trigger finger

Ergonomics and Posture for Classical Guitarists, Aches and Pains, Injuries, etc...
nudge

Re: trigger finger

Post by nudge » Wed Jun 04, 2008 12:21 pm

My physio suggests I massage the hand to stretch the offending/tightening tendon,otherwise surgery is an option

cn90

Re: trigger finger

Post by cn90 » Thu Jun 05, 2008 3:20 am

nudge wrote:My physio suggests I massage the hand to stretch the offending/tightening tendon,otherwise surgery is an option
I am a physician and I always recommend against surgery if possible.

However "trigger finger" is one of those conditions that surgery can be gratifying.

Go and see a qualified hand or orthopedic surgeon. It is a small operation.
Last edited by cn90 on Thu Jun 05, 2008 1:19 pm, edited 1 time in total.

idgl

Re: trigger finger

Post by idgl » Thu Jun 05, 2008 11:00 am

cn90 wrote:
nudge wrote:My physio suggests I massage the hand to stretch the offending/tightening tendon,otherwise surgery is an option
I am a physician and I always recommend agianst surgery if possible.

However "trigger finger" is one of those conditions that surgery can be gratifying.

Go and see a qualified hand or orthopedic surgeon.
I suppose your mileage varies. I was advised by a sports doctor that it would be easy for a hand surgeon to scrape away the excess bone that was catching on the tendon. I went to a hand surgeon who advised against an operation due to the advanced degeneration of the joint (the fifth distal interphalangeal joint of the left hand). I have Heberden's nodes, more pronounced on the left hand than the right.
Maybe I was already too old, mid sixties, by the time I sought advice.
I find it most refreshing to discuss these things. Maybe someone has a success story to tell about this complaint.

zinsmeis

Re: trigger finger

Post by zinsmeis » Sat Jul 19, 2008 5:38 pm

Over the years I have had several bouts with trigger fingers. Most seem to go away with time as long as I keep using my joints. Currently the middle ("m") finger of my right hand is triggering but without any pain. I'm hoping it goes away, but it does not seem to interfere with my playing since it is never bent enough to intitiate the trigger action. It also has a permanent bend from arthritis that is not a problem - in fact, the bend puts my finger towards the correct position for striking a string!

Bottom line: Unless there is pain or interference with playing (or other necessary activities), ignore it. It may go away.

zorrito

Re: trigger finger

Post by zorrito » Mon Oct 03, 2011 4:42 pm

The following information/experience probably goes over some already covered ground. If so, my apologies. Three years ago, and now this past year, I experienced severe motion restrictions in the thumb, index, middle and little fingers of my left hand; the index suffering from "trigger finger." I thought my study of classical guitar was finished. To try and keep this brief and useful, these are the steps that worked for me:
1) did not play the guitar for a week resting the fingers
2) saw a specialist who gave me a cortisone shot at the base of the index finger (my final shot before surgery-which I never needed-since I had already had three shots previously and any more could have caused damage)
3) rested the fingers another week
4) searched this forum for advice on ergonomics and how especially to perform barres (these cause real problems)
5) when returning to practice, lightened up on the pressure applied with the left hand fingers (including the thumb-using the gravity method allows for a much more relaxed application of force)
6) religiously warm up my fingers before practice (warm water soak, stretches, and coordination exercises)
7) practice in half hour intervals, with at least a half hour rest in between, for a total practice time of two hours (it is amazing how breaking up the practice session has made practice less tedious and way more productive)
8) finally, as mentioned in this forum and recommended by the hand specialist, I finish off by giving my left hand an ice massage
All of the above has actually improved, rather than just restored, the flexibility in my left hand. Anyone having similar issues might want to give some type of ritual like this a try, I really recommend it. :bye: Zorrito

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Rick Beauregard
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Re: trigger finger

Post by Rick Beauregard » Wed Apr 19, 2017 11:47 pm

I thought I would restore this old thread. I've been having increased problems with TF in the middle finger of both hands. One (L) is clicking, one (R) is triggering. This post helps, in case anyone else is suffering from this. The article mentioned above (http://orthoinfo.aaos.org/topic.cfm?topic=A00024) is a great resource to learn what's going on.

Remedies above include cortisone shots and surgery, as well as rest. I have also seen references to Vitimin B6, coconut oil, turmeric and other natural remedies, and stretching. I'm about to give some of these a go.
All this time I thought I was making music; it was making me.
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beanctr
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Re: trigger finger

Post by beanctr » Fri Apr 21, 2017 4:57 pm

I had it on my right thumb. I tried a cortisone shot and it worked for a little while. It became very painful. I had the surgery done and its been fine ever since (10 years ago maybe?). R
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