Specialist in Trigger Finger Treatment with Injections

Specialists in trigger finger treatment with injections in Valencia

I am Miguel Alfonso Porcar, director of the Regenerat Clinic for Traumatology and Orthopaedic Surgery, a recognised specialist in the diagnosis and treatment of the main ailments and injuries of the hand and wrist.

Our objective is to:

• determine the cause of your pain,
• perform the appropriate diagnostic tests to determine the extent of the injury to your thumb.
• and apply the treatment of regenerative traumatology or orthopedic surgery to achieve maximum comfort as soon as possible.

We want to help our patients using the safest, most successful and least invasive treatments possible!

What is trigger finger?

Trigger finger is a condition in which the finger is temporarily or permanently blocked with flexion and extension of the fingers, making normal functioning impossible.

Most people experience trigger finger in the fourth finger (ring finger) or in the thumb, the most frequent locations. Although the pathology can affect any of the fingers.

It is the result of inflammation (most frequently due to overuse, and therefore due to a chronic condition) in the flexor tendons or in the tissue around them.

More specifically, it occurs due to the involvement of the “pulleys”, which are bands of tissue that attach the finger bone to the flexor tendon.

Inflammation of the pulleys affects the ability of the finger to move freely.

What are the causes of trigger finger?

One or more of the following factors may be responsible:

• Certain medical conditions: diabetes and rheumatoid arthritis are known causes of trigger finger.

It is estimated that 10% of people with diabetes have trigger finger, compared to 2-3% of the general population.

• Excessive use of the fingers: people who work with their hands, especially those who perform strenuous activities with machinery or tools that require gripping, have a higher risk of developing the pathology.
• Contact friction: sometimes, repeated use of power tools that vibrate in the hand, or even gripping bicycle handlebars can cause trigger finger.
• Sometimes, a person develops trigger finger for an unknown reason (idiopathic).

This pathology or condition most often affects people between the ages of 40 and 50. Women are six times more likely than men to suffer from trigger finger according to studies.

Trigger finger symptoms

Symptoms of trigger finger are usually as follows:

• Visible or tender lump at the base of the finger at different levels of the phalanges.
• A finger that locks or makes noises with movement (flexion and extension).
• Pain and discomfort when straightening or bending the finger.

The person usually notices that their symptoms worsen after a period of heavier hand use.

In addition, symptoms are usually more intense in the morning, because the flexor musculature (as well as the rest) is not active during the hours of sleep.

This is a vicious circle: the spring finger hinders mobility, while the lack of mobility increases the stiffness and thus the severity of the spring finger.

Early diagnosis and treatment can have very satisfactory results.

Hand or wrist pain causes

Some of the most common causes of hand and wrist pain that a hand surgeon specialist can treat are sprains and strains.

A sprain refers to an injury to a ligament, while a strain refers to a muscle injury. Sprains and strains occur due to excessive force applied during a stretching, twisting or pushing action.

Other causes of pain in the hands and/or wrists include:

• Hand osteoarthritis: A degenerative joint disease that is the most common type of arthritis affecting older people. It causes the cartilage, the tissue that cushions and protects the ends of the bones in a joint, to wear away, resulting in painful bone-on-bone contact.
• Thumb arthritis: Arthritis affecting the base of the thumb, i.e. the progressive destruction of the articular cartilage between the trapezium and the first metacarpal.
• De Quervain’s tenosynovitis: Also called radial tenosynovitis, this is a painful condition affecting the tendons of the first extensor compartment, producing pain at the level of the anatomical snuffbox.
• Trigger finger: A condition in which the finger locks or catches if you try to straighten or bend it.
• Carpal tunnel surgery: For a condition characterized by numbness or pain in the thumb and first three fingers. It occurs when the median nerve is compressed at the wrist. It is usually a common complaint in people who use their hands for prolonged periodsin particular occupations, such as computer work.