Trigger Finger

Iontophoresis Protocol Trigger Finger

Finger flexor tendons run along in a common sheath which lies deep to the bands of fascia in the palm. The fascia usually is not palpable unless there is some inflammation. A trigger or nodule results as a thickening of the tendon. This nodule forms an obstruction and catches on the nar­rower annular sheath. Motion beyond the obstruction may be passively applied, often accompanied by a snapping sensation.

Usually a small tender mass is palpable in the tendon located near the metacarpalphalangeal joint. Pathologi­cally there is localized stenosis of the tendon sheath. The condition often occurs in the flexor tendon of the third or fourth finger and the development of the trigger is gradual and painless. Cause is usually unknown, however, trauma may be a contributing factor. Often members of the same family may be affected.


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PATIENT EVALUATION


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PATIENT EVALUATION

A.     Subjective: •    Patient complaint •    Location •    Onset...
WHY IONTOPHORESIS IS APPROPRIATE THERAPY


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WHY IONTOPHORESIS IS APPROPRIATE THERAPY

Iontophoretic drug delivery for the condition of trigger finger provides an alternative to hypodermic injection of corticosteroids, with increased...
RE-EVALUATION


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RE-EVALUATION

In addition to the patient's subjective reports, check for decreased pain, decreased tenderness to palpation at trigger or nodule in the flexor...
IONTOPHORESIS PROCEDURE


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IONTOPHORESIS PROCEDURE

IMPORTANT: See Phoresor System and electrode in­struction guides for indications, contraindications, warn­ings, precautions and directions...


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