Treatment FAQ

what are the symptoms and treatment for trigger finger

by Prof. Scotty Pfeffer Sr. Published 2 years ago Updated 1 year ago
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Signs and symptoms of trigger finger may progress from mild to severe and include:
  • Finger stiffness, particularly in the morning.
  • A popping or clicking sensation as you move your finger.
  • Tenderness or a bump (nodule) in the palm at the base of the affected finger.
Oct 20, 2020

Symptoms

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Causes

Trigger finger

  • Overview. Trigger finger is a condition in which one of your fingers gets stuck in a bent position. ...
  • Symptoms. Trigger finger can affect any finger, including the thumb. ...
  • Causes. Trigger finger generally results from inflammation within a tendon sheath, restricting tendon motion.
  • Risk factors. Repeated gripping. ...

Prevention

Trigger Finger

  • Causes. Trigger fingers are more common with certain medical conditions. ...
  • Signs and Symptoms. Pain: Trigger finger may start with discomfort felt at the base of the affected finger or thumb, where the finger joins the palm.
  • Treatment. ...

Complications

The most common symptoms of trigger finger include:

  • Stiff fingers, usually more severe first thing in the morning
  • Clicks and pops when you bend your fingers
  • Fingers that lock in a bent position before popping suddenly back into a normal position
  • Fingers that lock permanently into the bent position
  • Problems at the base of a finger on the palm side, including tenderness or the appearance of a bump

More items...

What is trigger finger and how is it treated?

What are the long term effects of trigger finger?

What are the most common trigger finger symptoms?

How to recognize the symptoms of trigger finger?

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What is the most common treatment for trigger finger?

Steroid injection. An injection of a steroid medication near or into the tendon sheath may reduce inflammation and allow the tendon to glide freely again. This is the most common treatment, and it's usually effective for a year or more in most people treated. But sometimes it takes more than one injection.

What is the best way to fix trigger finger?

Nonsurgical treatmentResting. As trigger finger can result from overuse, simply resting the hand and finger can often reduce symptoms. ... Taking over-the-counter medications. ... Splinting. ... Exercising the hand and finger. ... Using adaptive tools. ... Getting steroid injections.

Can I fix trigger finger on my own?

If possible, avoid repetitive gripping and holding vibrating machinery to give the inflamed tendon time to rest. A splint that keeps the affected finger extended can ease the inflammation after about six weeks of wearing it at night. Gentle stretching exercises.

What is trigger finger caused by?

Trigger finger is usually caused by swelling affecting 1 of the tendons that run along your fingers and thumbs, although the exact reason why this occurs is not fully understood.

Is trigger finger a form of arthritis?

While it can be preceded by a hand injury or strain, trigger finger is most commonly associated with arthritis.

What is the best anti-inflammatory for trigger finger?

Topical NSAIDs such as ketoprofen and oral NSAIDs such as ibuprofen are commonly given to relieve the pain from trigger finger.

Is massage good for trigger finger?

Self-massages can help treat trigger finger at home. Just a few minutes of self-massage a day can reduce pain and improve the finger's function. Massages before and after the exercises can ease the joints, tendons, and muscles into and out of a workout by increasing circulation and flexibility.

How long does it take trigger finger to heal on its own?

For example, you may need to wear a splint for 6 weeks. But most patients with trigger finger recover within a few weeks by resting the finger and using anti-inflammatory drugs.

How long does trigger finger take to heal?

It will probably take about 6 weeks for your finger to heal completely. After it heals, your finger may move easily without pain. How soon you can return to work depends on your job.

Why is trigger finger worse at night?

It is common for catching or locking of the digit to be worse at night or in the morning while the tendon is more swollen. This is because when you sleep at night, tendons tend to swell a little bit more, and the swelling may resolve throughout the day, causing less catching or locking of your fingers.

How do you release a trigger finger at home?

Place a sheet of paper or small towel in the palm of your hand. Use your fingers to squeeze and scrunch the paper or towel into as small of a ball as possible. Apply pressure to your fist while you're squeezing and hold this position for a few seconds. Then slowly straighten your fingers and release the paper or towel.

What is trigger finger?

Trigger finger is a painful condition that makes your fingers or thumb catch or lock when you bend them. It can affect any finger or more than one finger at a time. You can also have it in both hands. You might hear it called stenosing tenosynovitis. When it affects your thumb, it’s called trigger thumb.

What are the risk factors for trigger finger?

It usually shows up between ages 40 and 60. Sex. It’s more common in women than men. Health conditions. Diabetes, gout, and rheumatoid arthritis can lead to trigger finger. Job.

What happens when you bend your finger?

When this happens, bending your finger or thumb pulls the inflamed tendon through a narrowed sheath and makes it snap or pop.

How to make sure you don't damage your tendon?

They might use ultrasound to see where the tip of the needle is. This will help make sure they don’t damage your tendon or nearby nerves. Tenolysis or trigger finger release surgery. The doctor makes a small cut at the base of the finger and opens the sheath around the tendon.

