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ٹریگر فنگر کی ورزشیں

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Exercise handout after trigger digit release — tenodesis, composite extension, blocked flexion and thumb opposition, recreated from an Extend Rehabilitation sheet.

Updated Jun 2026
ٹریگر فنگر ریلیز (release) کی ہاتھ سے بنی ہوئی تصویر، جو کلینک کے اپنے انداز میں بنائی گئی ہے۔
ٹریگر فنگر کی ورزشیں Kieran Hirpara 4.0

اس صفحے کا ترجمہ مشین سے کیا گیا ہے اور ابھی تک کسی ڈاکٹر نے اس کی جانچ نہیں کی۔ انگریزی نسخہ ہی مستند ہے۔

یہ صفحہ Extend Rehabilitation کے اشتراک سے تیار کیا گیا ہے

نام: ____________________  تاریخ: ____________

ٹریگر فنگر/تھمب (انگلی یا انگوٹھے کا اٹک جانا) ایک ایسی حالت ہے جس میں آپ کا انگوٹھا یا انگلیاں مڑی ہوئی حالت میں اٹک سکتی ہیں اور پھر ایک “جھٹکے” کے ساتھ سیدھی ہوتی ہیں۔ یہ اس لیے ہوتا ہے کہ سوزش کی وجہ سے جگہ تنگ ہو جاتی ہے، اس لیے انگلیوں کو موڑنے والے ٹینڈن (flexor tendons) اس میں سے گزر نہیں پاتے۔ ٹینڈن (tendon) ریشوں کی وہ مضبوط ڈوریاں ہیں جو پٹھوں کو ہڈیوں سے جوڑتی ہیں۔ ہاتھوں اور بازوؤں کے ٹینڈن اور پٹھے مل کر انگلیوں اور انگوٹھوں کو موڑتے اور سیدھا کرتے ہیں۔ ٹریگر فنگر/تھمب کی وجہ سے آپ کی انگلیوں یا انگوٹھے کے لیے حرکت کرنا اور چیزوں کو پکڑنا مشکل ہو جاتا ہے۔

ٹریگر فنگر/تھمب کی وجوہات کیا ہیں؟

ٹریگر فنگر کا خاکہ: انگلی کو موڑنے والا ٹینڈن (flexor tendon) تنگ ہو چکے ٹینڈن کے غلاف میں سے گزرتے ہوئے اٹک رہا ہے
  • جن لوگوں کے کام یا مشغلوں میں بار بار گرفت والی حرکات شامل ہوں، ان میں ٹریگر فنگر ہونے کا خطرہ زیادہ ہوتا ہے۔
  • ریومیٹائیڈ آرتھرائٹس
  • ذیابیطس (شوگر)
  • مردوں کے مقابلے میں عورتوں میں دو تہائی زیادہ عام ہے
  • عام طور پر 40 سے 60 سال کی عمر کے افراد کو متاثر کرتا ہے

علامات

  • انگلی یا انگوٹھے کی جڑ میں دکھن۔
  • انگلی کو موڑتے یا سیدھا کرتے وقت درد کے ساتھ کلک کی آواز یا جھٹکا۔ اٹکنے کا یہ احساس انگوٹھے یا انگلیوں کو آرام دینے کے بعد زیادہ ہو جاتا ہے اور حرکت کرنے سے ڈھیلا پڑ جاتا ہے۔
  • بعض صورتوں میں، جیسے جیسے یہ حالت بگڑتی ہے، انگلی یا انگوٹھا مڑی ہوئی یا سیدھی حالت میں جام ہو جاتا ہے اور اسے دوسرے ہاتھ سے آہستگی سے سیدھا کرنا پڑتا ہے۔

