Trigger Finger: Treatment Options and Effectiveness

Q: Trigger Finger: Treatment Options and Effectiveness

Hello, sir： Thank you for your inquiry. <br>Here are my responses and recommendations： 1. <br>If physical therapy is ineffective, consider corticosteroid injections and surgical treatment. <br>2. <br>It is advisable to have an interval of at least one month to avoid making the lo

People troubled by trigger finger?

Dr.
Chen: Hello, thank you very much for your email.
I would like to ask you a few questions: 1.
If physical therapy for trigger finger does not yield good results, is it possible to use corticosteroid injections for treatment? 2.
If the first injection is ineffective, can a second injection be administered? How many total injections are recommended? Additionally, how long can the effects last? 3.
You mentioned that laser therapy can be used for trigger finger; can laser therapy also be applied to myofascial pain? Should the dosage be the same as for trigger finger, or what would be the appropriate dosage? Thank you, Dr.
Chen.

Banji zhi fanrao de ren, 60~69 year old female. Ask Date: 2007/05/18

Dr. Chen Xianchang reply Rehabilitation

Hello, sir: Thank you for your inquiry.
Here are my responses and recommendations: 1.
If physical therapy is ineffective, consider corticosteroid injections and surgical treatment.
2.
It is advisable to have an interval of at least one month to avoid making the local tendon fragile and prone to rupture.
3.
Both ultrasound and laser therapy can be used to treat trigger finger.
Myofascial pain typically has multiple tender points, and the total dosage should be increased, although the individual dosage remains similar.

Reply Date: 2007/05/18

More Info

Understanding Trigger Finger: Treatment Options and Effectiveness
Trigger finger, or stenosing tenosynovitis, is a condition characterized by the catching or locking of a finger or thumb when it is bent. This occurs due to inflammation and narrowing of the sheath that surrounds the tendon in the affected finger. The condition can cause pain, stiffness, and a noticeable "triggering" sensation when moving the finger. Treatment options vary depending on the severity of the condition and the patient's response to initial therapies.

1. Corticosteroid Injections: If physical therapy does not yield satisfactory results, corticosteroid injections are a common next step. These injections can reduce inflammation and allow for improved movement of the tendon within its sheath. It is generally safe to administer multiple injections; however, the exact number can depend on the individual case and the physician's judgment. Typically, patients may receive up to three injections in a single finger, spaced several weeks apart. The effects of corticosteroid injections can last from a few weeks to several months, but this varies widely among individuals.

2. Effectiveness of Repeated Injections: If the first injection does not provide relief, a second injection can be considered. The effectiveness of subsequent injections may diminish, and it is essential to monitor the patient's response carefully. If a patient finds that they are not experiencing significant improvement after two or three injections, alternative treatments should be explored.

3. Laser Therapy: Regarding the use of laser therapy for trigger finger, it is indeed a viable option. Laser therapy can help reduce inflammation and promote healing in the affected area. The dosage and parameters for laser treatment may differ based on the condition being treated. For myofascial pain, the settings might be adjusted to target deeper tissues and trigger points effectively. It is crucial to consult with a qualified therapist to determine the appropriate settings for each condition.

4. Other Treatment Options: In addition to corticosteroid injections and laser therapy, other treatment modalities may include splinting, which can help immobilize the affected finger and reduce strain on the tendon. Occupational therapy may also be beneficial, focusing on exercises to improve flexibility and strength in the finger. In cases where conservative treatments fail, surgical intervention may be necessary to release the constricted tendon sheath.

5. Recovery and Prognosis: The prognosis for trigger finger is generally good, especially with early intervention. Most patients experience significant relief from symptoms with appropriate treatment. However, chronic cases may take longer to resolve, and some individuals may continue to experience intermittent symptoms even after treatment.

In conclusion, trigger finger can significantly impact daily activities, but various treatment options are available. If physical therapy is ineffective, corticosteroid injections are a reasonable next step, with the possibility of multiple treatments. Laser therapy is also an option for both trigger finger and myofascial pain, with specific adjustments made for each condition. It is essential to work closely with healthcare providers to develop a tailored treatment plan that addresses individual needs and responses to therapy.

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