Sudden pain, patient has spring finger disease

Patient Le. TN (64 years old, Thanh Son, Uong Bi, Quang Ninh) went to Vietnam – Sweden Hospital Uong Bi for examination because of pain in the fingers of two right hands.

The female patient said, 2 weeks ago, suddenly the fingers of her right hand were painful at the base of the fingers. Even more frightening, her finger is normally easy to grasp, but recently it has been difficult to fold the palm of the hand or straighten it.

To “control” this finger, she often had to use her other hand to pull it out, but the finger bounced back like a spring.

At the hospital, through examination, the patient was diagnosed with spring fingers on the two fingers of his right hand. Doctors used anti-inflammatory drugs, injected the flexor tendon locally for the patient. After 5 days of treatment, the patient’s finger pain is gone, finger stretching is easier…

Teachers, office workers, tailors, typists… often suffer from spring finger syndrome

Doctor Nguyen Thi Dung, Department of Neurology, Vietnam – Sweden Hospital Uong Bi said that the cause of spring finger disease (trigger) is inflammation of the tendon sheath of the flexor tendons of the fingers. tight tendon sheath. The cause is due to the adhesion between the flexor tendon and the pulley that holds the flexor tendon, causing the flexor tendon to stick to the pulley, causing the finger to not be able to extend.

Common symptoms of the disease are pain in the palm of the hand at the base of the fingers, there may be slight swelling, intense pain when pressing, pain increases when flexing the fingers… Long-term disease leads to fibrosis of the flexor tendons, making it difficult to move. fingers, fingers can be stuck in palm-folded position (trigger position) or straightened. Ultrasound at the site of injury may show thickening of the finger flexor tendon and surrounding fluid.

Illustrations

According to Dr. Nguyen Van Thoan – On-Demand Treatment Department, Viet Duc Hospital, spring finger is an inflammation of the tendon sheath of the flexor tendons of the fingers, causing narrowing of the tendon sheath.

In some cases, when the flexor tendon becomes inflamed, there is a fibrous inflammation, which impedes the mobility of the flexor tendon through the finger area. Each time flexing or extending the finger is very difficult, the patient has to struggle to pull the finger out or pull the finger out with the right hand like a springy finger.

The disease is common in women, especially in pregnant, lactating, and premenopausal women; people with joint diseases such as: rheumatoid arthritis, gout; spring fingers are also seen in people with diabetes; People with trauma often repeat the neck-hand area.

Especially according to Dr. Thoan, people who are susceptible to this disease are often related to occupations that need to use their neck and fingers a lot (teachers, office workers, tailors, typists, etc.)

To diagnose the disease, doctors often have to rely on local clinical symptoms.

Patients with painful fingers may be stuck in the palm-to-palm flexed or extended position; On examination of the finger, swelling may even be palpable, over the flexor tendon of the finger at the knuckle of the knuckle. Fibromyalgia moves when flexing and extending the finger.

“Depending on the stage of the disease can choose suitable methods:

– Rest, keep warm, physiotherapy.

– Immobilization with finger splints.

– Systemic, topical NSAIDs.

– Inject steroid into the tendon sheath.

– Surgery to release the A1 pulley,” said Dr. Thoan.

In addition to the above measures, the doctors of Vietnam-Sweden Hospital Uong Bi also said that it is possible to combine with methods in traditional medicine or physical therapy, surgical intervention to release the tendon sheath in school. severe fibrocartilage.

Doctor Nguyen Thi Dung also emphasized that spring finger disease, if detected and treated early, can avoid complications, shorten treatment time, save costs, and have little impact on daily life and work. .

Therefore, when you have any symptoms of the disease, you should go to the nearest medical facility so that the disease can be detected early and treated promptly.

N. Huyen