Usually patient come with c/o trigger finger. They say that there finger hjas become stiff now and when they try to extend it , it suddenly become streight with a trigger like fashion.
there may be some amount of pain on movements .
Treatment is :
1. analgesics and manipulation in early stage.
2. steroid injection if physiotherapy is not usefull.
3. Surgery is last option, it can be done under local anesthesia. Some time one or two cm. incision can be taken for resection.
Wednesday, September 16, 2009
coccydynia
pain occuring on prolong sitting .
usually common in female
history of injury may be there.
recurrence common.
treatment is mainly suppportive.
avoid prolong sitting on hard surface.
if necessary than use ring shape cushion.
analgesics line NSAID can help.
use Sitz bath, ie to sit in a pot with warm water.
try to avoid straining at coccyx by avoiding constipation.
usually common in female
history of injury may be there.
recurrence common.
treatment is mainly suppportive.
avoid prolong sitting on hard surface.
if necessary than use ring shape cushion.
analgesics line NSAID can help.
use Sitz bath, ie to sit in a pot with warm water.
try to avoid straining at coccyx by avoiding constipation.
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