Trigger Finger

Understanding Trigger Finger

Overview: Trigger Finger, or stenosing tenosynovitis, is a condition that affects the fingers, causing them to catch or lock in a bent position. It often leads to pain, stiffness, and difficulty straightening or bending the affected finger.

Common Symptoms:

  • Catching or Locking: The finger may catch or lock in a bent position and suddenly straighten with a snap or pop.

  • Pain and Stiffness: Pain at the base of the finger in the palm, stiffness, and a feeling of tenderness or swelling.

How It Happens: In your hand, tendons help your fingers move. With Trigger Finger, the tendon becomes irritated or swollen, making it difficult for it to slide smoothly through the tendon sheath (a protective tunnel). This can cause the finger to catch or lock when you try to move it.

Factors Contributing to Trigger Finger:

  • Repetitive Movements: Activities involving repetitive gripping or prolonged gripping can contribute.

  • Medical Conditions: Conditions like diabetes and rheumatoid arthritis may increase the risk.

  • Age and Gender: It is more common in women and tends to occur more frequently as you get older.

Treatment Options:

  1. Rest, Splint, and Modification of Activities: Give your finger time to rest, and avoid activities that worsen symptoms. A splint at night can prevent locking and improve trigger finger

  2. Steroid Injections: In some cases, a corticosteroid injection into the tendon sheath can help reduce inflammation.

  3. Surgery: For severe or persistent cases, a surgical procedure to release the tendon sheath may be considered. This is typically performed as an in office minor procedure under local anesthetic.

When to Seek Medical Attention: If you experience persistent pain, swelling, or difficulty moving your finger, consult a healthcare professional for an accurate diagnosis and appropriate treatment.

Note: This handout provides general information and is not a substitute for professional medical advice. Consult with a healthcare provider for personalized guidance based on your specific condition.

Find out more about minimally invasive trigger finger surgery with Dr. English

Ultrasound guided trigger finger release