Trigger Case
Check out this page if you are looking for Trigger Case
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 New EF Durand Brass Bb F Tune Slide Trigger Trombone w Case Mouthpiece  US $399.95
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 Bach 42B Trigger Closed Wrap 11508 Trombone with a Bach Gladestone Case US $745.00
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 Trigger Trombone With F Attachment with hard case and mouthpiece US $292.00
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 Blessing B88 OPEN WRAP Trigger Trombone 498571 in a Kaces Case US $895.00
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 Blessing B88 Open Wrap Trigger 524303 trombone in Canvas Hard Case US $750.00
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 YAMAHA YSL 448G F TRIGGER SLIDE TROMBONE W CASE 48L MOUTHPIECE US $572.00
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 New EF Durand SP Nickel Bb F Slide Trigger Trombone w Case Mouthpiece US $260.95
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 New EF Durand Brass Tenor F Trigger Trombone Tune Slide w Case Mouthpiece US $230.95
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 Silver Trombone with trigger or F attachment with case US $298.00
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 New EF Durand Nickel Tenor F Trigger Trombone Tune Slide w Case Mouthpiece US $270.95
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 advanced Bb F bass trombone gold lacquer slide horn one trigger new case US $287.00
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 Silver Bass Trombone with Double trigger with case US $695.00
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 Professional Tuning Slide Trombone Bb F W Trigger Case US $498.00
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 QUALITY Bb F bass trombone Gold Horn with one trigger BRAND NEW case mouthpiece US $287.00
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 Gold Trigger Trombone With F Attachment New w hard case and mouthpicee US $299.00
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 Silver Trigger Trombone With F Attachment with hard case and mouthpiece US $295.00
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 High Grade Bb Tenor Trigger Trombone Horn New In Case US $290.00
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 Silver Trigger Trombone with F Attachment open wrap with hard case US $285.00
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 NICE BACH OMEGA TROMBONE F TRIGGER MODEL W CASE US $695.95
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 EF Durand Nickel Bb F Tune Slide Trigger Trombone w Case Mouthpiece US $399.95
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 Trigger Trombone with case and mouthpiece Used US $248.00
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 Trigger Trombone with case and mouthpiece US $289.00
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 Silver Trigger Trombone with case and mouthpiece US $325.00
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Trigger Finger Singapore - Signs, Symptoms, Causes, Prevention and Treatments
What is Trigger Finger?
Trigger finger, or stenosing tenosynovitis, is a painful condition of the hand associated with a clicking sensation during finger extension, or locking in a bent position during gripping activities.
A 'pop' or 'click' is felt as you straighten your finger or thumb, much like a trigger being pulled and released. This is often associated with pain in palm at the base of the affected finger. In severe cases, the finger may become locked in a bent position.
Signs & Symptoms of Trigger Finger
Trigger finger symptoms usually progress from mild to severe and often begin with finger stiffness, especially in the mornings. It can affect any of the fingers or the thumb. A painful clicking or snapping sensation is felt as you flex and extend your finger.
Occasionally, a tender lump or nodule can be felt at the base of the affected finger (in the palm). As the condition progresses, fingers can sometimes be locked in a bent position and unable to straighten.
Causes & Risk factors for Trigger Finger
Trigger finger is caused by local swelling due to inflammation of the flexor tendon sheath of the affected finger, at the level of the palm. This may be due to repetitive strain injury, overuse or underlying inflammatory conditions. As the space within the tendon sheath narrows, it hinders the smooth gliding of the tendon, and causes catching of the finger in a bent position before popping straight.
As the catching persists, the tendon itself becomes irritated and inflamed, worsening the problem. Scarring and thickening (fibrosis) can occur and bumps (nodules) can form with prolonged inflammation.
Work or hobbies that require repetitive gripping actions increase the risk this inflammation. Female gender, patients with diabetes or underlying conditions such as rheumatoid arthritis are also at increased risk.
Treatments for Trigger Finger
Trigger finger treatments depend on the severity of the condition.
In the early stages, rest, splinting and non-steroidal anti-inflammatory (NSAID) medications such as naproxen, ibuprofen or diclofenac can relieve the inflammation and swelling that led to the constriction of the tendon sheath and trapping of the tendon, and relieves the pain associated with trigger finger.
A local steroid injection (e.g. cortisone), in the region of the tendon sheath is a rapid and effective treatment that will reduce inflammation of the sheath. Injections are most effective when given soon after symptoms begin and may be repeated if necessary, although repeated injections may not be as effective as the initial injection and carrying increased risks of potential side effects. Steroid injections may not be as effective in people with other medical conditions such as rheumatoid arthritis or diabetes.
Hand surgery is recommended for cases that are unresponsive to the above treatments, or for trigger fingers that persists or recurs after two steroid injections. The procedure involves the release of the locked finger through a small incision in the palm and is often performed under local anesthesia as a day surgery or clinic-based procedure.
Self-care and Prevention
Gentle finger exercises and stretching of the affected finger can help maintain mobility of the finger.
To rest the fingers, avoid activities that involve repetitive gripping, grasping and the use of vibrating machinery for three or four weeks.
Soaking your hands in warm water, especially in the morning, helps relieve stiffness and may reduce the severity of the catching sensation during the day. This can be repeated several times throughout the day.
Gentle massage of the affected fingers doesn't reduce inflammation, but does little harm and may feel good and helps relieve your pain.
About the Author
Dr. Jonathan Lee is one of Singapore's leading established hand surgeons specializing in hand and reconstructive surgery. Aiming always to be at the forefront of surgical skills, knowledge and technology, Dr. Lee is an avid researcher and has contributed extensively to international and local medical journals on hand, upper limb and wrist microsurgery, as well as various hand surgery conditions. To find out more about hand surgery conditions, visit http://www.handsurgery.com.sg.
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