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Trigger finger (also called stenosing tenosynovitis) occurs when inflammation builds up within a tendon of a finger and causes it to involuntarily flex. [1] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source If the condition is severe, the finger gets stuck in a bent position and sometimes makes a snapping sound when forcibly straightened—sort of like cocking the trigger of a gun, which explains the name. People whose job requires repetitive gripping are at higher risk of developing trigger finger, as are those with arthritis or diabetes . The treatment varies depending on severity and cause, which is why an accurate diagnosis is important. In this article, physical therapist Joel Giffin, PT, DPT, CHT offers insight into how to relieve trigger finger symptoms at home.
Steps
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Take a break from repetitive tasks. In most cases, trigger finger is caused by repetitive gripping of the hand or flexing of the thumb or forefinger. Those who are farmers, typists, industrial workers, or musicians are particularly susceptible because they constantly repeat certain finger and thumb movements. Even smokers can get trigger thumb from repeatedly using their lighters. As such, stop (or limit) the repetitive action that's inflaming your finger if you can to see if the pain and contracture in your finger will resolve on its own. [2] X Research source
- Explain the situation to your boss and see if they will give you different tasks to perform at work.
- Giffin advises that to limit the amount you use that finger when doing things like typing, texting, carrying, cooking, and cleaning because trigger finger is often caused by overuse. Every time it triggers, it can get more irritated. [3]
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Expert Source
Joel Giffin, PT, DPT, CHT
Physical Therapist Expert Interview. 9 September 2020. - Trigger finger is more common in women over the age of 50. [4] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
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Apply ice to your finger. [5] X Expert Source Joel Giffin, PT, DPT, CHT
Physical Therapist Expert Interview. 9 September 2020. The application of ice is an effective treatment for essentially all minor musculoskeletal injuries, including trigger finger. [6] X Research source Cold therapy (ice wrapped in a thin towel or frozen gel packs) should be applied to the inflamed tendon (it usually looks like a little bump or nodule in the lower part of your finger or in the palm of your hand, and will be tender to touch) in order to reduce the swelling and pain. [7] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source Apply ice for 10–15 minutes every hour, then reduce the frequency as the pain and swelling subside.- Compressing the ice against your finger or hand with a bandage or elastic support will also help control the inflammation, but don't tie it too tight because complete restriction of blood flow could cause more damage to your finger.
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Take over-the-counter NSAIDs. Non-steroidal anti-inflammatories (NSAIDs) such as ibuprofen, naproxen, or aspirin can be short-term solutions to help you deal with any pain or inflammation in your finger. [8] X Trustworthy Source PubMed Central Journal archive from the U.S. National Institutes of Health Go to source Dosage for adults is usually 200–400 mg, by mouth, every 4–6 hours. [9] X Research source Keep in mind that these medications can be hard on your stomach, kidneys, and liver, so it's best not to use them for more than 10 days at a time. You can develop gastritis or ulcers from NSAID overuse. [10] X Trustworthy Source Cleveland Clinic Educational website from one of the world's leading hospitals Go to source
- Signs and symptoms of trigger finger typically include: stiffness (particularly in the morning), a clicking feeling as you move your finger, a tender nodule at the base of the affected finger and difficulty straightening the finger. [11] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
- According to Giffin, ice and anti-inflammatories can be an important aspect of healing or soothing trigger finger without surgery. [12]
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Expert Source
Joel Giffin, PT, DPT, CHT
Physical Therapist Expert Interview. 9 September 2020.
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Try stretching the contracted tendon. Stretching the affected finger might reverse the condition, especially if you address the problem during its early stages. Place your affected hand palm-down on a table and slowly extend your wrist by putting more weight onto the table. Hold for 10 seconds and repeat 6–10 times daily. [13] X Research source Alternatively, grab onto your affected finger and slowly extend it while lightly putting pressure on and massaging the inflamed nodule (if you see one).
- Soaking your hand in a warm Epsom salt bath for 10–15 minutes prior to stretching may help ease the tension and inflammation in the affected tendon. [14] X Trustworthy Source Cleveland Clinic Educational website from one of the world's leading hospitals Go to source
- Giffin offers an additional stretch: “Hold your [trigger] finger straight, then take your other hand and [hold] the first joint stable. Then, bend your finger down so you're bending just from the top two joints of your finger. That should allow your finger to move but not trigger.” [15]
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Expert Source
Joel Giffin, PT, DPT, CHT
Physical Therapist Expert Interview. 9 September 2020. - Hand massage by a physical therapist may be best.
