trigger finger treatment

How to Choose Treatment for Your Trigger Finger?

The wrist, fingers and hands are amongst the most vital parts of your body that are often susceptible to severe injuries. This is because they perform diverse tasks and sports related activities repetitively. Trigger finger is one such distinguished health conditions, which curbs even simple mobility of fingers.

The trigger finger treatment has advanced in every aspect and people affected by this painful condition can get quick relief. There are multiple stages of treatments available for Singapore people who are struggling with moderate to severe grade of trigger finger. More information can be found here for trigger finger treatments.

Let us analyze the best choice of treatments available in detail.

What is trigger finger?

Trigger finger has been considered as a very common sickness that can affect patients with diabetic and other health conditions. It is a stressful condition that will affect the tendons in your thumb or fingers, thus limiting free movement. You might experience a clicking sensitivity while bending, straightening or extending your fingers for gripping things. This condition is associated with inflammation at the infected finger base and palm. Trigger finger treatmentcan be considered as ultimate solution when your fingers become locked and stiffened with severe pain even while performing simple everyday tasks.

Trigger Finger Treatments

Basically, treatments for trigger finger depend on the severity of the sickness and let us understand them in detail.

Early Stages

In the early stages it is advisable for patients to try some home remedies such as gentle stretching exercises for the finger affected, in order to increase its mobility. Avoid certain activities such as vibrating, grasping and gripping and take rest for a period of time. Reduce the stiffness and pain during initial stages by soaking infected fingers in warm water and gently massaging the inflamed fingers.

Medication and Rest

In early stages the inflammation, swelling and pain in the fingers are treated by physicians prescribing rest, non-steroidal anti-inflammatory medications and splinting. This will compress the tendon sheath and entrap the tendon and cure the condition.   

Anti-inflammatory Injection

When the trigger finger condition is severe and cannot be terminated by conservative methods, then a steroid injection is used as trigger finger treatment. The anti-inflammatory medicine is carefully injected into the sheath layer of tendon for minimizing inflammation and increasing mobility of the fingers freely without any pain or discomfort. This is considered as an effective treatment for patients who do not suffer from diabetes condition.

Percutaneous Release

This type of trigger finger treatment involves numbing the palm and then injecting soft tissues surrounding the affected finger tendon. By gently moving the needle under the ultrasound guidance it helps in opening sheath of the tendon without causing any damages to the nerves or tendon nearby. This can reduce pain and inflammation.

Hand Surgery

Trigger finger surgery is recommended by Doctors for only those patients who are unresponsive to the conservative, physiotherapy and other simple treatments available. The treatment involves cutting an incision close to the infected finger’s base and carefully cut the sheath. Surgeries are performed by giving local anesthesia for the patients. It is most effective trigger finger treatment that assures free movement of tendon freely without any discomfort or inflammation and loosens the stiffness.

There are efficient and dedicated hand surgeons in Singapore who specialize in reconstructive and hand surgery. Seek their guidance to solve your painful trigger finger condition if it is severe and live healthy.

Treatment for rotator cuff injury

What is a Rotator Cuff Injury and How to Treat it?

Our body is held up together by numerous tissues, and muscles and an injury to anyone of them can cause immobility and immense pain. And many muscles in our body that functions the most are prone to injuries.

And one such essential group of muscle is the rotator cuff muscles which surrounds our shoulder joint. It keeps the upper arm bone firm with the shallow socket of our shoulder.

When there is an injury caused to the rotator cuff, it can lead to a dull ache and gets worse with movement especially when you are trying to sleep on the injured side.

People who are include in jobs or sports where there is a maximum involvement of the rotator cuff are prone to the rotator cuff injury.

Some of the primary examples of rotator cuff injuries are carpenters, painters, and people who plays sports such as tennis or baseball.

Moreover, the risk of developing a rotator cuff injury increases along with age as o0ur muscle and tissue tends to wear off along with time.

Treatment for rotator cuff injuries can be found at reputable clinics and orthopedic specialists like Providence Orthopedics here.

What are the symptoms of rotator cuff injury?

Some of the most common symptoms which might indicate a rotator cuff injury are:

  • Pain when lying down a side of shoulder
  • Constant dull ache in the shoulder
  • Arm weakness
  • Severe pain whenever trying to raise hand or reach your back

Mild rotator cuff injury can be solved with regular rotator cuff injury treatment such as physical therapy along with a light strength training that targets the muscle surrounding the shoulder.

But, at times, the rotator cuff injury might get severe when there is tear in the muscle group.

And when the injury gets severe, it is essential for the victim to seek for medical care to take care of the injury as soon as possible.

