| Preview of Trigger Finger: Trigger Finger
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| | irritates the sheath, then the sheath
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| is a form of overuse injury with symptoms
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| | swells and pinches down more so it
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| ranging from a painless annoyance with
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| | irritates the adhesion even more, and
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| occasional snapping/jerking of the
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| | continuing to go back and forth again and
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| finger(s), to severe dysfunction and pain
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| | again with both the tendon and its sheath
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| with continuous locking of the finger(s)
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| | contributing to the cause-effect of
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| in a flexed downward position into the
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| | Trigger Finger.NOTE: Other contributors
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| palm of the hand.Anatomy of Trigger
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| | factors of Trigger Finger are Rheumatoid
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| Finger: The tendons that move the fingers
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| | Arthritis, partial tendon lacerations,
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| are held in place on the bones by a
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| | repeated trauma from pistol gripped power
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| series of ligaments called "pulleys".
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| | tools, or long hours grasping a steering
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| These ligaments form an arch on top of
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| | wheel.Trigger Finger may also be caused
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| the bone that creates a tunnel so that
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| | by an infection of the synovium,
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| when the flexor muscles are contracted,
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| | resulting in the scarring and formation
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| the tendons can move along the bone in a
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| | of a nodule on the tendon. Trigger Finger
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| straight path. In order to make sure
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| | can also be caused by a congenital defect
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| these tendons travel in a smooth manner
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| | that forms a nodule inside of the tendon.
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| and reduce friction of the tendon and its
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| | The condition is not usually noticeable
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| sheath, the body produces and coats the
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| | until the infant begins to use its
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| flexor tendons with a slippery coating
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| | hands.Treatment(s) for Trigger Finger:
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| called "tenosynovium" which allows the
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| | Sometimes the swelling can be treated
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| tendons to glide through the tunnel
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| | with rest, activity modification, oral
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| formed by the pulleys when the fingers
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| | anti-inflammatory medications, or steroid
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| hands are used to grasp objects.Symptoms
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| | injections. The tendon sheath will
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| of Trigger Finger: Trigger Finger may
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| | usually return to its normal, pain-free
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| affect any of the fingers (1-5) as well
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| | condition. More severe cases may require
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| as any one of the finger joints (MP, PIP,
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| | surgery to release the tendon, but is
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| DIP Joints). The occurrence of this
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| | suggested as a last resort after all
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| injury usually results from overuse of
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| | other conservative methods have been
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| the flexor muscles/tendons and the
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| | attempted.Often times, Trigger Finger
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| formation of an adhesion or fibrotic
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| | will be persistent because either no
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| nodule on the tendon. If left untreated,
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| | rehabilitation efforts were attempted or
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| the adhesion/nodule becomes larger,
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| | improper forms of rehabilitation were
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| therefore creating a conflicting ratio
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| | utilized pre- or post-surgery. In most
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| between the size of the tendon and the
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| | cases of Trigger Finger, injections and
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| size of the entrance of the tendon
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| | surgery both attempt to cure the disorder
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| sheath. There may also be thickening of
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| | by treating the symptoms instead of
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| the pulley ligament as well, due to the
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| | treating the "Actual Injury". In the case
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| friction of the adhesion/nodule against
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| | of Trigger Finger, the actual injury is
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| the pulley ligament. In most cases, if
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| | the adhesion, nodule, and scar tissue
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| the adhesion/nodule is not treated, it
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| | buildup on the tendon due to excess
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| will continue to increase in size
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| | strain, overuse, or direct trauma to that
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| (Depending on activity/use of affected
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| | specific location on the tendon. Because
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| finger) to the point where it still has
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| | Trigger Finger and those afflicted with
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| the ability to pass into and through the
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| | Repetitive Strain Injuries, Cumulative
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| tendon sheath when flexing the finger,
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| | Trauma Disorders, Including Carpal Tunnel
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| but becomes stuck and cannot move back
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| | Syndrome ALL HAVE THE SAME TYPE OF
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| through the tendon sheath and/or pulley
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| | HISTORY (For the most part), this Trigger
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| when trying to extend/straighten the
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| | Finger would be treated in the same
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| finger, thus causing the finger to lock
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| | manner, through the implementation of a
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| in the flexed downward position (Palm of
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| | variety of stretching and strengthening
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| hand). At first, this is experienced as a
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| | exercises to break down adhesions, thin
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| snapping of the affected finger when
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| | the tendon and create
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| relaxing a fist. If the condition
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| | stability.Successful Treatment for
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| worsens, the finger may need active force
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| | Trigger Finger: (Perform in the sequence
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| from the opposing hand/fingers to
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| | listed) Transverse Friction Massage -
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| straighten, or the affected finger(s) may
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| | Perform across the nodule/adhesion on the
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| not straighten at all.Cause(s) of Trigger
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| | affected finger to help break it down,
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| Finger: Most clinicians believe that the
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| | reducing its size.Stretches -
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| disorder is caused by the tendon sheath
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| | Immediately follow Transverse Friction
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| because it becomes thickened or swollen
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| | Massage with passive and active stretches
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| and pinches the tendon and prevents it
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| | to the affected finger to help thin the
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| from gliding smoothly. But common sense
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| | tendon.Exercises - Immediately follow
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| reveals that the history of patients
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| | the stretches with active strengthening
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| suffering with Trigger Finger have one
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| | exercises for the OPPOSING MUSCLE GROUP,
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| common denominator, overuse, excessive
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| | in this case the extensor muscles that
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| use and/or abuse of the hands from work
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| | extend the fingers and wrist, in order to
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| and recreational activities.Trigger
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| | hold and maintain the length to the
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| Finger is usually (not always) the result
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| | tendon that you just
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| of direct injury to the tendon via
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| | stretchedHydrotherapy - Ice the affected
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| micro-tears resulting from direct and
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| | tendon in a stretched position to
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| sudden trauma or tasks that required
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| | maintain the length of the tendon that
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| repetitive use of the hands over long
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| | was just created through the stretches
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| periods of time. And as the body attempts
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| | and exercises. Icing the tendon also
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| to heal itself causes the formation of
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| | removes swelling and toxins created
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| scar tissue / fibrotic adhesion, and the
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| | through the use of massage, stretches and
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| swelling of the tendon sheath is a
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| | exercises. Ice the tendon no longer than
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| secondary injury caused by friction
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| | 1-2 minutes. Take a break for 3-minutes
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| between the adhesion and the tendon
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| | and repeat the ice cycle two more
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| sheath as the finger is flexed and
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| | times.Jeff P. Anliker, LMT, is a
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| extended. This friction causes
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| | Therapist, Inventor of Therapeutic
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| irritation, swelling, and inflammation to
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| | Exercise Products that are utilized by
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| both the adhesion on the tendon and to
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| | Corporations, Consumers and Medical
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| the tendon sheath, thus resulting in a
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| | Facilities around the world for treating
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| cyclic injury, starting with the adhesion
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| | musculoskeletal disorders of the upper
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| on the tendon, then the adhesion
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| | extremity.
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