ہینڈ تھراپی کس طرح مدد کر سکتی ہے؟

  • علاج کا مقصد سوزش کو کم کرنا ہے تاکہ انگلی کو موڑنے والا ٹینڈن آسانی سے پھسل سکے اور انگلیاں “اٹکے” بغیر حرکت کر سکیں۔
  • یہ اس طرح حاصل کیا جا سکتا ہے
    • اسپلنٹ کا استعمال - اسپلنٹ لگانے کا مقصد جلن (irritation) والے ٹینڈن کی حرکت کو کم کرنا ہے۔
    • کورٹیسون کا انجکشن - یہ انگلی کو موڑنے والے ٹینڈن کی سوزش اور درد کو کم کرنے میں مدد دے گا۔ کورٹیسون کے انجکشن کے ساتھ اسپلنٹ بھی استعمال کیا جا سکتا ہے۔
    • سرجری کے ذریعے - آپریشن کر کے ٹینڈن کے غلاف کو کھول دیا جاتا ہے (release) تاکہ انگلی کو موڑنے والا ٹینڈن آسانی سے پھسل سکے

آپ کیا کر سکتے ہیں

  1. سوجن کو کم سے کم رکھنے کے لیے یہ طریقے اپنائیں:
    • دباؤ والی پٹی (compression)
    • اپنے ہاتھ کو اونچا رکھیں
    • برف (پہلے 48 گھنٹے)
    • ہلکے سے مٹھی کھولنا اور بند کرنا (gentle pumps)
  2. جب تک آپ کے ٹانکے نکال نہ دیے جائیں اور آپ نے اپنے تھراپسٹ سے اس بارے میں بات نہ کر لی ہو، اپنا ہاتھ گیلا نہ کریں۔
  3. ہلکے کاموں کے لیے ہاتھ کا استعمال:
    • جیسے ہی درد اجازت دے، آپ ہلکے کاموں کے لیے ہاتھ استعمال کرنا شروع کر سکتے ہیں، مثلاً کپڑے پہننا، کھانا کھانا وغیرہ۔ وقت کے ساتھ ساتھ، جتنا برداشت ہو سکے، آہستہ آہستہ ہاتھ کو زیادہ اور دوسرے کاموں کے لیے بھی استعمال کرنا شروع کریں۔
    • جیسے ہی درد اجازت دے اور آپ گاڑی کو محفوظ طریقے سے قابو میں رکھ سکیں، آپ گاڑی چلا سکتے ہیں۔
    • یہ بہت ضروری ہے کہ سرجری کے بعد ہاتھ کو حد سے زیادہ استعمال نہ کریں، کیونکہ اس سے زخم بھرنے میں دیر ہو سکتی ہے۔ اگر روزمرہ کاموں میں ہاتھ استعمال کرنے کے بعد آپ کو درد یا سوجن میں نمایاں اضافہ محسوس ہو تو اپنی سرگرمیاں کم کر دیں جب تک آپ کا ہاتھ سنبھل نہ جائے۔

ورزشیں

کہنی ٹکی ہوئی ہے اور انگلیاں ڈھیلی ہیں، جبکہ کلائی آگے اور پیچھے کی طرف مڑتی ہے۔

1. ٹینوڈیسس حرکت (tenodesis action، کلائی کی حرکت سے انگلیوں کا خود بخود کھلنا اور بند ہونا)

کہنی کو ٹکا کر اور انگلیوں کو ڈھیلا چھوڑ کر، کلائی کو آگے اور پھر پیچھے کی طرف موڑیں۔

انگلیاں جتنا ہو سکے سیدھی ہیں، اور دوسرا ہاتھ انہیں مزید سیدھا کرنے کے لیے دبا رہا ہے۔

2. اپنی طاقت سے تمام انگلیاں پوری سیدھی کرنا (active composite extension)

اپنی کہنی میز پر ٹکا کر، اپنی انگلیوں کو جتنا ہو سکے سیدھا کریں اور دوسرے ہاتھ سے انہیں مزید سیدھا کرنے کے لیے دبائیں۔ 5 تک گنیں، اور ڈھیلا چھوڑ دیں۔

ہاتھ میز پر چپٹا ہے، ہتھیلی نیچے کی طرف، اور دوسرا ہاتھ ہاتھ کی پشت پر دباؤ ڈال رہا ہے۔

3. دوسرے ہاتھ کی مدد سے تمام انگلیاں پوری سیدھی کرنا (passive composite extension)