How long does it take for a trigger finger to heal after surgery?

The choice of treatment also affects recovery. For example, you may need to wear a splint for 6 weeks. But most patients with trigger finger recover within a few weeks by resting the finger and using anti-inflammatory drugs. You should be able to move your finger just after surgery.

What does it mean when your finger snaps?

A painful clicking or snapping when you bend or straighten your finger. It’s worse when your finger’s been still, and it gets better as you move it. Stiffness in your finger, especially in the morning. Soreness or a bump at the base of the finger or thumb. Your doctor will call this a nodule.

How long after carpal tunnel surgery can you get trigger finger?

Surgery for carpal tunnel syndrome. It’s most common in the first 6 months after your operation. Trigger Finger Diagnosis. There are no X-rays or lab tests to diagnose trigger finger.

How to protect finger from tendonitis?

If you can't avoid these activities altogether, padded gloves may offer some protection. A splint. Your doctor may have you wear a splint at night to keep the affected finger in an extended position for up to six weeks. The splint helps rest the tendon. Stretching exercises.

What to do if your tendon is inflamed?

Surgical and other procedures. If your symptoms are severe or if conservative treatments haven't helped, your doctor might suggest: Steroid injection. An injection of a steroid medication near or into the tendon sheath may reduce inflammation and allow the tendon to glide freely again.

What is the best medication for tendonitis?

Medications. Nonsteroidal anti-inflammatory drugs — such as ibuprofen (Advil, Motrin IB) or naproxen (Aleve) — may relieve the pain but are unlikely to relieve the swelling constricting the tendon sheath or trapping the tendon.

How to tell if you have a trigger finger?

Signs and symptoms of trigger finger or trigger thumb include: 1 Snapping or popping sensation when moving the finger (s) or thumb. 2 Soreness at the base of the finger or thumb in the palm, especially while gripping or grasping. 3 Pain and stiffness when bending the finger (s) or thumb. 4 Swelling or tender lump in the palm of the hand. 5 Locking of the finger (s) or thumb in the bent position (in severe cases). The finger (s) or thumb must be gently straightened with the help of the other hand. 6 Inability to fully flex the finger.

What age do trigger fingers occur?

These people may include: People who have osteoarthritis, rheumatoid arthritis, gout or diabetes. People between the ages of 40 and 60.

How do tendons work together?

In the hand, tendons and muscles must work together to flex and straighten your fingers and thumb. Usually, tendons slide easily through a tunnel of tissue called a sheath. The sheath keeps the tendons in place next to the bones of the finger (s) or thumb.

What is the best treatment for a swollen thigh?

If symptoms continue, anti-inflammatory medications, such as ibuprofen, may be prescribed or steroid injection (s) may be considered. If the condition does not respond to non-surgical treatments or continues to recur, surgery may be recommended.

Can a trigger finger slide through a sheath?

With trigger finger or trigger thumb, the tendons become irritated and swollen (inflamed) and can no longer easily slide through their sheaths. A bump (nodule) may also form on the tendon, which makes it even more difficult for the tendon to easily glide through its sheath.

What are the symptoms of a trigger finger?

Mechanical symptoms: A trigger finger can cause abnormal sensations or movement that are often described as popping, catching, or locking. Sometimes these abnormal sensations occur while bending or straightening the finger, or both.

What is trigger finger?

A trigger finger is a very common and treatable problem. It can occur in both fingers and the thumbs, which have tendons that help them to bend. The flexor tendons that bend the fingers have a lining on the outside. This lining is called tenosynovium. The tendon and lining are covered by a series of thick, soft tissue called pulleys.

What happens when a finger tendon becomes tight?

If the tendon becomes tight within the pulley, the lining gets squeezed and reacts with thickening. The bigger lining then produces more fluid.

What is a cyst on the finger called?

The cyst is called a flexor sheath ganglion. Stiffness or loss of motion: A trigger finger may result in loss of the ability to bend the finger. This can be estimated by how far the tip of the finger is from the palm of the hand when the patient is asked to bend the finger as much as they can. This is most common in chronic, untreated trigger ...

Why does it hurt to bend your finger?

It can be painful to try and bend the finger due to the compression of the fluid. Over time, the person may start to avoid a bent position of the finger to limit pain. Trigger fingers can also result in loss of the ability to straighten the finger. Some patients will feel pain trying to fully straighten.

Why do I need a night splint?

By using a night splint to keep the finger straight, it can prevent painful locking during sleep. However, keeping the finger straight all night could result in the need to spend some time and effort getting it to move smoothly the next morning. Nonsteroidal anti-inflammatory drugs (NSAIDs).

Does trigger finger hurt?

This pain occurs with pressure over the A1 pulley area. The pain is often only present with activity such as gripping. When at rest, it may not hurt.

How to help trigger finger pain?

Exercises to stretch and strengthen the wrists and fingers can help people with trigger finger and those with a history of the condition prevent and reduce pain. Some examples of exercises that may help prevent trigger finger include:

How to help a finger that hurts?

