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Related Concept Videos

Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

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The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
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Time to Improvement After Corticosteroid Injection for Trigger Finger.

Daniel Seigerman1, Richard M McEntee2,3, Jonas Matzon3

  • 1Orthopedic Surgery, Rothman Orthopedic Institute, New York City, USA.

Cureus
|September 15, 2021
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Summary

Corticosteroid injections effectively relieve trigger finger pain and triggering symptoms in most patients within three weeks. Pain relief often occurs within the first week, while symptom improvement may take slightly longer.

Keywords:
corticosteroid injectionstenosing tenosynovitistriggertrigger finger

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Area of Science:

  • Orthopedics
  • Hand Surgery
  • Musculoskeletal Conditions

Background:

  • Trigger finger (stenosing tenosynovitis) is a common condition causing pain and mechanical symptoms in the hand.
  • Corticosteroid injection is a frequent non-operative treatment for trigger finger.

Purpose of the Study:

  • To assess the short-term effectiveness of corticosteroid injections for trigger finger.
  • To evaluate patient-reported outcomes regarding pain and triggering symptoms post-injection.

Main Methods:

  • Prospective study involving 452 patients treated by six orthopedic hand surgeons.
  • Patients received corticosteroid injections for trigger finger between June and October 2019.
  • Follow-up phone questionnaires at one, two, and three weeks post-injection assessed pain and triggering.

Main Results:

  • At three weeks, 82.4% of patients reported complete pain relief and 65.9% reported complete triggering relief.
  • Average time to complete pain relief was 6.6 days; average time to complete triggering relief was 8.1 days.
  • 16.3% experienced partial pain relief, and 30.4% experienced partial triggering relief.

Conclusions:

  • Corticosteroid injections provide significant short-term relief for trigger finger pain and triggering symptoms.
  • Pain relief is generally observed earlier than the resolution of mechanical triggering symptoms.
  • The study supports corticosteroid injection as an effective treatment option for trigger finger.