A1 pulley steroid injection

You can engage in light daily activities, lifting, typing, writing, etc. in the first week following surgery so long as this is done in moderate doses. You should always pay attention to any pain or swelling after trigger finger surgery and stop doing any actions that increase these side effects. Keeping the hand above the waist as much as possible can also be helpful toward minimizing swelling after surgery. Using ice will help to lower swelling as well. Driving should not be a problem after trigger finger or thumb surgery and over the counter medications should be effective in reducing any pain. 

This illustration shows the tendon sheath, and shows how it has some thicker regions that are divided into named structures called pulleys. The A1 region is the one that gets involved in trigger finger. There is a similar division, but much simpler, in the thumb. The purpose of the pulleys is to keep the tendons close to the bone (see the smaller illustration above, to the left). As the finger bends (flexes), the pulleys prevent the tendons from sagging away from the bone. In trigger finger, there is some swelling of the tendon, due to a variety of factors, mostly processes of aging. The swollen part of the tendon "pops" under the A1 pulley, causing the finger to "pop" or not bend smoothly. Often the patient thinks it is the joint that is popping, but it is the tendon that moves that joint that is popping.

Dr. Henley explained what he would be doing during the surgery and was very calming in the pre-surgery visit.  I appreciated the follow up call the next day to check on me, I had a couple of questions and they were easily answered during this call.  My follow up visit was good and I was told not to come back unless I had problems, so that was a good thing.  Staff at his office was friendly and courteous as well.  I appreciated that surgery wasn’t the first thing Dr. Henley suggested, he first injected my finger and waited to see if surgery was needed.  That was just a short fix,about 3 months, but it seems as if the surgery has fixed it.  I’m still sore and have a little tingling, but it seems to be getting better, no more painful finger “lock ups”!   

A1 pulley steroid injection

a1 pulley steroid injection


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