There are numerous ways through which a rotator cuff injury can be solved such as by surgical repair, joint replacement, or transfer of the alternative tendons.

What can happen if I don’t treat a rotator cuff injury?

A rotator cuff injury mustn’t be taken lightly regardless of how mild it is as it can lead to numerous problems down the road.

You can end up permanently loosing motion of your shoulder. And if you have suffered from rotator cuff injury, you mustn’t keep it immobilized as it will worsen the case.

And at the same time, don’t overdo it as well as the shoulder needs equal amount of rest and mobilisation to heal.

How to prevent rotator cuff injury?

If you have a history of rotator cuff injury, then it can be resolved by regular strength training along with shoulder stretches.

Apart from targeting the chest, shoulder and arms muscles, one should equally pay attention to the back muscle as they are equally important in preventing numerous injuries.

If you are looking for effective rotator cuff injury treatment, then it always advised to seek the help of an expert as they can point out the exact cause behind the issues.

Understanding Shoulder Dislocations and Rotator Cuff Injuries

Shoulder dislocations account for almost 50% of all joint disorders in Singapore. Most commonly, these dislocations are anterior and occur because of trauma.

A shoulder dislocation is a painful and disabling injury joint. Most fractures are anterior (forward), but the shoulder can dislocate posteriorly. Doctors usually identify the type of dislocation based on the position of the humeral head to the glenoid (shoulder socket) at the time of the diagnosis.

Anatomy of the Shoulder

The shoulder has unique anatomy that allows a wide range of movements needed for stretching, reaching lifting, throwing, and other motions. It comprises of the humerus found on the upper arm bone, the scapula on the shoulder blade, and the clavicle (the collarbone). The roof of the shoulder is formed by acromion, a part of the scapula.

Four joints make up the shoulder. The primary shoulder joint, called the glenohumeral joint, is formed where the ball of the humerus fits into a shallow socket on the scapula.

The acromioclavicular (AC) joint is where the clavicle meets the acromion. The sternoclavicular (SC) joint supports the connection of the arms and shoulders to the main skeleton on the front of the chest. The scapulothoracic joint is formed where the shoulder blade glides against the thorax (the rib cage). This joint is important because it requires that the muscles surrounding the shoulder blade work together to keep the socket lined up during shoulder movements.

There are several important ligaments in the shoulder. Ligaments are soft tissue structures that connect bones to bones. A joint capsule is a watertight sac that surrounds a joint. A group of ligaments that connect the humerus to the glenoid forms the joint capsule. These ligaments are the primary source of stability for the shoulder. They hold the joint in place and keep it from dislocating.

The labrum is a cartilaginous structure inside the shoulder that is attached almost entirely around the edge of the glenoid. The labrum creates a deeper cup for the ball of the humerus to fit into and helps prevent dislocation.

The Rotator Cuff

Four rotator cuff tendons connect the deepest layer of muscles to the humerus. This group of muscles lies just outside. The rotator cuff muscles and tendons also help keep the shoulder joint stable by holding the humeral head in the glenoid socket.

Another crucial muscle is the deltoid muscle that is found on the outer layer of the shoulder muscle. The deltoid is the largest, strongest muscle of the shoulder. The deltoid muscle takes over lifting the arm once the arm is away from the side.

Being a very mobile joint, the shoulder is more vulnerable to dislocation than other joints. Forceful motions that cause soft tissue structures to tear or rupture lead to dislocation. Once the shoulder has been dislocated the first time, there is a high probability of a second shoulder dislocation. It’s essential for the patient to get rotator cuff treatment immediately and after that do exercises to strengthen the injured shoulder and prevent another occurrence of damaging the joint. 

List of Rotator Cuff Injury Treatments in Singapore

When the soft tissue that stabilizes the shoulder is torn or strained because of a shoulder dislocation, or if you experience frequent dislocations, doctors may recommend surgery to repair or tighten the damaged shoulder. Surgery may also be needed if a dislocation causes damage to the bones and ligaments in the joint.

An orthopedic surgeon may recommend surgery for recurring shoulder dislocations to alleviate any further damage to your shoulder. Surgery may improve joint stability and prevent future dislocation. A surgical solution is normally needed for younger players because the likelihood of a recurring rotator cuff injury and shoulder dislocation is higher in young players.

Arthroscopic Shoulder Surgery

Surgery for a dislocated shoulder is often required to tighten torn or stretched tendons or ligaments. A surgeon may also repair a torn labrum, the ring of cartilage that surrounds the shoulder socket and stabilizes the humerus. Together, these soft tissues hold the joint in place. The goal of surgery is to repair or tighten these tissues.

