
Trigger Thumb @ MindSay 
*(disclaimer...this is based on what I think I understood; the options I'm told I have available to me)
Cortisone Shot
effective 70 %
only one year of history to base effectiveness on
isn't cortisone a steroid?
aren't steroids linked to cancer?
not sure I want to inject it, topical wouldn't cut it so...
oh yeah, and I detest needles!
maybe not...
Surgery
effective 90 %
a relatively simple procedure and fairly quick recovery.
barring infection I might be okay 8 wks after.
* I do lean in this direction but have the concerns;
Once I'm back at my old work station how will my hand cope?
Will I end up with the same injury later on in time?
Will it then be unrepairable?
Observe and "Live with It"
non-intrusive
So long as I am not required to use my right hand I shouldn't get hurt more...
Maybe it could even heal itself with rest? (How long is a good question...)
Would require me making lifestyle adjustments.
Likely I'll never go mountain biking again unless I can modify my brakes.
Ditto for downhill skiing, cross country might be safe on gentle terrain.
Will need to modify my gardening and household tools etc to allow me to use them.
Change doorknobs/handles on all doors and screens (12)
Use the tools provided to me; key handle and nail clippers, look into others if needed
Use a gel pen - one of my own solutions that work!
Stick to digital artwork, most physical art work will be too challenging!
Learn to be more left handed, even though WSIB doesn't consider that important!
++++++ Other important points; ++++++
* It's up to my employer to accommodate the new work restrictions;
* It's up to me to cooperate in the process(I can't recall if there were others, but I think it's been decided that I can do this for 8 hours a day)
- no repetitive work
- no gripping, no pinching, no grabbing
- work at a self-paced speed
* If I quit, I think she said I won't be covered, regardless if a new job would be healthier for me!
- I found this a frustrating issue! I want more details regarding this because it just doesn't sound right! It's truly counterproductive. Besides I was told earlier that this thumb "claim" would always be attributed to Value Village regardless of where I might end up working in the future. But the Occupational Therapist in Toronto emphasized that if I should quit I'm not covered... Gee Whiz!
- This goes without saying! However there should be support to help achieve it!
My own feelings about this...
It seems I can't even leave this, I will take care; don't want to get depressed over this.
This is the aspect that frustrates and angers me most!
I really have to speak with my doctor and get the skinny on all this!
The impact is much more in depth than I'd originally thought!
Well, I plunged and went to the dr about my thumb..its been getting worse and worse and she confirmed my suspicions that I have what is called Trigger Thumb.. and she gave me a steroid shot into the finger today. OUCH. Double Ouch.. still hurts tonite.. taking tomorrow off, then the rest of the week I am slammed each day!
Here is some info if interested:
Trigger finger is a condition in which one of your fingers or your thumb catches in a bent position. Your finger or thumb may straighten with a snap — like a trigger being pulled and released. If trigger finger is severe, your finger may become locked in a bent position.
An often painful condition, trigger finger is caused by a narrowing of the sheath that surrounds the tendon in the affected finger. People whose work or hobbies require repetitive gripping actions are most susceptible to this condition. Trigger finger is also more common in women than in men, and in anyone with diabetes.
Treatment of trigger finger, also known as stenosing tenosynovitis, varies depending on the severity of the condition. Treatment ranges from rest to medications to surgery.
Signs and symptoms
At first, your affected finger may seem stiff and may click when you move it. You may notice a bump (nodule) or tenderness at the base of the affected finger in your palm. This is the spot where the tendon is likely catching.
As trigger finger worsens, your finger may catch at times in a bent position and then suddenly pop straight. Eventually, the finger may not fully straighten. Trigger finger is not the same as Dupuytren's contracture — a condition that causes thickening and shortening of the connective tissue in the palm of the hand — though it may occur in conjunction with this disorder.
Trigger finger most often affects your thumb or your middle or ring finger. More than one finger may be affected at a time, and both hands might be involved. Triggering is usually more pronounced in the morning, while firmly grasping an object or when straightening your finger.
Causes
The cause of trigger finger is a narrowing of the sheath that surrounds the tendon in the affected finger. Tendons are fibrous cords that attach muscle to bone. Each tendon is surrounded by a protective sheath — which in turn is lined with a substance called tenosynovium. The tenosynovium releases lubricating fluid that allows the tendon to glide smoothly within its protective sheath as you bend and straighten your finger — like a cord through a lubricated pipe.
But if the tenosynovium becomes inflamed from repetitive strain injury or overuse or due to inflammatory conditions, such as rheumatoid arthritis, the space within the tendon sheath can become narrow and constricting. The tendon can't glide through the sheath easily, at times catching the finger in a bent position before popping straight. With each catch, the tendon itself becomes irritated and inflamed, worsening the problem. With prolonged inflammation, scarring and thickening (fibrosis) can occur and bumps (nodules) can form.

