened area might eventually

appear as a hard lump or a thick
band, resulting in one or more
fingers contracting (curling), pulling
sideways, or bending inward
towards the palm over an extended
period.

Treatment Options:
• Steroid Injections: These injections
can potentially reduce the size of
noticeable nodules and cords
associated with early-stage
Dupuytren’s contracture.

• Needling: A needle is gently inserted

through numbed skin to puncture
and disrupt the cord of tissue
causing the finger to contract or curl.

• Surgery: In severe instances where

individuals experience significant
symptoms, surgery may be
necessary to remove the tissue
causing finger bending. Sometimes,
surgeons opt to remove all affected
tissues, including the attached skin,
to address Dupuytren’s contracture
completely.
 Understanding Cubital Tunnel Syndrome
Cubital Tunnel Syndrome happens due to injury or
pressure on the ulnar nerve passing through the cubital
tunnel situated on the inner side of the elbow. This leads
to inflammation, swelling, and discomfort.

Potential Treatment Options:

• Resting and keeping the arm elevated to avoid activities aggravating the
condition, like bending the elbow.
• Using a splint or soft foam elbow brace during sleep to limit sudden movements
and reduce irritation.
• Applying an elbow pad to protect against constant irritation from hard surfaces.
• Steroid injections to reduce swelling and alleviate pain.
• Surgical procedures may be considered in certain cases.
 Thumb Arthritis develops when the protective
cartilage at the base of the thumb wears away,
exposing the bone ends.

Diagnosis:
• The doctor may gently move your joint while
applying pressure, checking for grinding
sensations or discomfort.
• If a grinding sound or uncomfortable pain arises
during this examination, it suggests worn-down
cartilage with bones rubbing against each other.

Treating Thumb Arthritis:

• Medication: Topical treatments like capsaicin or diclofenac applied to the skin over the joint.
Over-the-counter pain relievers such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin),
or naproxen sodium (Aleve).

• A supportive splint can limit thumb and wrist movement, aiding in joint support.

• Corticosteroid injections directly into the thumb joint for effective relief.

• Surgical options: Joint fusions, Joint replacements, Osteotomy, and others may be
considered in severe cases.
 Understanding Ganglion Cysts in the Wrist and Hand

A ganglion cyst forms around a joint. It develops from the tissues

encircling a joint, such as ligaments, tendon sheaths, and the lining
of the joint.

Treatment Options for Ganglion Cysts:

• Nonsurgical Treatment:
- Observation
- Immobilization
- Aspiration (Draining fluid from the
cyst)
- Movement exercises

• Surgical Treatment (Recommended if

non-surgical methods don’t alleviate
pain):
- Ganglionectomy (Surgical removal of
the cyst)
- Recovery typically takes about two to
six weeks.
Understanding Carpal Tunnel Syndrome
Carpal Tunnel Syndrome is a painful
condition that affects the median nerve,
a crucial nerve located in the wrist area.

Treatment Options for Carpal

Tunnel:
• Nonsurgical Approaches:
- Oral anti-inflammatory
medication
- Bracing or using splints
- Engaging in nerve gliding
exercises
- Administering steroid injections
(cortisone shots)
• Surgical Solutions:
- Opting for endoscopic carpal
tunnel release
- Full recovery may take several
weeks to a few months.
 Understanding De Quervain’s Stenosing
Tenosynovitis
De Quervain's Stenosing Tenosynovitis is a
painful condition affecting the tendons on
the thumb side of the wrist.

Treatment Options for De Quervain’s

Tenosynovitis:
• Medications:

• Pain relievers like Ibuprofen (Advil,

Motrin IB, others) and naproxen sodium
(Aleve).

• Corticosteroid Injections

• Therapeutic Approaches:
- Immobilizing of both the thumb and
wrist
- Usage of a splint or brace
- Application of ice to reduce
inflammation.

• Surgical Treatment