Getting steroid injections. Doctors can inject corticosteroids around the tendon sheath in the affected finger. These drugs may help reduce the incidence of trigger finger pain and limit the impairment of movement. Sometimes, a person may require two or three injections to experience symptom relief.

What to do if finger is caught?

If a person tries nonsurgical treatment methods but still experiences trigger finger, a doctor will often recommend surgery. A doctor is also likely to recommend surgery if a finger becomes permanently “caught” or bent out of position.

How many trigger finger injections are needed?

According to the findings of a retrospective study in The Journal of Hand Surgery, 39% of people with trigger finger reported long-term relief after a second or third trigger finger injection.

What is trigger finger?

Here’s our process. Trigger finger is a condition in which a person’s finger locks or catches if they try to straighten or bend it. Depending on the condition’s severity, doctors will recommend either surgical treatments, medications, or some home remedies. Most people experience trigger finger in the fourth (ring) finger or the thumb, ...

Why do my fingers move when I push them?

Flexor tendons are responsible for moving the fingers. More specifically, it occurs due to the inflammation of “pul leys,” which are bands of tissue that attach the finger bone to the flexor tendon.

How long does it take for a trigger finger to heal?

As trigger finger can result from overuse, simply resting the hand and finger can often reduce symptoms. People may need to rest this part of the body for 1–2 weeks to see results. Taking over-the-counter medications.

What Causes Trigger Finger?

Hearing the term trigger finger sparks visions of the Old West and a showdown in front of the saloon between two gunslingers. While those gunmen have their fingers bent and in the ready position to grab and pull the trigger on their pistol, your trigger finger isn’t as useful.

Can Trigger Finger Heal on Its Own?

Severe cases of trigger finger where a finger is locked in the bent position may require surgery. But many times, treatment is conservative. Your doctor will perform a thorough examination before suggesting a few options depending on the severity and duration.

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Are you tired of living with pain in your hands and upper extremities? From the fingertips to the elbow, the Fort Worth Hand Center physicians treat everything from sports injuries and joint replacement to chronic conditions, age-related complications, and trauma.

What is Trigger Finger?

Your fingers move with the help of flexor tendons that connect to the muscles that are responsible for moving your fingers. Flexor tendons are surrounded by a flexor sheath that lubricates the tendon and allows for easy movement. If the sheath becomes irritated or inflamed, the tendon can no longer move smoothly.

Risk Factors for Trigger Finger

The exact cause of trigger finger is not known, but there are certain risk factors that are associated with the condition. Overall, it is more common in people between the ages of 40 and 60 years.

Treatment for Trigger Finger

Diagnosis of trigger finger is relatively simple and doesn’t require lab tests or x-rays. The same symptoms you are seeing are easily observed by your healthcare provider, so diagnosis usually only requires a physical examination. Your healthcare provider will take note of any swelling, bumps or nodules, and obvious locking of your finger (s).

Managing Blood Sugar

There are many things people with diabetes can do to help themselves keep blood glucose levels in a healthy range. Lifestyle strategies do not replace insulin or other medicines, but can help people with diabetes better manage their blood glucose levels.

What is a trigger finger?

What is trigger finger? A trigger finger (also known as stenosing flexor tenosynovitis) is a finger that becomes 'locked' after it has been bent (flexed). It is difficult to straighten out without pulling on it by the other hand. You may hear a popping or clicking sound when it is pulled straight.

Why does my finger feel like it's triggering?

It is thought to be due to some inflammation which causes swelling of a tendon or the covering of the tendon (ten don sheath). A tendon is a strong tissue that attaches a muscle to a bone. In this case the tendon comes from a muscle in the forearm.

How long after a finger splint can you rest?

A finger splint may be advised for a few days after the injection to rest the finger. This treatment works in about 9 in 10 cases. A second injection may be needed if the first does not work.

What does it mean when your finger is pulling straight?

You may hear a popping or clicking sound when it is pulled straight. This clicking may be worse in the morning. Sometimes there is mild pain and/or a small swelling at the base of the affected finger. One or more fingers may be affected. Trigger finger most commonly affects your little finger, ring finger or thumb.

Why is the needle used in a tunnel?

A needle is used to release the tight mouth of the tunnel so an open operation is avoided. However, with an operation there is a small risk of damaging the tiny finger nerve and causing some numbness to the finger. Also, as with any operation, there is a small risk of any wound becoming infected. Previous article.

Can you slide a trigger finger back in?

However, it cannot easily slide back in due to the swelling. The finger then remains bent (flexed) unless you pull it straight with your other hand. Most cases occur for no apparent reason in healthy people. Around 2 in 100 people develop trigger finger. It is more common if you are aged over 40 and if you are female.

Can tennis elbow trigger finger straighten?

In this series: Tendinopathy and Tenosynovitis (Tendinosis) Repetitive Strain Injury (RSI) Tennis Elbow. A trigger finger does not straighten easily. The cause is not clear. Sometimes it settles and goes away without treatment. An injection of steroid will usually cure the problem.

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