Trigger Finger: Persistent Symptoms and Long-Term Effects

Trigger finger has not improved after two months of onset?

Hello Doctor: I have been troubled by trigger finger for about 5 to 6 years, experiencing overuse and recurrent inflammation.
In the early stages of the symptoms, it would take just a few days to gradually recover to a functional level, and I would only seek an injection to speed up recovery if it significantly affected my work or daily life.
Recently, the symptoms have recurred, lasting almost two months since early October.
The condition fluctuates; on good days, my finger can slightly straighten but only lasts for two to three days.
Most of the time, my ring finger remains bent, and there is also swelling extending down to the palm.
Initially, I consulted an orthopedic clinic, but due to my fear of injections and the absence of impact on my work and daily life, I only took medication.
However, after nearly two months without improvement, I would like to ask the doctor: Since my job requires me to lift heavy objects daily, could this be preventing my trigger finger from healing? Will this prolonged lack of recovery have adverse effects or lead to long-term complications? Thank you, Doctor.

Banji zhi huanzhe, 30~39 year old female. Ask Date: 2020/11/26

Dr. Zhan Xian reply Orthopedics

Hello, sir.
Your issue requires a physical examination for proper assessment.
We cannot rule out problems other than trigger finger.
The inability to fully extend your finger for an extended period may also indicate issues such as adhesions.
Please visit the orthopedic outpatient clinic.

Reply Date: 2020/11/26

More Info

Trigger finger, or stenosing tenosynovitis, is a condition that affects the tendons in the fingers, leading to pain, stiffness, and a locking or catching sensation when trying to straighten the affected finger. It is often caused by repetitive use or overuse of the fingers, which can lead to inflammation of the tendon sheath. Your experience of having symptoms for 5 to 6 years, with periods of exacerbation and temporary relief, is not uncommon among individuals who engage in repetitive hand activities, such as lifting heavy objects.

The fact that your symptoms have persisted for nearly two months without significant improvement is concerning. The swelling and inability to fully extend your finger indicate that the inflammation may have become chronic. Chronic trigger finger can lead to thickening of the tendon sheath, which may further restrict movement and lead to more severe symptoms over time. If left untreated, this condition can result in permanent stiffness or deformity of the finger, which could significantly impact your ability to perform daily tasks, especially in a job that requires manual dexterity and strength.

In terms of treatment, conservative measures such as rest, ice application, and anti-inflammatory medications can be beneficial initially. However, given the duration of your symptoms and the impact on your daily activities, it may be time to consider more aggressive interventions. Corticosteroid injections are commonly used to reduce inflammation and provide relief, and they can be effective in many cases. However, repeated injections may not be advisable, especially if they do not lead to significant improvement.

If conservative treatments fail, surgical intervention may be necessary. Surgery for trigger finger involves releasing the constricted tendon sheath, allowing the tendon to glide freely. This procedure is generally safe and effective, with a high success rate in relieving symptoms and restoring function. Post-surgery, most patients can expect to regain full range of motion, although rehabilitation may be required to strengthen the finger and improve flexibility.

Regarding your concern about the long-term effects of untreated trigger finger, it is important to understand that chronic inflammation can lead to irreversible changes in the tendon and surrounding structures. This could result in permanent limitations in finger movement, which may affect your ability to perform tasks that require fine motor skills. Additionally, the ongoing pain and dysfunction could lead to compensatory patterns in your hand and wrist, potentially resulting in further issues down the line, such as wrist pain or other repetitive strain injuries.

In conclusion, while trigger finger may initially seem like a manageable condition, the potential for long-term complications makes it essential to address it proactively. Given your work requirements and the persistence of your symptoms, I recommend seeking a consultation with a hand specialist or orthopedic surgeon who can provide a thorough evaluation and discuss the best treatment options for your situation. Early intervention can help prevent further deterioration and improve your quality of life, allowing you to continue your work without the limitations imposed by this condition.

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