Can Rehabilitation Therapy Help with Trigger Finger Issues?

Trigger finger

Hello, Director Su! My right little finger has trigger finger, and the orthopedic surgeon immediately performed surgery without anesthesia.
It was extremely painful, and the issue was not resolved.
A friend suggested seeing a physical therapist.
Can physical therapy treat trigger finger? Thank you!

P, 20~29 year old female. Ask Date: 2007/08/11

Dr. Su Hongci reply Rehabilitation

Trigger finger refers to a condition where the finger becomes stuck in a bent position due to the deep flexor tendon forming a nodule at the base of the finger.
This causes the finger to catch on the tendon sheath when attempting to straighten it, resulting in an inability to fully extend the distal interphalangeal joint, or it may encounter resistance when straightening, creating a mechanism similar to a trigger, hence the name "trigger finger." This condition is usually caused by acute or chronic inflammation.
Other diseases, such as injuries, osteoarthritis, and certain autoimmune disorders, can also contribute to its development.
Treatment options include:
1.
Observation: Approximately 20% of congenital and 40% of acquired trigger finger cases may resolve spontaneously.
It is advisable to observe and reduce excessive use of the finger (e.g., using appropriate splints or braces) to minimize friction between the tendon and the tendon sheath, thereby reducing inflammation.
2.
Rehabilitation, massage, and stretching exercises: Techniques such as laser therapy or ultrasound, along with stretching exercises, aim to lubricate the passage of the nodule within the sheath.
The vast majority of children with trigger finger can return to normal function through massage and stretching exercises, provided the finger is not completely locked.
3.
Medications: Anti-inflammatory medications can help reduce the inflammation of the nodule.
Additionally, corticosteroid injections can be quite effective for adults with trigger finger, but they are not suitable for children, as the results are often poor.
4.
Surgery: The purpose of surgery is to relieve the adhesion between the tendon and the tendon sheath.
It is appropriate for patients with complete locking or persistent pain when other treatment methods have proven ineffective.
Wishing you good health!

Reply Date: 2007/08/11

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 bend or straighten them. This condition can be quite painful and can significantly impact daily activities, especially if it affects a dominant hand. Your experience with surgery without anesthesia sounds distressing, and it’s understandable that you are seeking alternative solutions through rehabilitation therapy.

Rehabilitation therapy can indeed be beneficial for managing trigger finger. While surgical intervention is sometimes necessary, particularly in severe cases, many patients find relief through conservative treatment options, including physical therapy. Here’s how rehabilitation can help:
1. Therapeutic Exercises: A physical therapist can guide you through specific exercises designed to improve the flexibility and strength of the affected finger. These exercises may include gentle stretching and strengthening movements that can help restore normal function and reduce stiffness.

2. Manual Therapy: Techniques such as massage and mobilization can help alleviate pain and improve the range of motion in the affected finger. A therapist trained in manual therapy can work on the surrounding muscles and tendons to promote healing.

3. Splinting: A common conservative treatment for trigger finger is the use of a splint. A therapist may recommend a splint to keep the finger in a neutral position, which can help reduce inflammation and allow the tendon to heal. Wearing a splint at night can be particularly effective.

4. Ultrasound Therapy: Some rehabilitation clinics offer ultrasound therapy, which uses sound waves to promote tissue healing and reduce inflammation. This non-invasive treatment can be beneficial for soft tissue injuries like trigger finger.

5. Education and Activity Modification: A rehabilitation therapist can provide education on how to modify daily activities to avoid aggravating the condition. This may include ergonomic adjustments to your workspace or techniques to reduce strain on your fingers during activities.

6. Pain Management Techniques: Therapists can also teach you various pain management techniques, including ice application, heat therapy, and the use of over-the-counter anti-inflammatory medications, if appropriate.

It’s important to note that while rehabilitation therapy can be effective, the success of treatment often depends on the severity of the condition and how long it has been present. In some cases, if conservative measures do not provide relief, further medical intervention, such as corticosteroid injections or even surgery, may be necessary.

In your situation, since the initial surgical intervention did not resolve the issue, seeking rehabilitation therapy is a reasonable next step. It’s advisable to consult with a licensed physical therapist who has experience treating hand conditions. They can assess your specific situation and develop a tailored treatment plan that addresses your needs.

In conclusion, rehabilitation therapy can be a valuable approach to managing trigger finger, especially when surgery has not yielded the desired results. With the right combination of therapeutic exercises, manual therapy, splinting, and education, many patients experience significant improvement in their symptoms and regain functional use of their fingers. Always consult with your healthcare provider before starting any new treatment to ensure it aligns with your overall health plan.

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