Trigger Finger: Symptoms and Rehabilitation Options

Q: Trigger Finger: Symptoms and Rehabilitation Options

Hello, sir： Thank you for your inquiry. <br>Here are my responses and suggestions： 1. <br>It may be a case of trigger finger. <br>If you encounter this situation, do not use a hard grip, as it can lead to tendon strain. <br>You should first soak your hand in warm water and gradua

Finger stiffness

Hello, Director Chen! Four years ago, I had trigger finger in my right little finger, which was located near the palm and required a minor surgical procedure by an orthopedic doctor, followed by rehabilitation with wax therapy until I fully recovered.
Recently, when I tightly grip something with my left index finger for about two minutes, the joint becomes stiff and nearly cramps.
After I release the object, I need to massage it with my right hand to regain movement.
Could this be a case of trigger finger? Do I need rehabilitation? Thank you!

Oscar, 30~39 year old female. Ask Date: 2007/05/27

Dr. Chen Xianchang reply Rehabilitation

Hello, sir: Thank you for your inquiry.
Here are my responses and suggestions: 1.
It may be a case of trigger finger.
If you encounter this situation, do not use a hard grip, as it can lead to tendon strain.
You should first soak your hand in warm water and gradually move it in the water to loosen it up.
2.
Early rehabilitation is important to prevent recurrent injuries, such as through the use of wax therapy and ultrasound, both of which are effective treatments.
You should avoid twisting actions with towels and cloths.

Reply Date: 2007/05/27

More Info

Trigger finger, also known as stenosing tenosynovitis, is a condition that affects the tendons in the fingers, causing them to catch or lock when you try to bend or straighten them. This condition can lead to discomfort, stiffness, and a sensation of the finger getting stuck in a bent position. The symptoms you are experiencing with your left hand's index finger, especially after gripping something tightly for a couple of minutes, could indeed be indicative of trigger finger.
The mechanism behind trigger finger involves inflammation of the tendon sheath, which can cause the tendon to become thickened and restrict its movement through the sheath. When you grip something tightly, the increased pressure can exacerbate this condition, leading to the symptoms you described, such as stiffness and the need to massage the finger to regain movement.

In terms of rehabilitation options, there are several approaches that can help alleviate the symptoms and improve function. Here are some common methods:
1. Rest and Activity Modification: Avoiding activities that exacerbate the symptoms is crucial. If gripping objects tightly triggers your symptoms, consider modifying how you perform tasks to reduce strain on your fingers.

2. Splinting: A splint can be used to keep the affected finger in a straight position, especially during activities that might provoke symptoms. This can help reduce inflammation and allow the tendon to heal.

3. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can guide you through exercises designed to improve flexibility and strength in the affected finger. They may also use modalities such as ultrasound or heat therapy to reduce inflammation.

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

5. Surgery: In cases where conservative treatments fail, surgical intervention may be necessary. The procedure typically involves releasing the constricted tendon sheath to allow for smoother movement of the tendon.

Given your history of trigger finger in your right hand and the recent symptoms in your left hand, it would be wise to consult with a healthcare professional, such as an orthopedic specialist or a hand therapist. They can conduct a thorough evaluation, possibly including imaging studies, to confirm the diagnosis and recommend an appropriate treatment plan tailored to your specific needs.

In summary, while your symptoms may suggest a recurrence of trigger finger, a professional assessment is essential for an accurate diagnosis and effective treatment plan. Early intervention can often lead to better outcomes, so seeking help sooner rather than later is advisable.

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