Is It Trigger Finger? Symptoms and Treatment Options

Is it trigger finger?

Hello doctor, I recently noticed that in the area of the second and third joints of my right middle finger, I don't experience pain when my entire hand is bent, but I do feel pain when I slightly bend just the middle finger.
I can even feel it when holding a pen to write.
However, if I bend the entire middle finger, there is no pain.
Could this be trigger finger? What methods can be used to improve this condition? Thank you.

Zonghan, 10~19 year old female. Ask Date: 2020/11/20

Dr. Li Yanheng reply Rehabilitation

Considering your age, it is unlikely to be trigger finger; it may be growing pains.
You can continue to observe the situation or consult a pediatric orthopedic or rehabilitation clinic.

Reply Date: 2020/11/20

More Info

Trigger finger, also known as stenosing tenosynovitis, is a condition that affects the tendons in the fingers, leading to pain and difficulty in movement. It occurs when the flexor tendon that bends the finger becomes irritated and inflamed, causing it to catch or lock when you try to straighten or bend the finger. Your description of experiencing pain specifically when bending your middle finger slightly, while not feeling pain when the finger is fully bent, suggests that you may indeed be experiencing symptoms consistent with trigger finger.

The symptoms of trigger finger typically include:
1. Pain and Tenderness: You may feel pain at the base of the affected finger, particularly when trying to bend or straighten it.

2. Stiffness: The finger may feel stiff, especially in the morning or after periods of inactivity.

3. Clicking or Locking: You might notice a clicking sensation when moving the finger, or it may lock in a bent position and then suddenly pop straight.

4. Swelling: There may be swelling at the base of the finger.

Given your symptoms, it is advisable to consult with a healthcare professional for a thorough evaluation. They may perform a physical examination and possibly imaging studies to confirm the diagnosis.

Treatment Options
1. Conservative Management:
- Rest: Avoid activities that exacerbate the pain, such as gripping or repetitive finger movements.

- Splinting: A splint can be used to keep the affected finger in a straight position, allowing the tendon to rest and heal.

- Ice Therapy: Applying ice to the affected area can help reduce inflammation and alleviate pain.

2. Medications:
- Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter medications like ibuprofen or naproxen can help reduce pain and inflammation.

3. Physical Therapy:
- A physical therapist can guide you through exercises to improve flexibility and strength in the affected finger. They may also use modalities like ultrasound or heat therapy to promote healing.

4. Corticosteroid Injections:
- If conservative measures do not provide relief, a healthcare provider may recommend corticosteroid injections into the tendon sheath to reduce inflammation and pain.

5. Surgery:
- If symptoms persist despite conservative treatment, surgical intervention may be necessary. The procedure typically involves releasing the constricted tendon sheath to allow for smoother movement of the tendon.

Recovery and Prognosis
The prognosis for trigger finger is generally good, especially with early intervention. Most patients experience significant relief from symptoms with conservative treatment. However, if surgery is required, recovery may take several weeks, and physical therapy may be recommended to regain full function.

Conclusion
In summary, your symptoms may indicate trigger finger, and it is important to seek medical advice for a proper diagnosis and treatment plan. Early intervention can lead to better outcomes and prevent the condition from worsening. If you have any further questions or concerns, do not hesitate to reach out to a healthcare professional.

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