Trigger Finger: Treatment Options and Recovery Time

Trigger Point (Type II)

Hello Dr.
Pan: Will trigger finger heal on its own if I don't see a doctor? Why does it get particularly severe in cold weather? How long does rehabilitation usually take? What does rehabilitation involve? If I only take medication, is it effective? Thank you~~

A Zheng, 20~29 year old female. Ask Date: 2001/02/24

Dr. Pan Yingda reply Rehabilitation

*Trigger finger occurs when the flexor tendon becomes inflamed due to improper or prolonged use (high-repetition movements), leading to the formation of nodules (similar to calluses).
Initially, there may be pain, and later, there may be a catching sensation when flexing or extending the fingers.* Therefore, the first step in addressing trigger finger is to investigate the underlying causes and ensure that the flexor tendon receives adequate rest (primarily).
Additionally, stretching and massage (where the nodules can be felt) can help in recovery.* In cold weather, the tendons may tighten due to contraction, and circulation may worsen, making the condition more severe.
Rehabilitation can include heat therapy, ultrasound, massage, stretching, strength training, and even the use of a splint (thermoplastic splint for immobilization and protection).
How long it takes to heal depends on whether you continue to overuse your fingers.* An injection of corticosteroids (only used during the inflammatory phase when pain is severe) can be more effective than oral medications.* If the condition has persisted for a while, it is advisable to seek medical attention for rehabilitation promptly!

Reply Date: 2001/02/24

More Info

Trigger finger, or stenosing tenosynovitis, is a condition that affects the tendons in your fingers, causing them to catch or lock when you try to bend or straighten them. This condition can be quite uncomfortable and can significantly impact daily activities. If left untreated, trigger finger may not resolve on its own, and symptoms can persist or worsen over time.

Natural Recovery and Symptoms
In some cases, mild trigger finger may improve without medical intervention, especially if the symptoms are not severe. However, it is not guaranteed that the condition will resolve on its own. Factors such as repetitive hand movements, certain medical conditions (like diabetes or rheumatoid arthritis), and cold weather can exacerbate symptoms. Cold weather can lead to increased stiffness in the tendons and joints, making the locking sensation more pronounced.

Treatment Options
1. Conservative Management: Initial treatment often involves conservative measures. This can include:
- Rest: Avoiding activities that exacerbate the symptoms.

- Splinting: Using a splint to keep the affected finger in a straight position can help reduce inflammation and allow the tendon to heal.

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

2. Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help alleviate pain and reduce inflammation. However, while medications can provide symptomatic relief, they do not address the underlying issue.

3. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can guide you through specific exercises designed to improve flexibility and strength in the affected finger. This may include:
- Stretching Exercises: Gentle stretching can help maintain mobility.

- Strengthening Exercises: Once the inflammation decreases, strengthening exercises can help support the tendon and prevent recurrence.

4. Corticosteroid Injections: If conservative measures do not provide relief, corticosteroid injections into the tendon sheath can reduce inflammation and allow for improved movement.

5. Surgery: In cases where conservative treatments fail, surgical intervention may be necessary. The procedure involves releasing the constricted tendon sheath, allowing the tendon to glide freely.

Recovery Time
The recovery time for trigger finger varies depending on the severity of the condition and the treatment approach. If conservative treatments are effective, you may notice improvement within a few weeks. However, if surgery is required, the recovery may take several weeks to months, and rehabilitation will be essential to regain full function.

Rehabilitation
Rehabilitation for trigger finger typically involves:
- Gradual Return to Activities: Once symptoms improve, gradually reintroducing activities that involve gripping or pinching.

- Continued Stretching and Strengthening: Ongoing exercises to maintain flexibility and strength in the finger.

Conclusion
In summary, while some cases of trigger finger may improve without treatment, it is advisable to seek medical attention, especially if symptoms persist or worsen. Cold weather can exacerbate symptoms, and physical therapy can play a crucial role in recovery. Medications may provide temporary relief, but they do not address the underlying cause. If conservative treatments fail, corticosteroid injections or surgery may be necessary. Early intervention can lead to better outcomes and a quicker return to normal function. If you have any concerns or questions about your symptoms, it is best to consult with a healthcare professional for personalized advice and treatment options.

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