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Thumb lock
Hello sir/mam...my mother is having pain at the base of the thumb since 2years. Earlier she couldn't bend her thumb backwards properly and there was clicking or popping sound. Also while doing any activities the pain increased. There was restricted mobility and thumb would get locked in straight position.
This happened after my mother had fallen on ground accidentally .
No x-ray done till now
Doctor prescribed no medicine only asked to soak hand in warm water.
Followed instructions of doctor but no improvement.
The condition deteriorated few days ago as now she is even not able to bend thumb backwards at all. It can be bent forwards but gets stuck or locked up in straight position most of the time. She is also suffering from diabetes since 20years.
Plz suggest what to do.
Answers (5)
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This treatment is being suggested on bases of the information provided. However
I would like to examine & investigate your mother in detail.
-Control Hypertension, Diabetes or any other metabolic disorder, if there is any.
- she is suffering from trigger thumb.
-Any way it may be tried,
--. Dolokind Plus (Mankind) [Aceclofenac100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5 days.
--. Caldikind plus (Mankind) 1 tab OD x 10 days.
-(You may need help of your local doctor to get these medicines.)
--. Fomentation with warm water. Let the part not be exposed to cold.
--. Sleep on a hard bed with soft bedding.
--. Use no pillow under the head.
--. Avoid painful acts & activities.
-- .Do mild exercises for the affected part - thumbs &wrist & hands.
--.(Take help of physiotherapist or you can visit my you tube channel nc gupta me and my yoga).
--Do not ignore, let it not become beginning of a major problem.
--Do ask for a detailed treatment plan.
Kindly make sure, there is no allergy to any of these medicines.
--For emergency treatment visit nearest hospital.
--Wish you a quick recovery & good health.
--I hope, I have solved your problem to your satisfaction.
Dr N C Gupta MS (ortho)
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It is trigger thumb. Best solution is to do surgery under local anaesthetic. Temporary injection might help in the thumb. Consult your dr.
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It is a locked trigger thumb. Ask her to rest her hand completely especially the thumb by giving a thumb spica splint. Once the pain and this episode settles she will require exercises. Also ask her not to put any pressure on the thumb.
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Looks like trigger thumb.
Next Steps
trial of hot fomentation, anti inflammatory medications
Health Tips
if pain and inability to bend the thumb backwards persists,a small surgical release of trigger thumb may be required
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She is probably suffering from trigger thumb. Require injection steroids if diabetes under control.
Next Steps
If not relief then go for minor surgical procedure call percutaneous release of trigger site.
Health Tips
Avoid lifting heavy weight. Twisting activity & strict control of diabetes.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.