Trigger Finger: Causes, Treatment Options, and Recovery Tips

Trigger finger

Hello Dr.
Chen,
My little finger has developed trigger finger, and it is quite painful when bending or straightening it.
The orthopedic surgeon mentioned that surgery would be a quicker solution.
Is surgery to cut the tendon necessary for trigger finger? Can rehabilitation resolve this issue? Please explain the causes of trigger finger and what I should pay attention to in the future.
Thank you!
Patient, Jimmy

Jimi, 50~59 year old female. Ask Date: 2006/07/07

Dr. Chen Xianchang reply Rehabilitation

(1) Rehabilitation can be attempted first, including paraffin therapy, ultrasound, and finger massage.
If there is no improvement after three weeks, surgery should be considered.
(2) The cause is aging and overuse; please be mindful to minimize activities such as wringing towels and household chores.

Reply Date: 2006/07/07

More Info

Hello Jimmy,
Thank you for your question regarding trigger finger, also known as stenosing tenosynovitis. This condition occurs when the tendons in your fingers become inflamed, leading to pain and difficulty in bending or straightening the affected finger. It is often characterized by a catching or locking sensation when you try to move your finger, which can be quite painful.

Causes of Trigger Finger
Trigger finger can be caused by several factors, including:
1. Repetitive Motion: Activities that involve repetitive gripping or grasping can lead to irritation and inflammation of the tendons.

2. Medical Conditions: Certain conditions, such as diabetes, rheumatoid arthritis, and gout, can increase the risk of developing trigger finger.

3. Age: The condition is more common in adults, particularly those over 40.

4. Gender: Women are more likely to develop trigger finger than men.

Treatment Options
When it comes to treating trigger finger, there are several options available:
1. Conservative Treatments:
- Rest: Avoiding activities that exacerbate the symptoms can help reduce inflammation.

- Splinting: Wearing a splint at night can keep the finger in a straight position, allowing the tendon to rest.

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

- Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter medications like ibuprofen can help alleviate pain and inflammation.

2. Corticosteroid Injections: If conservative treatments do not provide relief, a doctor may recommend corticosteroid injections into the tendon sheath. This can reduce inflammation and allow for easier movement.

3. Surgery: If symptoms persist despite conservative measures, surgical intervention may be necessary. The procedure typically involves releasing the constricted tendon sheath, allowing the tendon to glide freely. Surgery is generally considered safe and effective, with a high success rate.

Rehabilitation and Recovery
Rehabilitation plays a crucial role in recovery from trigger finger, whether you undergo surgery or not. After surgery, physical therapy may be recommended to restore range of motion and strength in the finger. This may include:
- Gentle Stretching Exercises: To improve flexibility and prevent stiffness.

- Strengthening Exercises: To help regain strength in the finger and hand.

Post-Treatment Considerations
After treatment, it's essential to take certain precautions to prevent recurrence:
1. Modify Activities: If your job or hobbies involve repetitive hand movements, consider modifying how you perform these tasks or taking regular breaks.

2. Strengthening Exercises: Incorporating hand and finger exercises into your routine can help maintain flexibility and strength.

3. Ergonomic Tools: Using tools designed to reduce strain on your hands can be beneficial.

Conclusion
In summary, while surgery is an effective option for treating trigger finger, many patients find relief through conservative measures and rehabilitation. It is essential to discuss your specific situation with your healthcare provider to determine the best course of action for you. If you have any further questions or concerns, please do not hesitate to reach out.

Wishing you a speedy recovery!
Best regards,
Doctor Q&A Teams

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