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Get fitted for a finger splint. Your doctor may have you wear a finger splint at night to keep the affected finger in an extended position while you sleep, which helps rest and stretch out the tendon. [16] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source Splint use may be needed for up to 6 weeks. [17] X Trustworthy Source PubMed Central Journal archive from the U.S. National Institutes of Health Go to source Splinting also helps prevent you from curling your fingers into a fist while you sleep, which can exacerbate trigger finger.
- During the day, take the splint off periodically to perform finger stretches or light massages.
- Alternatively, you can make your own by buying an aluminum finger splint from a pharmacy and attaching it with water resistant medical tape.
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Get a corticosteroid injection. An injection of steroid medication near or into the tendon's sheath can quickly reduce inflammation and allow normal, unrestricted movement of your finger again. A corticosteroid injection is considered to be the first-line treatment of choice for trigger finger. [18] X Trustworthy Source PubMed Central Journal archive from the U.S. National Institutes of Health Go to source Two injections may be given if symptoms return after a period of time. [19] X Research source The treatment is effective in up to 50% to 70% of patients with trigger finger, but may be less effective for those with diabetes or rheumatoid arthritis. [20] X Trustworthy Source National Health Service (UK) Public healthcare system of the UK Go to source The most common preparations used are prednisolone, dexamethasone, and triamcinolone.
- Potential complications of corticosteroid injections include infection, bleeding, tendon weakening, local muscle atrophy, and nerve irritation or damage.
- If multiple corticosteroid injections fail to provide adequate resolution, then surgery should be considered.
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Get the finger operated on. The primary indications for getting a trigger finger surgically repaired are 1) it doesn't respond to any of your home remedies, splinting, and/or steroid injections, or 2) the finger is severely bent and irreducibly locked. There are two main types of surgery: open trigger finger release surgery and percutaneous trigger finger release surgery. [21] X Trustworthy Source National Health Service (UK) Public healthcare system of the UK Go to source Open surgery involves making a small incision near the base of your affected finger and cutting open the constricted section of tendon sheath. Percutaneous release involves inserting a needle into the tissue around the affected tendon and moving it around in order to break apart the constriction.
- Finger surgery is typically done as an outpatient procedure using local anesthesia.
- Possible complications from surgery include local infection, allergic reaction to anesthesia, nerve damage, and chronic swelling and/or pain.
- The recurrence rate is only about three percent, but surgery may be less successful if you have diabetes.
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Part 3
Part 3 of 3:
Troubleshooting Complications and Differentiating Other Conditions
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Treat an underlying infection or allergic reaction. Sometimes, a localized infection can either mimic trigger finger or actually cause tendon contraction. If the joints or muscles of your finger become red, warm, and significantly inflamed over the course of a few hours or days, then seek immediate medical care because these signs indicate a possible infection or allergic reaction to an insect bite. Treatment consists of incision and drainage, warm saltwater soaks, and sometimes oral antibiotics. [22] X Trustworthy Source American Academy of Family Physicians Organization devoted to improving the health of patients, families, and communities Go to source
- Bacteria are the most common infections of the hand and usually the result of untreated cuts, puncture wounds, or ingrown fingernails.
- Allergic reactions to insect bites are relatively common, especially to those of bees, wasps, and spiders.
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Treat possible joint dislocation. A dislocated finger joint can sometimes mimic trigger finger because it's also painful and causes the finger to look bent or crooked (called pseudotriggering). [23] X Trustworthy Source PubMed Central Journal archive from the U.S. National Institutes of Health Go to source Joint dislocations are typically caused by blunt trauma, as opposed to repetitive strain, so they require immediate medical assistance to reset or realign the finger joint. Following realignment, a dislocated finger is treated much the same as trigger finger in terms of rest, anti-inflammatories, ice, and splinting. [24] X Research source
- An X-ray of the hand can readily identify a dislocated or fractured finger.
- Other health professionals (aside from your family doctor) who can treat a dislocated finger include osteopaths and physiotherapists.
