Trigger thumb
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The information / discussion in the Cycling Health Forum is not qualified medical advice. Please consult your doctor.
The information / discussion in the Cycling Health Forum is not qualified medical advice. Please consult your doctor.
- IamGroot
- Posts: 94
- Joined: Wed Aug 10, 2016 8:52 pm
- Location: Rubyvale Qld
Trigger thumb
Postby IamGroot » Sun Aug 14, 2016 10:20 pm
Has anyone ever developed Trigger thumb, on Xmas day 2015 I woke up with this condition in my left thumb and after several months of daily exercises my GP decided I need a course of cortisone injections. The first injection reduced the lump and movement by 70% and the second injection has made the movement 50% worse. Next up is I'm off to see a hand surgeon, my GP said its not really known what causes the problem. On Saturday I went hard on the mountain bike for 3 hours and it always feel better after this kind of workout. Strange hey.
-
- Posts: 1391
- Joined: Tue Oct 02, 2007 7:12 pm
- Location: Albany. 400km South of Perth
Re: Trigger thumb
Postby John Lewis » Mon Aug 15, 2016 12:12 am
Yes. I had one years ago. Think it was caused by a bad knock.
I had surgery and it has been good ever since.
As I understand it then was a nodule formed on a tendon and it
was catching in the sheath.
They split the sheath a bit. That's probably an over simplification.
John
I had surgery and it has been good ever since.
As I understand it then was a nodule formed on a tendon and it
was catching in the sheath.
They split the sheath a bit. That's probably an over simplification.
John
- gorilla monsoon
- Posts: 3553
- Joined: Tue Aug 26, 2008 10:45 am
- Location: Lake Macquarie
Re: Trigger thumb
Postby gorilla monsoon » Mon Aug 29, 2016 10:03 am
Same. Diagnosis, see specialist, have the surgery, back one the bike within a week.
That was about 12 months ago. My surgeon said he couldn't be bothered mucking around with cortisone because of the so-so success rate.
Surgery apparently has an almost-100% success rate.
That was about 12 months ago. My surgeon said he couldn't be bothered mucking around with cortisone because of the so-so success rate.
Surgery apparently has an almost-100% success rate.
Not my circus, not my monkeys
-
- Posts: 3
- Joined: Fri Sep 16, 2016 9:57 am
Re: Trigger thumb
Postby caitymb » Mon Sep 19, 2016 9:21 am
Have had trigger finger (not thumb). Developed it after spending too much time too quickly hitting balls at the driving range; with a tight grip.
Saw the physio a few times and eased up on the driving range whilst doing some rehab exercises, and hasn't returned since.
Personally, I'd avoid too many cortisone injections if you can - ie. I'd try non steroidal intervention (rest, reduce inflammation, then rehab). It's a bit of band-aid fix and there's only a limited number (I believe the magic number is three) you can have in a joint before it adversely impacts it....not generally an effective long term solution?
However, it appears there is research to support that it may be a somewhat beneficial intervention for trigger thumb moreso than fingers:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3504690/
EDIT: Extract/conclusion from the study that will be of most interest and relates to the above -
"In conclusion, steroid injection is a successful first-line intervention for the treatment of trigger digit, especially in the thumb. The total efficacy of the steroid injections was 66% in the study. There was statistically a greater success of the injections in treating the thumb compared with other fingers. The severity of the condition at presentation, the presence of a nodule at the site and osteoarthritis or diabetes all reduced the efficacy of the steroid injection. However the study was not large enough to demonstrate a statistically significant difference between these variables.
The efficacy of a third steroid injection needs to be investigated in a larger study, but the findings of this study suggest that a third injection does not substantially increase the efficacy of the treatment. It is therefore recommended that after two steroid injections the patient with recurrent symptoms is offered a surgical or percutaneous release of the triggering digit."
Saw the physio a few times and eased up on the driving range whilst doing some rehab exercises, and hasn't returned since.
Personally, I'd avoid too many cortisone injections if you can - ie. I'd try non steroidal intervention (rest, reduce inflammation, then rehab). It's a bit of band-aid fix and there's only a limited number (I believe the magic number is three) you can have in a joint before it adversely impacts it....not generally an effective long term solution?
However, it appears there is research to support that it may be a somewhat beneficial intervention for trigger thumb moreso than fingers:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3504690/
EDIT: Extract/conclusion from the study that will be of most interest and relates to the above -
"In conclusion, steroid injection is a successful first-line intervention for the treatment of trigger digit, especially in the thumb. The total efficacy of the steroid injections was 66% in the study. There was statistically a greater success of the injections in treating the thumb compared with other fingers. The severity of the condition at presentation, the presence of a nodule at the site and osteoarthritis or diabetes all reduced the efficacy of the steroid injection. However the study was not large enough to demonstrate a statistically significant difference between these variables.
The efficacy of a third steroid injection needs to be investigated in a larger study, but the findings of this study suggest that a third injection does not substantially increase the efficacy of the treatment. It is therefore recommended that after two steroid injections the patient with recurrent symptoms is offered a surgical or percutaneous release of the triggering digit."
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