اپنا ہاتھ میز پر چپٹا رکھیں (ہتھیلی نیچے کی طرف)۔ ہاتھ کی پشت پر دباؤ ڈالیں اور اپنے جسم کی طرف ‘مالش’ کریں۔ 5 تک گنیں، اور ڈھیلا چھوڑ دیں۔

دوسرا ہاتھ انگلی کو سرے والے جوڑ کی لکیر کے بالکل نیچے سے پکڑے ہوئے ہے جبکہ سرے والا جوڑ مڑتا ہے۔

4. صرف سرے والے جوڑ کو موڑنا (blocked DIP flexion)

دوسرے ہاتھ سے انگلی کو سرے والے جوڑ کی لکیر کے بالکل نیچے سے پکڑ کر سہارا دیں۔ صرف سرے والے جوڑ سے موڑیں۔ 5 تک گنیں، اور ڈھیلا چھوڑ دیں۔

ہاتھ کی تین حالتیں: ڈھیلی مٹھی، ہُک، اور پھر سیدھی اور پھیلی ہوئی انگلیاں۔

5. ڈھیلی مٹھی

کلائی کو پیچھے کی طرف مڑی ہوئی حالت میں سہارا دیتے ہوئے، ڈھیلی مٹھی بنائیں – پھر “ہُک” بنائیں – اور پھر اپنی انگلیوں کو سیدھا کر کے پھیلا دیں۔

انگوٹھے کا سرا شہادت کی انگلی کے سرے کو چھو رہا ہے۔

6. انگوٹھے کو انگلیوں کے سروں سے ملانا (thumb opposition)

انگلیوں کو سیدھا اور ڈھیلا رکھ کر شروع کریں۔ اپنے انگوٹھے کا سرا شہادت کی انگلی کے سرے سے ملائیں۔ 5 سیکنڈ تک اسی حالت میں رکھیں۔ واپس سیدھی حالت میں آ جائیں۔ یہی عمل درمیانی انگلی، انگوٹھی والی انگلی اور چھوٹی انگلی کے ساتھ دہرائیں۔

10 بار، دن میں 3 سے 4 مرتبہ

مرحلہ وار صحت یابی کے مکمل منصوبے کے لیے، ٹریگر فنگر ریلیز کے بعد بحالی کا پروٹوکول دیکھیں۔


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b. Any arrangements, understandings, or agreements regarding the Licensed Material not stated herein are separate from and independent of the terms and conditions of this Public License.

Section 8 -- Interpretation.

a. For the avoidance of doubt, this Public License does not, and shall not be interpreted to, reduce, limit, restrict, or impose conditions on any use of the Licensed Material that could lawfully be made without permission under this Public License.

b. To the extent possible, if any provision of this Public License is deemed unenforceable, it shall be automatically reformed to the minimum extent necessary to make it enforceable. If the provision cannot be reformed, it shall be severed from this Public License without affecting the enforceability of the remaining terms and conditions.

c. No term or condition of this Public License will be waived and no failure to comply consented to unless expressly agreed to by the Licensor.

d. Nothing in this Public License constitutes or may be interpreted as a limitation upon, or waiver of, any privileges and immunities that apply to the Licensor or You, including from the legal processes of any jurisdiction or authority.


Creative Commons is not a party to its public licenses. Notwithstanding, Creative Commons may elect to apply one of its public licenses to material it publishes and in those instances will be considered the “Licensor.” The text of the Creative Commons public licenses is dedicated to the public domain under the CC0 Public Domain Dedication. Except for the limited purpose of indicating that material is shared under a Creative Commons public license or as otherwise permitted by the Creative Commons policies published at creativecommons.org/policies, Creative Commons does not authorize the use of the trademark "Creative Commons" or any other trademark or logo of Creative Commons without its prior written consent including, without limitation, in connection with any unauthorized modifications to any of its public licenses or any other arrangements, understandings, or agreements concerning use of licensed material. For the avoidance of doubt, this paragraph does not form part of the public licenses.

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