Added: 4 years ago
From: Vijitpornkul
Views: 36,595
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  • Percutaneous release of thumbs is relatively easier compare to other fingers.shorter of A1 band .the technique to play safe is abduction the thumb and approach a bit medial to flexor tendon .more than 10 years of this technique learning curve. More than 2500 cases of trigger thumbs have been treated.among these almost 90 cases of congenital(acquired) trigger thumbs treated.Total of 23000 cases so far.

  • Open technique as i have encouter open by some surgeon got the sensory nerve injury due to the transverse incision but by my Blade Probe technique2320 Rifgt thumbs and 1873 Left thumbs .I have two cases of temporary numbness but no even one case of nerve injury . I've treated with this technique for 15826 finger I can say this a break through treatment for trigger finger of any severity.

  • @Vijitpornkul Very interesting.....ist here anyone in the So. California area that can perform this breakthrough treatment?

  • percutaneous trigger release of the thumb is not yet widely accepted. The sensory nerves to the thumb can get injured with percutaneous release. An open release is widely accepted for the thumb and is usually done with a 1cm incision. Since my last post endoscopic trigger release is another option for the fingers but not the thumb. If you are not interested in a cortisone injection tajicentre then open release is appropriate

  • Your options are

    1)splint the finger in extension at night for 2-3 weeks

    2)cortisone injection

    3)percutaneous trigger finger release

    4)open trigger finger release

    Richard

  • @jcbortho is this appropriate 2 mths after the condition discovered? i splinted r/ thumb for 1 week- 24/7 without improvement and since then the condition has become more painful with use. i am looking for non surgery non medication treatment due to chemical sensititiviies. is percutaneous surgery local anaesthetic surgery?

  • I had surgery scheduled, but canceled it, I don't want their drugs, they wanted to put me into a twilight sleep, this isn't necessary, they wanted to make a 1 inch incision with a knife, I'm looking for an acupuncturist.

  • I have played guitar for over 20 years and 5 years ago I noticed a little pain when I performed a wide stretch on my guitar. Soon after my index finger began to lock, especially when I woke up in the morning. I became so afraid that I stopped playing guitar. The finger locking went away. I started playing guitar again last year and the trigger finger came back. Yesterday my finger was so severe I had to force it open with so much force. I dont know what to do. Should I stop playing? Surgery?

  • I have the same problem pretty much except I'm young =( not sure what I'm goona do. I think next time I'm at the docs I'm going to ask to be reffered to a specialist and hear my options from them.

  • I was born with this condition in my thumb, and it was corrected with surgery as a toddler (so that my motor functions could develop normally). The surgery worked amazingly for me, I have a small scar on my thumb but it works absolutely perfectly. I've never had problems with it. I actually am a guitarist as well.

  • @justavid Start playing the harmonica. 

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