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Stenosing tenosynovitis which is also known as trigger finger is a medical condition in which one of your fingers gets stuck in a bent position. Your finger may bend or straighten with a snap – like a trigger being pulled and released.
It occurs when inflammation narrows the space within the sheath that surrounds the tendon in the affected finger. If trigger finger is severe, the finger may become locked in a bent position.
People whose work or pursue hobbies require repetitive gripping actions and are at higher risk of developing trigger finger. The condition is also more common in women and in anyone with diabetes. Treatment of trigger finger varies depending on the ferocity.
Symptoms may progress from mild to severe which may include:
- Finger stiffness, particularly in the morning
- A popping or clicking sensation as you move your finger
- Tenderness or a bump (nodule) in the palm at the base of the affected finger
- Finger catching or locking in a bent position, which suddenly pops straight
- Finger locked in a bent position, which you are unable to straighten
Trigger finger can affect any finger, including the thumb. More than one finger may be affected at a time, and both hands might be involved. It is usually noticeable in the morning, while firmly grasping an object or when straightening your finger. the patient should seek immediate medical care if the finger joint is hot and inflamed, as these signs may indicate infection.
If you have any stiffness, catching, numbness or pain in a finger joint, or if you can’t straighten or bend a finger, fix an appointment with a doctor.
Factors that put at risk of developing trigger finger include:
Repeated gripping– Occupations and hobbies that involve repetitive hand use and prolonged gripping may increase the risk of trigger finger.
Certain health problems- People who have diabetes or rheumatoid arthritis are at higher risk of developing trigger finger.
Your sex– Trigger finger is more common in women.
Surgical and other procedures
Steroid injection- An injection of a steroid medication near or into the tendon sheath may reduce inflammation and allow the tendon to glide freely again. This is the most common treatment, and it’s usually effective for a year or more in most people treated. But sometimes it takes more than one injection.
For people with diabetes, steroid injections tend to be less effective.
Percutaneous release- After numbing palm, the doctor inserts a sturdy needle into the tissue around the affected tendon. Moving the needle and your finger helps break apart the constriction that’s blocking the smooth motion of the tendon.
This treatment may be done under ultrasound control so the doctor can see where the tip of the needle is under the skin to be sure it opens the tendon sheath without damaging the tendon or nearby nerves. This procedure is usually done in the doctor’s office or in an office procedure room.
Surgery- Working through a small incision near the base of the affected finger, a surgeon can cut open the constricted section of tendon sheath. This procedure is usually done in an operating room.
Nonsteroidal anti-inflammatory drugs — such as ibuprofen (Advil, Motrin IB) or naproxen (Aleve) — may relieve the pain but are unlikely to relieve the swelling constricting the tendon sheath or trapping the tendon.
Rest- Avoid activities that require repetitive gripping, repeated grasping or the prolonged use of vibrating hand-held machinery until your symptoms improve. If you can’t avoid these activities altogether, padded gloves may offer some protection.
A splint- Doctor may have you wear a splint at night to keep the affected finger in an extended position for up to six weeks. The splint helps rest the tendon.
Stretching exercises- Doctor may also suggest gentle exercises to help maintain mobility in the finger.
According to world health organisation, health is defined as a complete state of physical, mental and social well-being and not merely the absence of disease.
Hence, to have a healthy life one has to be physically, mentally and socially complete.
Tips for physical health (morning to night):
1. Always awake in the morning (6am to 8am) but after completion of atleast 6-8hrs sleep. There is no need to get up at 4am. But, it is always advisable to get up on or before 8am.
2. Drink a glass of hot water just after getting up in the morning.
3. Try to go for a walk in the morning (else a evening walk will do).
4. Have good heavy breakfast in the morning. Breakfast should be completed by 10am.
5. Afternoon meal should be between 12pm to 2pm.
6. Have a evening snack.
7. Dinner should be done between 6pm to 8pm.
8. Try not to take any salt diet after 8pm for the good health.
9. Sleep till 10-11pm, so as to get up after 6 to 8 hrs sleep. Always keep mobile phones away while sleeping, as it's very much necessary to have a sound sleep.
