Dupuytren's Contracture vs Trigger Fingers - any insight?
Posted: Fri Oct 01, 2004 3:36 pm
Hello!
I have a technical question. I've had good results with Thiosinaminum with Dupuytren's Contracture, which "Trigger Fingers" sound very similar to.... but they somehow seem to think it's different. I thought it was somehow the same; a fiberous mass around a tendon.... We've had good results with John Christopher's Bone Flesh and Cartiledge tincture in DMSO for Carpel Tunnel Syndrome, but I'm wondering if anyone knows the similarities/differences between these two, and if anyone's had experience with Trigger Fingers... per se' ?
This is what "they" say about it on a medical website... if this helps. It "sounds" like the same situation as Dupuytren's. Thanks for your insight.
TRIGGER FINGER
Introduction
The tendons that bend your fingers run through a tunnel or sheath. Trigger finger is caused by a thickening on the tendon catching as it runs in and out of the sheath. The most common cause is tenosynovitis. You can often feel this swelling in the palm as you move the finger. The system is very similar to bicycle brake cable. If the wire becomes bent or rusty, the brakes work badly. There are two ways of treating the problem.)
Steroid injection
A small amount of steroid is injected around the tendon. This flattens out the swelling on the tendon allowing it to glide freely in and out of the sheath once more. A single injection is all that is needed in 50% of cases. A further 25% will respond to another injection (i.e. three-quarters of cases can be successfully treated in this way). The steroid injection does not work immediately. It causes no general side-effects but occasionally the skin around the injection-site can be made a little thinner. Therefore two injections are the maximum.
TENOSYNOVITIS
The flexor tendons that bend the fingers run from the forearm. As the tendons cross joints, they run through pulleys. At the wrist, this creates the carpal tunnel. In the fingers, there is a complex system of pulleys called the flexor sheath. The tendons are lined by a layer of tissue called the tenosynovium. This allows them to glide smoothly through the various pulleys.
As we age, the tenosynovium degenerates and thickens, a condition called tenosynovitis. It is likely that some people are genetically more prone to the problem than others. Some medical conditions, such as diabetes, can increase the incidence and severity of the problem. There is no evidence that tenosynovitis is caused by work. However, it is recognised that heavy and repetitive use of the hand can aggravate the condition.
Symptoms
Tenosynovitis causes a number of symptoms in the hand due to the condition itself as well as secondary mechanical effects. The symptoms tend to be worse in the morning.
a.. Tenosynovitis Patients may note that the fingers feel "slow". They may experience a creaking or clicking sensation as the fingers are moved. The fingers are often a little swollen. The palm and fingers may feel tender to pressure.
b.. Carpal tunnel syndrome Swelling of the tenosynovium within the carpal tunnel can cause pressure on the median nerve. This produces tingling in the fingers.
c.. Trigger finger Swelling of the tenosynovium can interfere with movement of the fingers. A lump develops on the tendons, that causes the tendon to "catch" as it straightens
Treatment
There is no way of curing tenosynovitis. Specific problems such as carpal tunnel syndrome or trigger finger may be treated either by steroid injection or surgery. However, even after treatment, the underlying problem will persist. Patients have no alternative to accept this and if necessary to modify hand usage.
Health, Hope, Joy & Healing :
May you Prosper, even as your Soul Prospers 3John 2
Jennifer Ruby
Email advice is not a substitute for medical treatment.
http://www.rubysemporium.com
http://groups.yahoo.com/group/SymphonicHealth
http://www.lazrpulsr.com
http://www.LivingNow.net/rubysemporium4life/
24Hr TollFree Transfer Factor Info line 1-866-315-4002
______________________________________________
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[Non-text portions of this message have been removed]
I have a technical question. I've had good results with Thiosinaminum with Dupuytren's Contracture, which "Trigger Fingers" sound very similar to.... but they somehow seem to think it's different. I thought it was somehow the same; a fiberous mass around a tendon.... We've had good results with John Christopher's Bone Flesh and Cartiledge tincture in DMSO for Carpel Tunnel Syndrome, but I'm wondering if anyone knows the similarities/differences between these two, and if anyone's had experience with Trigger Fingers... per se' ?
This is what "they" say about it on a medical website... if this helps. It "sounds" like the same situation as Dupuytren's. Thanks for your insight.
TRIGGER FINGER
Introduction
The tendons that bend your fingers run through a tunnel or sheath. Trigger finger is caused by a thickening on the tendon catching as it runs in and out of the sheath. The most common cause is tenosynovitis. You can often feel this swelling in the palm as you move the finger. The system is very similar to bicycle brake cable. If the wire becomes bent or rusty, the brakes work badly. There are two ways of treating the problem.)
Steroid injection
A small amount of steroid is injected around the tendon. This flattens out the swelling on the tendon allowing it to glide freely in and out of the sheath once more. A single injection is all that is needed in 50% of cases. A further 25% will respond to another injection (i.e. three-quarters of cases can be successfully treated in this way). The steroid injection does not work immediately. It causes no general side-effects but occasionally the skin around the injection-site can be made a little thinner. Therefore two injections are the maximum.
TENOSYNOVITIS
The flexor tendons that bend the fingers run from the forearm. As the tendons cross joints, they run through pulleys. At the wrist, this creates the carpal tunnel. In the fingers, there is a complex system of pulleys called the flexor sheath. The tendons are lined by a layer of tissue called the tenosynovium. This allows them to glide smoothly through the various pulleys.
As we age, the tenosynovium degenerates and thickens, a condition called tenosynovitis. It is likely that some people are genetically more prone to the problem than others. Some medical conditions, such as diabetes, can increase the incidence and severity of the problem. There is no evidence that tenosynovitis is caused by work. However, it is recognised that heavy and repetitive use of the hand can aggravate the condition.
Symptoms
Tenosynovitis causes a number of symptoms in the hand due to the condition itself as well as secondary mechanical effects. The symptoms tend to be worse in the morning.
a.. Tenosynovitis Patients may note that the fingers feel "slow". They may experience a creaking or clicking sensation as the fingers are moved. The fingers are often a little swollen. The palm and fingers may feel tender to pressure.
b.. Carpal tunnel syndrome Swelling of the tenosynovium within the carpal tunnel can cause pressure on the median nerve. This produces tingling in the fingers.
c.. Trigger finger Swelling of the tenosynovium can interfere with movement of the fingers. A lump develops on the tendons, that causes the tendon to "catch" as it straightens
Treatment
There is no way of curing tenosynovitis. Specific problems such as carpal tunnel syndrome or trigger finger may be treated either by steroid injection or surgery. However, even after treatment, the underlying problem will persist. Patients have no alternative to accept this and if necessary to modify hand usage.
Health, Hope, Joy & Healing :
May you Prosper, even as your Soul Prospers 3John 2
Jennifer Ruby
Email advice is not a substitute for medical treatment.
http://www.rubysemporium.com
http://groups.yahoo.com/group/SymphonicHealth
http://www.lazrpulsr.com
http://www.LivingNow.net/rubysemporium4life/
24Hr TollFree Transfer Factor Info line 1-866-315-4002
______________________________________________
«¤»¥«¤»§«¤»¥«¤»§«¤»¥«¤»§«¤»¥«¤»§«¤»¥«¤»§«¤»¥«¤
¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯
[Non-text portions of this message have been removed]