Trigger Finger

What is a trigger finger?

Tendons are strong cords of connective tissue that connect muscles to bones, enabling powerful movements. In the hand, some tendons are enclosed in a protective layer called a synovial sheath. When a tendon becomes irritated and gets stuck within this sheath, it can cause a condition known as trigger finger. Physiotherapy plays a key role in the effective treatment and management of trigger finger.

What can cause a trigger finger?

The exact cause of trigger finger is not fully understood, but inflammation of the tendon or its surrounding sheath is believed to play a key role. It can be brought on by repetitive use of the palm, such as frequent tool use or activities like decorating. Trigger finger is also associated with underlying health conditions, including rheumatoid arthritis, diabetes, and carpal tunnel syndrome. The condition is more commonly seen in women over the age of forty and in children under six.

What are the symptoms of a trigger finger?

You may experience pain and tenderness at the base of the affected finger or in the palm of your hand. Trigger finger can make it difficult to fully straighten one or more fingers, which may interfere with everyday tasks. Nodules—small lumps of thickened tissue—can sometimes be felt at the base of the affected fingers, further limiting movement. A common symptom is a clicking or snapping sound when attempting to move the finger, caused by the tendon catching within the thickened synovial sheath. Other symptoms of trigger finger include:

  • swelling/inflamation
  • mobility problems
  • deformity
  • weakness

What should I do if I have a trigger finger?

If you notice any symptoms of trigger finger, it is important to seek professional advice promptly. Your doctor will assess your condition and provide an accurate diagnosis, including the severity of the issue. For mild cases, conservative (non-surgical) treatments are usually recommended. These may include anti-inflammatory medications or steroid injections to reduce inflammation. Your doctor may also suggest strapping or splinting the affected finger to provide support and prevent further irritation. In more severe cases, surgery may be advised. This typically involves releasing the pulley (ligament) that holds the tendon close to the bone, relieving tension and allowing smoother movement of the tendon.

What shouldn’t I do if I have a trigger finger?

It is important not to ignore the symptoms of trigger finger, as they can worsen over time and significantly impact your ability to carry out everyday tasks. Avoid overusing the affected finger, as excessive strain may, in rare cases, lead to tendon rupture, which would require surgical intervention.

Physiotherapy for a trigger finger.

Physiotherapy for trigger finger aims to restore your range of movement and strength through a targeted exercise programme, whether or not you have undergone surgery. Additional treatments such as wax therapy, hydrotherapy, and massage may help reduce pain and improve mobility. Electrotherapy techniques—including ultrasound and laser therapy—can be used to promote tissue healing. Your physiotherapist may also recommend temporary splinting or taping to support the affected finger and reduce the risk of further injury. Other physiotherapy treatments may include:

  • Soft Tissue Treatment
  • Proprioceptive Exercise
  • Acupuncture

Can a trigger finger in the hand have any long-term effects?

Delaying medical treatment for trigger finger can significantly prolong your recovery. If you undergo surgery, potential complications such as temporary nerve damage and stiffness may occur. Physiotherapy can help manage these issues, but it is crucial to begin a tailored physiotherapy programme as early as possible to promote optimal healing and prevent long-term problems.

To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.

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