Double Bass Trigger finger

Hi
Looking for advice on dealing with trigger finger.

I have tried, stretching, keeping hydrated, magnesium supplements, avoiding alcohol and trying to not over play.

But it still happens especially if the gig is long, hot and late.

I think next gig I am going to try topical ibuprofen?

Any advise from anyone who has over come this problem?
 
At 72 yrs old I have been playing long, hard, and pretty active for 50+ yrs. (electric not standup)
What works for me is to find the right sized cylinder (bottle, pipe, etc.), wrap my hand around it, squeeze and rotate my wrist fully a number of times in all directions. In my case, it seems the problem originates in the wrist rather than the hand and this fixes it.
I hope this works for you as well... :thumbsup:
 
I'm at 70, also dealing with multiple trigger fingers, a result of congenital RA in the hands, going on 3 years now. Nothing seems to make drastic improvement, but I am seeing subtle improvement with range of motion exercises, hot and cold water therapy, and I'm taking a zinc OTC supplement. Steroid shots and eventual surgery are available for those who wish to go that route, and while it isn't my preference, I may one day decide the possible positive results are worth the recovery time and possible complication gamble; more than likely I won't though, just my personal tendency.

I do see some improvement over time. My hands used to hurt a lot, they are now both pain free. Both thumbs used to trigger a lot, they are now at about 95% range of motion without triggering. My left index and middle fingers and my right middle and ring fingers are the biggest issues now, with the left index and right ring fingers range of motion improved to about 70% without triggering. This leaves both middle fingers the most critical at this time, probably at about 40% range of motion and still triggering.

I have played banjo for 55 years, mandolin for 22 years and double bass for 7 years. I haven't given up on them at all. In order to keep going, I've changed postures and techniques uniquely for each instrument, and I've changed arrangements of a number of songs so that I can play them with some restricted finger movement...

Specifically with double bass, my left hand's baseball grip needed to change to more of a classical/Simandl posture with the thumb behind the back of the neck in order to use fingers that couldn't completely flex anymore. That has made a huge difference and I'm glad to have re-learned that; there is also much less shifting and much greater reach, but I did have to significantly lower my action using fat low tension strings in order to achieve this. My right hand has remained pretty consistent, using a thumb anchor on the bass-side of the lower fingerboard and my relatively straight index and middle fingers together to stroke the strings in pizz. Arco and slap have also remained mostly unaffected. I'd like to move my right hand to multiple finger playing, but with the middle and ring fingers significantly restricted, now is not the time for that.

I have found that the design of the hands are pretty remarkable when challenged with multiple fingers not working right. They do a lot of things to compensate almost with a mind of their own, trying to achive a useful balance. This has provided encouragement and a willingness to re-learn so many things.

I'd recommend range of motion exercises, hot and cold water (and/or hot-wax) therapy and possibly a zinc supplement if you are found to be deficient. I'd also recommend consideration of medical help with steroid shots and surgery if you can tolerate those well. But mostly I'd recommend don't give up, and be willing to change things creatively; re-learning can be pretty stimulating.

Best of luck with this!
 
Surgery was the only thing that worked for me. No regrets.
I've had a trigger middle right hand finger for a few years, which was not too much of a problem until a few months ago when it started to lock up and hurt more. I saw a hand specialist, who said it would have to be surgery for a permanent fix. He said the problem is the ligament in the knuckle where the finger meets my hand. Took about 45 minutes in office outpatient.

After it was done, he asked me to make a fist, which I was only partially able to do, but no lock up or pain like before. The nurse actually said I'm more flexible than most so soon after the procedure. She also said to expect up to a year to get close to 100%. It's been about three months and the swelling and flexibility is that much better.
 
Surgery was the only thing that worked for me. No regrets.
Same here. Had the surgery 10 years ago. It was an outpatient proceudre that was done in under 10 minutes. I have had no recurrence and am extremely satisfied with the procedure. Note - you will have to stretch and perform some physical therapy after the procedure, but it is not major, and I have had a return to full range of motion.

