Finger Pain: Is It Trigger Finger or Something Else? - Rehabilitation

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Finger pain


My left fingers are experiencing pain from the joints down to the palm, to the point where I can hardly touch them, especially the ring finger and little finger.
Could this be trigger finger? If not, how should I protect it? Thank you!

A-jen, 40~49 year old female. Ask Date: 2008/11/29

Dr. Chen Xianchang reply Rehabilitation


Hello, Miss: Thank you for your inquiry.
Here are my responses and suggestions: 1.
It is recommended to visit a nearby rehabilitation department for an examination, as there could be many potential causes, including "rheumatism," "degeneration," "arthritis," trigger finger, and carpal tunnel syndrome.
2.
If necessary, blood tests and X-rays should be conducted, and of course, physical examination is also important.
Lastly, I wish you peace and happiness~~

Reply Date: 2008/11/29

More Info


Understanding finger pain can be complex, especially when it involves conditions like trigger finger or other potential issues. Based on your description of experiencing pain that radiates from the joint to the palm, particularly affecting your ring and little fingers, it is essential to consider several possibilities.

Trigger Finger (Stenosing Tenosynovitis): This condition occurs when the tendons that flex the fingers become irritated and inflamed, leading to a narrowing of the sheath that surrounds the tendon. Symptoms typically include a catching or locking sensation in the finger, pain at the base of the finger, and difficulty straightening the finger. While trigger finger often affects the thumb or index finger, it can also involve the ring and little fingers. If your pain is accompanied by a locking sensation or difficulty in movement, it could indeed be trigger finger.

Other Potential Causes:
1. Tendonitis: Inflammation of the tendons in the fingers can lead to pain and discomfort, especially with movement. This can be due to repetitive use or strain.

2. Arthritis: Conditions like osteoarthritis or rheumatoid arthritis can cause joint pain and stiffness. If you notice swelling, warmth, or a decrease in range of motion, arthritis could be a factor.

3. Nerve Compression: Conditions like cubital tunnel syndrome, where the ulnar nerve is compressed at the elbow, can cause pain in the ring and little fingers. Symptoms may include tingling, numbness, or weakness in the affected fingers.

4. Injury: Previous injuries, even minor ones, can lead to chronic pain if not properly healed. This includes sprains, strains, or fractures that may not have been adequately addressed.

Protecting Your Fingers:
1. Rest: Avoid activities that exacerbate the pain. Give your fingers time to heal.

2. Ice Therapy: Applying ice to the affected area can help reduce inflammation and numb the pain.

3. Splinting: A splint can immobilize the finger, providing support and preventing further irritation.

4. Gentle Stretching: Once the acute pain subsides, gentle stretching and strengthening exercises can help restore function. However, consult a healthcare professional before starting any exercise regimen.

5. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and inflammation.

6. Consult a Specialist: If the pain persists or worsens, it is crucial to see a healthcare provider. They may recommend imaging studies like X-rays or MRIs to assess for any underlying issues.

In summary, while trigger finger is a possibility, other conditions could also be responsible for your symptoms. It is essential to monitor your symptoms closely and seek medical advice if the pain continues or if you experience additional symptoms such as swelling, redness, or loss of function. Early intervention can often lead to better outcomes and prevent chronic issues.

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