In this article, we’ll talk about a hand disease such as stenosing ligamentitis or “trigger finger”. In this condition, when a finger is bent, painful clicks and difficulty in movement occur.
Let’s look inside the hand. Our fingers move due to the work of tendons. Around the tendons, there are ring-shaped ligaments that hold them in position. Normally, when moving, tendons glide freely in the annular ligaments. With constant monotonous work with fingers, overloads, inflammation of the flexor tendon or the finger annular ligament may occur. Because of this, the tendon can no longer slide during movements, since as a result of inflammation it becomes thicker. As a result, it becomes difficult to move your finger, and when you try to straighten it, painful clicks constantly occur. From the outside, it looks something like this.
This disease begins with the appearance of tightness and soreness in the palm of your hand and progresses to the restriction of movements in the finger.
Most often, this problem occurs in women after 40 years of age, as well as in people who have significant daily stress on the fingers.
Treatment of this problem begins with limiting load, wearing special fixating dressings, taking anti-inflammatory drugs. This treatment will allow the finger to freely bend and straighten completely, painful clicks will disappear. Injections are used to locally administer anti-inflammatory drugs such as glucocorticoids.
With the ineffectiveness of these methods, surgical treatment is resorted to. During the operation, the annular ligament, which compresses the tendon during movements, is cut through the skin through a small incision. Thus, the tendon can again slide freely, the finger flexes freely and straightens completely, painful clicks disappear. After the operation, semi-rigid or soft immobilization is applied until the wound heals.
Kinesiotherapy of the first finger of the hand