Good luck!
 
If you manage to find a good chiropractor, they can do a lot for you.

Provided you're tough enough to stand some pain.

I've had a very similar thing (inflamed tendon) in my arm.
The chiropractor treated me like a baker treads dough, which was a bit on the uncomfortable side.
Felt like a massage given by someone who does not know how much pressure to apply.
The next day, upon waking up, the entire arm felt like someone replaced the tendons with barbed wire.
This process had to be repeated 7 times, then it was gone and never returned.
 
  • Like
Reactions: salmon256
Hi
Looking for advice on dealing with trigger finger.

I have tried, stretching, keeping hydrated, magnesium supplements, avoiding alcohol and trying to not over play.

But it still happens especially if the gig is long, hot and late.

I think next gig I am going to try topical ibuprofen?

Any advise from anyone who has over come this problem?
I see this often in the practice... Best option would be to get a steroid injection (very low risk, done at the doctors office (PCP or Hand specialist). 90% of the time, it gets better with just one shot; sometimes a second shot might be needed. If it still keeps coming back, then surgery would be the last option. Hope this helps. - Vik
Hi
Looking for advice on dealing with trigger finger.

I have tried, stretching, keeping hydrated, magnesium supplements, avoiding alcohol and trying to not over play.

But it still happens especially if the gig is long, hot and late.

I think next gig I am going to try topical ibuprofen?

Any advise from anyone who has over come this problem?
 
  • Like
Reactions: Stuart.C
Hi
Looking for advice on dealing with trigger finger.

I have tried, stretching, keeping hydrated, magnesium supplements, avoiding alcohol and trying to not over play.

But it still happens especially if the gig is long, hot and late.

I think next gig I am going to try topical ibuprofen?

Any advise from anyone who has over come this problem?
Add vitamin B to your supplements. A CBD topical helped me also.
 
  • Like
Reactions: Stuart.C
I know this isn't the answer you were hoping for, but I would have it evaluated by a doctor, if only so you can have some more options on the table, like physical/occupational therapy if needed, and a clear diagnosis as to what is going on.
 
  • Like
Reactions: Stuart.C
Finger extensions. We, as bass players, only work the muscles that close our fingers. The opposite muscle group (that extend our fingers,) needs to be exercised as well.

My trigger finger was better within a week, and comes back in about 3 days if I forget to do my extensions. Extensions also helped with my tennis elbow.

 
  • Like
Reactions: Stuart.C
This external hand treatment was recommended to me a couple of days ago by a friend with severe RA in her hands -- we've been comparing notes about our hands for a couple of years and she says this has been working well for her:

1/2 cup Pure Sweet Almond Oil, 1/2 cup Pure Castor Oil, 10 drops Pure Rosemary Oil, shaken well and applied directly and worked in to hands 2 to 3 times a day. I'm no expert in essential oils but my understanding is that all three of these ingredients are anti-inflamatories

I'm trying this mix for the first time today. Having tried a lot of things, I'm a little skeptical, but I'll report back.
 
I’m a 25 yr RA sufferer. Steroid (cortisone) shots helped at first, but never permanently. My RA doc suggested sleeping with wrist braces to keep the fingers extended and not balling into fists. It worked. Eventually I learned to do this without the braces. The problem has been at bay for many years now since. I did have carpal tunnel release surgery on both hands, but the problems don’t seem related IME.
 
... I'm trying this mix for the first time today. Having tried a lot of things, I'm a little skeptical, but I'll report back.
I have no conclusions at this time, I really didn't try it long enough. I did acquire the 3 different oils and have mixed them as described.

I tried it a few times -- the mixture is thick, sticky, painfully persistent, and the castor oil component makes the mixture smell strongly like motor oil; I'm afraid I was put off by those factors. Also, my impression was that my finger range of motion was worse after using it, although I really can't say that by that time I wasn't negatively biased by the mix's feel and smell and the difficulty in cleaning up.

I'll go back and try it again sometime in the next few weeks, I just need to talk myself into it.