10. In complete day drink atleast 3-4 litters of water so to keep your skin glowing and keeping you hydrated.
11. Wear mask in the dust and polluted areas.
12. Avoid smoking & alcohol as much as possible.
Tips for mental health (morning to evening):
1. Do yoga or meditation for atleast 20-30min (ideally between 6am to 8am).
2. Try to control anger in every possible way. To control anger always try to think what if you were on his/her place.
3. Always keep in mind if you are angry, it will affect only n only your health.
4. Try not to expect lot from others, as this will not hurt yourself.
5. Try your level best to expect more from yourself, as it will be motivating.
6. Keep calm and think before you speak, rather than regretting afterwards.
7. Always keep your temper cool in what so ever circumstances. When ever you unable to control you temper try following things;
• watch yourself in the mirror
• do deep breathing for 2min
• go for a walk or a short run and think of whole scenario only in a positive way.
If atleast any one of this is done, your anger will vanish.
Tips for social health:
1. Always in the morning try to greet everyone one with a good morning with a bright smile.
2. Try to be very humble to your people (family).
3. Outside your home try to be first to say thanks or sorry. As this will create a good impression and saying sorry in any argument will vanish a anger.
4. Try to be help elders.
5. Try to have a talk with your family and friends, rather than sitting alone.
6. Try to be in social atmosphere, rather than being alone.
Hence, one who can synchronise the physical mental & social atmosphere at a complete level, will only be a healthy person, and not just the absence of a disease.
Rice vs. Chapati
Rice is one of the more commonly consumed grains, providing 20 percent of the world's energy from food. Chapati is a type of unleavened bread commonly consumed by people when they eat Indian food. Both of these foods can be nutritious side dishes, but chapatis are a bit more nutrient dense than rice.
A 1/3-cup serving of rice contains 80 calories, 1 gram of protein, 0.1 gram of fat and 18 grams of carbohydrate. A small, 6-inch chapati contains 71 calories, 3 grams of protein, 0.4 gram of fat and 15 grams of carbohydrates, including 2 grams of fiber. The chapati is lower in calories and provides more protein and fiber, both of which help you keep feeling full for longer.
Both rice and chapatis provide folate, a water-soluble B vitamin that is essential for making DNA and forming new cells, including the red blood cells that transport oxygen throughout your body. Folate also helps prevent neural-tube birth defects, so it is especially important for women who are pregnant or could become pregnant. Rice is the better source, providing 15 percent of the daily value for folate per serving compared with 4 percent of the DV in each chapati.
Each serving of chapatis provides you with 6 percent of the DV for phosphorus, 5 percent of the DV for iron and magnesium, 2 percent of the DV for potassium and 1 percent of the DV for calcium. A serving of rice provides the same amount of iron but less phosphorus and magnesium, with 2 percent of the DV for each of these nutrients, and less potassium, with 1 percent of the DV. Rice doesn't contain any calcium. Phosphorus is important for kidney function and cell repair, iron is needed for forming red blood cells, and magnesium helps regulate your blood pressure and blood sugar levels.
When eating Indian food, chapatis are torn into smaller pieces and used to help scoop up the main dish. Rice is used to help soak up liquids and stretch the meal to make it more filling. Brown rice is a healthier option, since it contains more fiber and micronutrients, so opt for brown basmati rice if it is available rather than white. For the healthiest Indian meals, start your meal with either Rasam soup or mulligatawny soup if it is broth-based instead of the fried appetizers on the menu, and then order dal and either tandoori chicken or palak paneer for your main dish to go with your chapatis and rice.
While chapatis are higher in fiber, protein and micronutrients than rice, with the exception of folate, they are also higher in sodium. Rice doesn't contain any sodium unless you add salt to it, but each chapati contains 131 milligrams of sodium, or 5 percent of the DV. If you are watching your sodium intake, rice might be the better option.