Trigger Finger
Technically known as stenosing tenosynovitis, trigger finger is when the tendons that control the opening and closing of the fingers become limited in their range, causing a painful locking sensation. There may be a popping sound when fingers open or close.
What Causes Trigger Finger?
The cause of trigger finger is not clear, although is does seem to occur more frequently in people with rheumatoid arthritis, gout or diabetes. It may be caused by repetitive stress, such as overuse of scissors or work tools.
What Are the Symptoms of Trigger Finger?
You may notice:
- Small lump in the affected digits
- Palm pain
- Swelling
- Popping the finger or thumb joints when extended or closed
- Stiffness, particularly right after waking up
- In severe cases, you will not be able to straighten the affected finger
When Should You Seek Medical Advice?
See your physician when you feel that your symptoms are progressing or interfering with every day life.
How Is Trigger Finger Evaluated?
Your physician will conduct a physical exam, asking you to open and close your fingers.
How Is Trigger Finger Treated?
Nonsurgical
- Initially, rest your fingers for two weeks. (You may need a splint to immobilize them.) Apply ice if there is swelling.
- Take an over-the-counter pain reliever, such as acetaminophen (Tylenol), a nonsteroidal anti-inflammatory drug (NSAID) (Advil, Motrin) or naproxen sodium (Aleve), as directed.
- Corticosteroids can be taken orally or injected to relieve pressure on the nerve. (Don't take without your physician's approval)
- Physical or occupational therapy
Surgical
Surgery is usually only done if a finger is permanently locked or flexed. The goal is to widen the tunnel through which the tendon slips so that the motion can be accomplished smoothly and without pain.
For more information or to make an appointment please call
1-877-233-WELL (9355).