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Topic: Trigger finger

Forum: "Middle Age" 40-60(ish) Years Old With Breast Cancer —

Meet others in this age-range who share similar life issues.

Posted on: Dec 20, 2020 07:00PM

Margun wrote:

I am taking letrozole for 1 yeari had joint and bone pain but was manageable. But a few days ago my thumb gets stack or snap to straighten. Something have to straighten my thumb with my other hand. It is trigger finger sign? It will go away by itself? I am scared because this affects my hand functions and it's hurtful when it gets stuck. I am taking letrozole for a bit more than a year and I hope this is not a sign that my joins will malfunction one after another. Any advice how make it better. There is anyone who's trigger finger got better over a short time? I am still working and have a teenager. I must function. Thanks for any advice.

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Dec 20, 2020 07:52PM MinusTwo wrote:

Margun - I was hormone negative and did not take letrozone or als. However I did have trigger thumb just before I was going to start chemo. It does not fix itself. One option was surgery. Oh no - not at that point in my life. The second option was steroid shots in the thumb. I had 3-4 shots over a couple of months with the idea that I might do surgery down the road. But Ihave never had any more problems in 8 years. Unfortunately I developed trigger thumb in the other side. But this time it only took 2 shots to solve the problem. Seven years out for that side.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Dec 20, 2020 09:23PM GraceB1 wrote:

Shots are the first treatment for trigger finger and took care of me after just one shot. See an orthopedists sooner rather than later to stop it from getting worse.

Grace B I'm just special - primary neuroendocrine, less than .001% of all breast cancers. Start each day with gratitude. Dx 6/10/2013, Right, 6cm+, Stage IIIA, Grade 2, 2/11 nodes, ER+/PR+, HER2+ (FISH) Chemotherapy 7/12/2013 Adriamycin (doxorubicin), Cytoxan (cyclophosphamide), Taxotere (docetaxel) Surgery 1/8/2014 Lymph node removal: Right, Underarm/Axillary; Mastectomy: Right Targeted Therapy 2/12/2014 Herceptin (trastuzumab) Radiation Therapy 3/4/2014 Breast, Lymph nodes Hormonal Therapy 5/18/2014 Arimidex (anastrozole) Dx 1/29/2020, Right, <1cm, Stage IA, ER+/PR-, HER2- Hormonal Therapy Femara (letrozole)
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Dec 20, 2020 09:43PM Spookiesmom wrote:

I developed trigger thumb on anastrozole several years ago. One shot took care of it. Currently on letrozole no problems.

Reoccurrence 3-19. Dx IDC, Stage IIIA, Grade 3
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Dec 20, 2020 09:54PM Beesie wrote:

I had a period about 14 months in on Letrozole where trigger finger (middle finger on just one hand) was waking me in the middle of the night. Very painful. Needed my other hand to straighten the finger. This happened on and off for a few weeks and then completely stopped, and so far has not recurred. Of course I don't know if the Letrozole was the cause, but if it was, it seems to have resolved on it's own. So I'd say don't jump to any conclusions yet that this will be permanent or will get worse. Of course it might, but it might not.



“No power so effectually robs the mind of all its powers of acting and reasoning as fear.” Edmund Burke
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Dec 20, 2020 10:05PM Margun wrote:

thank you all ladies!

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Dec 22, 2020 09:34AM Margun wrote:

from the email received from MinusTwo I concluded that a trigger finger is not really due to hormon therapy ? May y it favours somehow but it is not the main reason. Of course i am assuming i have one because the description on internet indicates that. During this pandemic i do not know if it is better to wait a bit before visiting a clinic. I must see orthodontist or an osteopath?

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Dec 22, 2020 12:05PM MinusTwo wrote:

Margun - Honestly if you read the posts from Beesie & Spookie's Mom - it looks to me like the hormone treatment definitely MAY BE a factor. Remember, we're all different so what is happening with you may not be related to any of us. Still since it's bothering you, I'd call my MO and discuss it. I have found that doctor's offices are safer than the grocery store, so don't hesitate to make an appointment if it continues to hurt past two weeks.

Just to confirm the type of doc - an orthodontist is for braces on the teeth. I don't think an osteopath would be of any use here. If you want to explore the shots, you may have to see an orthopedic specialist (bones).

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Dec 22, 2020 03:37PM SpecialK wrote:

I definitely developed trigger thumb, dominant hand, while on letrozole. I wrapped my thumb in training tape (self stick, like that linked below or the kind they use after a blood draw, called Coban) tight enough to immobilize it but not so tight that I couldn't use my hand. This helped because my thumb did not have the opportunity to lock. I happened to have a routine appointment with my MO and he suggested changing from letrozole to anastrazole to see if that would help. I did, and after a month or so, the trigger went away. About a year later I developed a trigger on my left hand wedding ring finger, and one in my ankle that was intermittent. I changed back to letrozole, but to a brand with far fewer additives and fillers and never had issues with any more triggers. I think some of us are prone to triggers and in others either the anti-hormonal meds cause the trigger, or the reduced estrogen does. I never had injections to any of the locations I had problems with. I am no longer taking anti-hormonals and have not developed any new triggers. My advice would be to immobilize the trigger and look into taking a brand of letrozole with less or different fillers and additives, at the minimum. I added a link below for the website that shows all ingredients for prescription drugs. If this doesn't help after a few weeks you can pursue an injection by the orthopedic doc.