An arthroscopic technique allows surgeons to access the shoulder using tiny incisions, minimizing damage to surrounding tissues. This surgery is performed using a slim, pencil-sized instrument called an arthroscope that is inserted into the joint through a small incision. After positioning the arthroscope, the surgeon inserts small surgical tools through a separate small incision to reposition a torn ligament or labrum. Arthroscopic surgery is performed using general anesthesia.

 This type of surgery is less invasive; therefore, patients heal faster and are able to return to normal activities in three months.

Open Shoulder Surgery

If the arthroscopic surgery is unsuccessful and shoulder weakness and pain persists, your surgeon will do a diagnostic imaging test to check if the shape of the bones has changed. He will recommend open surgery. Open surgery involves accessing the joint through a single incision above the shoulder blade.

If the damage is excessive, your doctor may perform a bone graft to repair bone loss in the glenoid socket. Over time, the grafted bone fuses to the shoulder socket to stabilize the shoulder.

Post-Surgery Care

Arthroscopy is an outpatient procedure, which means you can expect to return home within hours of surgery. Doctors may prescribe pain medication for the first week or two. As your shoulder heals and the pain lessens, doctors recommend transitioning to an over-the-counter pain reliever. 

Doctors recommend immobilizing the arm and shoulder using a sling for four to six weeks while the soft tissues heal. Your doctor will monitor how you are improving at a follow-up appointment two weeks after surgery.

After six weeks, doctors encourage three to six months of physical therapy to rebuild muscle strength and restore range of motion. During the first week’s post-surgery, physical therapists use heat and massage therapy to relieve pain and inflammation. As the shoulder heals, stretching and strengthening exercises are incorporated.

After a shoulder dislocation surgery, the patient needs to rest the shoulder for the recommended time and avoid returning to activities that may cause another dislocation. Singapore has excellent surgeons in its hospital so expect to get the best care possible.

Return to Play After a Shoulder Dislocation

Return to play in patients following a shoulder dislocation is determined when full range of motion (ROM) and strength is regained. Older adults can return to play faster than younger athletes do because the chances of re-dislocation are much lower in older adults. Usually, older adults can return to play within ten weeks months.

Due to a higher risk of injury recurring in younger adults, doctors are cautiously optimistic to give permission to proceed after shoulder rehabilitation is completed. Again, every player is unique, so when full ROM and full strength is achieved, the player can resume active sports.

Complications of a Dislocated Rotator Cuff

The most common complication of an acute shoulder dislocation is a recurrence. This occurs because the capsule, surrounding ligaments, and nerves are stretched and deformed during the injury. Majority of recurrences occur within two years after the initial injury. Doctors in Singapore will advise against returning to active sports without an extensive evaluation is done on the player to make sure they are fit to play.

Another common complication following dislocation is fracturing. After a dislocation, there is a high chance of getting a compression fracture of the posterior humeral head. This significantly weakens the shoulder leading to more shoulder injuries.

Rotator cuff tears are also common because of shoulder dislocations. There is a high frequency of this complication with older patients. This is why older players are encouraged to take longer before resuming sports to heal and reduced the occurrence of this complication ultimately.

Nerve injuries are common with anterior dislocations. The axillary nerve is more likely to be crushed between the humeral head and the scapula. in the event this happens, the patient’s shoulder must be fixed surgically.

Younger athletes tend to experience the likelihood of future dislocations. The recurrence rate is thought to be 90% if the initial dislocation occurs in the teen years. In players over 40 years, the recurrence rate is minimal at 15%. Rotator cuff dislocation injuries are not to be underestimated.

When Can An Athlete Return To Sports After A Dislocated Shoulder?

Most players who dislocate their shoulder for the first time usually return to play within six weeks of the injury once they reestablish full range of shoulder motion and strength. The player should be able to perform all actions necessitated by their position without discomfort.

A player who undergoes surgery will require more time to heal before returning to play. It can take five to nine months of rehabilitation before they can resume high impact sports. Of course, the athlete’s doctor must approve this decision.

The Success Rate for Treating A Dislocated Shoulder

Non-surgical treatment of players with dislocated shoulders for the first time has up to a 50% failure rate due to the nature of high impact sports. This explains why a significant number of recurrent injuries will require surgery to fix.

The success rate of surgical repair of a dislocated shoulder is reliably more significant than 90%. Age is also another factor; most young players are likely to get recurring dislocation s than older people. Whatever the age, everyone can heal completely from a dislocated shoulder so long as great care and rehabilitation is done.