The correct way to treat trigger finger is not to cool it down

Movements are jerky and the pain is numb. Have you considered applying ice to the area before heading to the hospital? Will that help? We'll answer that question.

In this article, I will tell you three things:

  • It's better to leave it alone than to let trigger finger get cold.
  • Have you checked to see if it's caused by tendonitis?
  • If you know the cause of trigger finger, you can avoid serious problems.

It is a research-based article, so the information is reliable.

It's better to leave it alone than to let trigger finger get cold.

If you experience inflammation and pain, apply ice. This idea is outdated.

I think it's natural to think that it's painful to apply ice. That's how I was taught.

Of course, there are exceptions, such as cases where there is internal bleeding in the joint, but generally there is no point in applying ice. In fact, it can have negative consequences.

Research shows that when inflammation occurs, your body is working hard to repair the damage.

It's a waste to refrigerate it: Part 1!

Function of macrophages [/mobile]

When muscle damage occurs, acute inflammation occurs, and waste-collecting cells called macrophages then collect the damaged cells.

At the same time, macrophages produce a growth factor called insulin-like growth factor-1 (IGF-1), which has been shown to increase the rate of muscle regeneration.

Therefore, even if inflammation is occurring, it would be a waste to cool the area and create a condition in which macrophages cannot function.

1 Haiyan Lu et al. Macrophages recruited via CCR2 produce insulin-like growth factor-1 to repair acute skeletal muscle injury FASEB J. 2011 Jan; 25(1): 358–369.

Refrigeration is a waste: Part 2!!

Satellite cells are vulnerable to cold

There are cells called satellite cells, which are usually dormant but only come into play when muscles are damaged.

Although he is very reliable, he does have some weaknesses.

I don't like the cold, and if I put ice on it because it hurts, I end up feeling sluggish for two days. * 2 It's like I'm so cold I can't get out of bed. Doesn't that sound familiar to you?

Some people say that applying cold will make the injury feel better, but applying cold to suppress inflammation will only slow down recovery.

If you have trigger finger, the correct thing to do is not to cool it down. It's a waste to cool it down.

2 Llion A Roberts et al. Post-exercise cold water immersion attenuates acute anabolic signaling and long-term adaptations in muscle to strength training J Physiol. 2015 Sep 15; 593(Pt 18): 4285–4301.

Have you checked to see if it's caused by tendonitis?

magnifying glass

I learned that even if there is inflammation, it is not good to apply cold. By the way, there are cases where the pain and the cause are separate entities.

In some cases, trigger finger is caused by a problem somewhere other than the finger.

For example, try pressing your smartphone screen a little harder with your thumb. Have you noticed that your stomach tenses up slightly? Your shoulders and arms tense up, too. Just moving your thumb uses your whole body.

What if your shoulder is dislocated? It would be difficult to put pressure on your thumb, right?

When you are diagnosed with finger tendonitis, you may tend to think that it is just a problem with your fingers, but it is possible that you are using your body in a way that puts a lot of strain on your fingers and prevents them from moving properly.

If the cause is not in the finger, no amount of cooling will improve the condition. Before cooling the finger, it is important to check whether the cause is elsewhere.

If you know the cause of trigger finger, you can avoid serious problems.

Even if the area is inflamed, applying cold has negative effects. The key to solving the problem is to identify the cause. Without knowing the cause, it is impossible to come up with a treatment plan.

[keikou]If you go to the hospital, they can use equipment such as elastography to identify the cause. This is something we cannot do. [/keikou]

If your doctor diagnoses you with tendonitis, you will begin treatment. However, some tendonitis symptoms may be completely different, such as rheumatism or tendon dislocation, so it is best to get a diagnosis from your doctor first.

Even if you are diagnosed with tendonitis, there is not just one cause. There are female hormones, abdominal muscles, and of course, there are also cases where the cause lies within the finger itself.

[aside type=”boader”]

Here's an interesting article about female hormones (estrogen) and trigger finger!

[kanren url=”https://naoako.com/trigger-finger-equal/”]

[/aside]

In fact, when we treat patients, [keikou]it is common for trigger finger and numbness in the hands to disappear in the process of adjusting the muscles in the lower back and buttocks without touching the fingers. [/keikou]

The important thing to remember is that there are many different causes, and a treatment plan cannot be determined until the cause is identified.

Go to the hospital. If treatment is prolonged or surgery is suggested after 2-3 injections, it's time to investigate other possible causes.

[keikou]It's not bad to doubt. Believing what you're told is nothing more than blind faith.[/keikou]

summary

So far, I have explained how cooling trigger finger can improve it.

  • Exposing trigger finger to cold may make it worse
  • When you cool your body, the cells responsible for recovery stop working.
  • Trigger finger may be caused by a part of the body other than the finger.
  • Let's go to the hospital first
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