Trigger Finger: Causes, Treatments, and Next Steps

Q: Trigger Finger: Causes, Treatments, and Next Steps

Hello： Thank you for your question. <br>Here are my responses and suggestions： 1. <br>Sometimes, after surgery for trigger finger, excessive use can lead to a recurrence of symptoms. <br>2. <br>Soaking in warm water at home and performing exercises in the water can be beneficial.

Trigger finger

Hello, Director Chen! I have trigger finger in both my right thumb and index finger.
It seems that the orthopedic surgeon cut the nerve, but I'm not really sure.
What’s frustrating is that the issue hasn't been resolved, and I can't work! What should I do? Thank you!

Sant, 30~39 year old female. Ask Date: 2007/06/15

Dr. Chen Xianchang reply Rehabilitation

Hello: Thank you for your question.
Here are my responses and suggestions: 1.
Sometimes, after surgery for trigger finger, excessive use can lead to a recurrence of symptoms.
2.
Soaking in warm water at home and performing exercises in the water can be beneficial.
3.
You may consider visiting a rehabilitation specialist for paraffin therapy or ultrasound treatment, which can be more effective.
Avoid twisting towels or cloths.

Reply Date: 2007/06/15

More Info

Trigger finger, or stenosing tenosynovitis, is a condition that affects the tendons in the fingers, causing them to catch or lock when you try to straighten them. This can lead to pain, stiffness, and a noticeable popping sensation. It often occurs in the thumb or the ring finger but can affect any finger. Understanding the causes, treatments, and next steps is crucial for managing this condition effectively.

Causes of Trigger Finger
The exact cause of trigger finger isn't always clear, but several factors can contribute to its development:
1. Repetitive Motion: Activities that involve repetitive gripping or grasping can irritate the tendons in the fingers. This is common in professions or hobbies that require frequent hand movements, such as typing, knitting, or playing musical instruments.

2. Inflammation: Conditions that cause inflammation in the body, such as rheumatoid arthritis or diabetes, can increase the risk of developing trigger finger. The inflammation can lead to swelling in the tendon sheath, making it difficult for the tendon to glide smoothly.

3. Age and Gender: Trigger finger is more common in women and tends to occur more frequently in individuals over the age of 40.

4. Medical Conditions: Certain medical conditions, such as hypothyroidism, gout, and diabetes, have been associated with a higher incidence of trigger finger.

Treatments for Trigger Finger
Treatment options for trigger finger vary depending on the severity of the condition. Here are some common approaches:
1. Rest and Activity Modification: Reducing activities that exacerbate the symptoms is often the first step. This may involve taking breaks from repetitive tasks or modifying how you perform certain activities.

2. Splinting: A splint can help keep the affected finger in a straight position, allowing the tendon to rest and reducing inflammation.

3. Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help alleviate pain and reduce inflammation. In some cases, corticosteroid injections into the tendon sheath may provide relief by reducing swelling.

4. Physical Therapy: Engaging in physical therapy can help improve flexibility and strength in the affected fingers. A therapist can guide you through specific exercises designed to enhance tendon function.

5. Surgery: If conservative treatments fail to provide relief, surgical intervention may be necessary. The procedure typically involves releasing the constricted tendon sheath, allowing the tendon to glide freely. This is often done as an outpatient procedure, and many patients experience significant improvement afterward.

Next Steps
Given your situation, where you have undergone a procedure that did not resolve the issue, it is essential to follow up with your healthcare provider. Here are some steps you can take:
1. Consult with a Specialist: If you haven't already, consider seeing a hand specialist or an orthopedic surgeon who specializes in conditions of the hand. They can provide a thorough evaluation and discuss further treatment options.

2. Follow-Up Imaging: Sometimes, imaging studies like ultrasound or MRI can help assess the condition of the tendons and surrounding structures, providing more insight into the problem.

3. Explore Alternative Therapies: In addition to traditional treatments, some patients find relief through alternative therapies such as acupuncture or massage therapy. Discuss these options with your healthcare provider to see if they might be appropriate for you.

4. Stay Informed: Educate yourself about trigger finger and its management. Understanding your condition can empower you to make informed decisions about your treatment.

5. Be Patient: Recovery from trigger finger can take time, and it may require a combination of treatments to achieve the best results. Stay in communication with your healthcare team and be proactive about your recovery.

In conclusion, trigger finger can be a frustrating condition, especially when it interferes with daily activities. By understanding the causes, exploring treatment options, and taking proactive steps, you can work towards finding relief and regaining function in your fingers. Don't hesitate to reach out for further assistance and support from healthcare professionals who can guide you through this process.

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