Managing Trigger Finger: Can Anti-Inflammatory Medications Help?

Trigger finger tenosynovitis

Doctor, can taking anti-inflammatory medication help reduce swelling in trigger finger and alleviate the stiffness? I have recently been diagnosed with trigger finger, and after taking medication for a week, I have seen some improvement.
However, I don't want to feel stiff forever.
What other methods can help improve this condition?

Li Tingyi, 10~19 year old female. Ask Date: 2020/05/02

Dr. Shi Guozheng reply Orthopedics

You can apply heat therapy, but also avoid excessive use of your fingers, such as lifting heavy objects or performing repetitive motions.
Avoid gripping too tightly.
If symptoms persist despite medication, consider injection therapy as a treatment option.

Reply Date: 2020/05/02

More Info

Trigger finger, or stenosing tenosynovitis, is a condition characterized by the catching or locking of a finger in a bent position due to inflammation of the tendons in the finger. This condition can be quite bothersome and can significantly impact daily activities. The inflammation occurs in the tendon sheath, which can become thickened and restrict the smooth movement of the tendon.
Anti-inflammatory medications, such as non-steroidal anti-inflammatory drugs (NSAIDs), can indeed help alleviate the symptoms associated with trigger finger. These medications work by reducing inflammation and pain, which can lead to improved mobility of the affected finger. If you have been taking anti-inflammatory medications for a week and have noticed some improvement, this is a positive sign. However, it is important to understand that while these medications can provide symptomatic relief, they do not address the underlying cause of the condition.

In addition to medication, there are several other treatment options that can help manage trigger finger effectively:
1. Rest and Activity Modification: Reducing activities that require repetitive gripping or grasping can help minimize irritation to the affected tendon. Allowing the finger to rest can facilitate healing.

2. Splinting: Wearing a splint that keeps the affected finger in an extended position can help reduce strain on the tendon and allow it to heal. Splinting is often recommended, especially at night.

3. Physical Therapy: Engaging in physical therapy can be beneficial. A therapist can provide exercises to improve flexibility and strength in the finger, as well as techniques to reduce inflammation.

4. Corticosteroid Injections: If conservative measures do not provide sufficient relief, corticosteroid injections into the tendon sheath can be very effective. These injections can significantly reduce inflammation and pain, often leading to improved function.

5. Surgery: In cases where conservative treatments fail, surgical intervention may be necessary. Surgery involves releasing the constricted tendon sheath, allowing for smoother movement of the tendon.

6. Alternative Therapies: Some patients find relief through alternative therapies such as acupuncture or ultrasound therapy, although the evidence supporting these methods is less robust.

It is crucial to consult with a healthcare professional, such as a hand specialist or orthopedic surgeon, to discuss your symptoms and treatment options. They can provide a tailored approach based on the severity of your condition and your overall health.
In summary, while anti-inflammatory medications can help reduce the symptoms of trigger finger, they are part of a broader treatment strategy. Combining medication with rest, splinting, physical therapy, and possibly corticosteroid injections can lead to better long-term outcomes. If you are concerned about the persistence of your symptoms or the potential for long-term issues, it is advisable to seek further evaluation and management from a qualified healthcare provider.

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