Trigger Finger

Understanding Trigger Finger: Non-Surgical Treatment Options

Trigger finger, medically known as stenosing tenosynovitis, is a condition where your finger or thumb becomes stuck in a bent position and then straightens with a snap—much like pulling and releasing a trigger. This happens when the tendon in the affected finger becomes inflamed or swollen, making it difficult for it to glide smoothly through its surrounding sheath.

Symptoms of Trigger Finger

• Stiffness in the finger, especially in the morning.

• A popping or clicking sensation when moving the finger.

• Tenderness or a bump (nodule) at the base of the affected finger.

• The finger becoming locked in a bent position, which may suddenly pop straight.

Non-Surgical Treatment Options

At Rajarhat Pain Clinic, we prioritize non-surgical interventions to alleviate the discomfort associated with trigger finger. Here are some effective methods:

1. Rest and Activity Modification

   • Purpose: Allow the inflamed tendon to heal by avoiding activities that require repetitive gripping or prolonged use of vibrating hand-held machinery.

   • Recommendation: Limit or modify activities that exacerbate symptoms to prevent further irritation.

2. Splinting

   • Purpose: Keep the affected finger in a straight position to reduce tendon inflammation.

   • How It Works: Wearing a splint at night prevents the finger from curling while you sleep, minimizing stiffness and locking in the morning.

3. Stretching and Strengthening Exercises

   • Purpose: Enhance flexibility and strength of the tendons in the fingers and hands.

   • Examples:

     • Finger Stretches: Gently straighten the affected finger and hold for a few seconds; repeat several times.

     • Grip Strengthening: Squeeze a soft ball or putty to strengthen the muscles without overexerting the tendon.

   • Note: Consult with a hand therapist for personalized exercise recommendations.

4. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

   • Purpose: Reduce pain and inflammation associated with trigger finger.

   • Examples: Over-the-counter medications like ibuprofen or naproxen can be effective.

   • Caution: Always consult with a healthcare provider before starting any medication to ensure it's safe for you.

5. Corticosteroid Injections

   • Purpose: Decrease inflammation directly at the site of the tendon sheath.

   • Effectiveness: Many patients experience relief after a single injection, though some may require a second one.

   • Consideration: While effective, repeated injections should be approached with caution, especially in individuals with certain health conditions.

When to Consider Surgical Options

If non-surgical treatments do not alleviate the symptoms, or if the finger remains locked, surgical intervention may be considered. Procedures such as trigger finger release can provide relief by allowing the tendon to move freely.

Preventive Measures

• Ergonomic Tools: Use tools with padded grips to reduce strain on your fingers.

• Hand Exercises: Regularly perform hand and finger exercises to maintain flexibility.

• Early Intervention: Seek treatment at the onset of symptoms to prevent progression.

At Rajarhat Pain Clinic, we are dedicated to providing comprehensive, non-surgical treatments tailored to your needs. If you're experiencing symptoms of trigger finger, our team is here to help you regain comfort and functionality.