https://www.cvs.com/shop/cvs-health-breathable-gentle-tape-2-inches-x-2-2-yards-prodid-210000

https://www.amazon.com/Pangda-Adhesive-Bandage-Stretch-Self-Adherent/dp/B078P7Y5N8/ref=sr_1_5?dchild=1&keywords=coban+tape&qid=1608669372&sr=8-5

https://dailymed.nlm.nih.gov/dailymed/


BMX w/ TE 11/1/10, ALND 12/6/10. 15 additional surgeries. TCHx6 2/17-6/2/11. Herceptin until 1/19/12. Femara 8/1/11, Arimidex 6/20/12, back to Femara 6/18/13-present. Dx 9/27/2010, DCIS, Stage 0, Grade 3 Dx 9/27/2010, IDC, Right, 2cm, Stage IIB, Grade 3, 2/14 nodes, ER+/PR+, HER2+ (IHC)
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Dec 22, 2020 04:44PM Margun wrote:

SoecialK- from your post I concluded that there is a chance it goes away after a few weeks. If not in mid January i have a mo appointment and I will discuss this. By any chance do you remember the letrozole type that was better for you? I am taking the generic letrozole instead of Femara due to the price. But if Femara was the one which eliminated the trigger I must consider it. Did you take 5 or 10 years of anti hormone pills? Thank you for your tips how immobilize my finger until I see my mo

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Dec 22, 2020 07:48PM - edited Dec 23, 2020 03:04PM by SpecialK

margun - it may take more than a few weeks, and both times for me it meant a change in aromatase inhibitor, and I have only taken generic formulations - my insurance does not cover name brand. My initial prescription of letrozole was the generic Mylan brand and I developed the trigger within about 6 months or so. I changed to Abbott generic anastrazole and the trigger left, but the new ones developed about 18 months later. I went back to letrozole, generic Roxane brand. Roxane's brand actually had less fillers and additives than name brand Femara and I had the least side effects while taking it. Unfortunately, Roxane merged with West-Ward and stopped making letrozole. I had the BCI test at 5 years, which showed high risk of recurrence and a low benefit from aromatase inhibitors. I continued to take letrozole for another 2.5 years beyond that for a total of 7.5 years. I went off when I needed a serious tooth extraction due to bone death and also needed a bone graft and my maxillofacial surgeon wanted me off all medication, my MO said why don't we just stop here. Fillers and additives have different effects on different people - the one that may cause me trouble, may be ok for you - you just have to experiment.

BMX w/ TE 11/1/10, ALND 12/6/10. 15 additional surgeries. TCHx6 2/17-6/2/11. Herceptin until 1/19/12. Femara 8/1/11, Arimidex 6/20/12, back to Femara 6/18/13-present. Dx 9/27/2010, DCIS, Stage 0, Grade 3 Dx 9/27/2010, IDC, Right, 2cm, Stage IIB, Grade 3, 2/14 nodes, ER+/PR+, HER2+ (IHC)
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Dec 23, 2020 12:36PM BlueGirlRedState wrote:

Trigger finger really sucks. With anastrozole in 2017 stiffening fingers on both hands and trigger finger with middle finger on left hand almost immediate. Quit after 3 months quit anastrozole. After 2-3 months hands seemed to be improving, and started Tamoxifen. 2019, new cancer on R-side, started Ibrance and Arimidex. At first thinning hair main SE, but after about 7 months started noticing stiffening fingers, and now locking middle finger on left. I have to use other hand to unlock it. Turmeric seems to help a little. I try to remember to do finger exercises which also help a little. Really need to do them every day, but I don't. Acupuncture also helps, but is variable. Somedays I feel better all over, other days I do notice any help from it. I'm thinking about going 2x/month next year. Insurance will pay for some of the cost up to 24 visits/year.

2009 ER+ left breast. 52 yrs. Lumpectomy, Sentinel node removal, negative. Radiation 6 weeks, tamoxifen 5 years. Dense lumpy left breast, normal right.

2016 ER+ left breast. Probably a new cancer, but unknown. 4 rounds TC Aug-Oct 2016, Bi-lateral (my choice) Nov 2016, no reconstruction. 2 sentinel nodes remove, negative. Anastrozole 1 mg starting May 2017. Joint issues noticed immediately. Stopped Anastrozole after 3-4 months due to joint stiffness in. After several months of no AIs, fingers were feeling better. Started tamoxifen March 2018.

2019 ER+ R-axilla. First sign was lymphedema on the R-side. Start Ibrance and Arimidex Sept 2019. At first fatigue with Ibrance and hair thinning from Arimidex. Fatigue gone. Stiffening fingers and locking finger came back after 6-7 months on Arimidex.


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