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Combat arthritis. Sometimes, the cause of an inflamed, contracted finger tendon is due to a bout or flare-up of rheumatoid arthritis or gout. [25] X Trustworthy Source Cleveland Clinic Educational website from one of the world's leading hospitals Go to source Rheumatoid arthritis is thought to be an autoimmune condition that aggressively attacks the body's joints, and it requires the use of strong prescription anti-inflammatories and immune system suppressors to combat. [26] X Trustworthy Source Cleveland Clinic Educational website from one of the world's leading hospitals Go to source Gout is an inflammatory condition caused by uric acid crystal deposits in joints (typically in the feet, but also in the hands), which can affect related tendons and lead to contracture (or even lead to trigger finger later). [27] X Trustworthy Source PubMed Central Journal archive from the U.S. National Institutes of Health Go to source
- Rheumatoid arthritis commonly affects the hands and/or wrists and can grossly disfigure the joints with time.
- Your doctor may send you for a blood test to check for markers of rheumatoid arthritis.
- To reduce the risk of gout, cut down on purine-rich foods such as organ meats, seafood, and beer.
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Expert Q&A
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QuestionHow do I make home treatment splints?Dr. Chris M. Matsko is a retired physician based in Pittsburgh, Pennsylvania. With over 25 years of medical research experience, Dr. Matsko was awarded the Pittsburgh Cornell University Leadership Award for Excellence. He holds a BS in Nutritional Science from Cornell University and an MD from the Temple University School of Medicine in 2007. Dr. Matsko earned a Research Writing Certification from the American Medical Writers Association (AMWA) in 2016 and a Medical Writing & Editing Certification from the University of Chicago in 2017.You can make a home splint using popsicle sticks and placing them around the finger with tape; however, I do not recommend this over seeing a doctor immediately. Making a splint at home is okay to do while you wait to see your doctor.
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QuestionI have trigger thumb. How much medication should I take for pain relief?Dr. Chris M. Matsko is a retired physician based in Pittsburgh, Pennsylvania. With over 25 years of medical research experience, Dr. Matsko was awarded the Pittsburgh Cornell University Leadership Award for Excellence. He holds a BS in Nutritional Science from Cornell University and an MD from the Temple University School of Medicine in 2007. Dr. Matsko earned a Research Writing Certification from the American Medical Writers Association (AMWA) in 2016 and a Medical Writing & Editing Certification from the University of Chicago in 2017.You can try NSAIDS or corticosteroid injections for the treatment of trigger finger, while each patient is different and responds differently to treatment. You need to follow up with your doctor to make sure you are getting the right treatment and response over time.
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Tips
- Follow up with your doctor as needed and continue to be compliant with your prescribed physical therapy.Thanks
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Warnings
- Eating cherries and increasing your consumption of vitamin C are natural methods for combating gout attacks. [28] X Trustworthy Source PubMed Central Journal archive from the U.S. National Institutes of Health Go to sourceThanks
- The time of recovery from surgery for trigger finger depends upon the severity of the condition and the technique used, but 2 weeks is likely a good guideline. [29] X Trustworthy Source National Health Service (UK) Public healthcare system of the UK Go to sourceThanks
- Trigger thumb in infants should be operated on because they are more likely to develop a fixed flexion deformity as they get older, especially if the condition persists past 2 years old. [30] X Research sourceThanks
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References
- ↑ https://www.mayoclinic.org/diseases-conditions/trigger-finger/symptoms-causes/syc-20365100
- ↑ https://orthoinfo.aaos.org/en/diseases--conditions/trigger-finger
- ↑ Joel Giffin, PT, DPT, CHT. Physical Therapist. Expert Interview. 9 September 2020.
- ↑ https://www.mayoclinic.org/diseases-conditions/trigger-finger/symptoms-causes/syc-20365100
- ↑ Joel Giffin, PT, DPT, CHT. Physical Therapist. Expert Interview. 9 September 2020.
- ↑ https://newsnetwork.mayoclinic.org/discussion/weekend-wellness-in-many-cases-trigger-finger-can-be-safely-and-effectively-corrected/
- ↑ https://www.mayoclinic.org/diseases-conditions/trigger-finger/symptoms-causes/syc-20365100
- ↑ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6483762/
- ↑ https://www.drugs.com/dosage/ibuprofen.html
- ↑ https://my.clevelandclinic.org/health/treatments/11086-non-steroidal-anti-inflammatory-medicines-nsaids
- ↑ https://www.mayoclinic.org/diseases-conditions/trigger-finger/symptoms-causes/syc-20365100
- ↑ Joel Giffin, PT, DPT, CHT. Physical Therapist. Expert Interview. 9 September 2020.
- ↑ https://www.surreyphysio.co.uk/top-5/best-5-exercises-for-trigger-finger/
- ↑ https://health.clevelandclinic.org/7-things-you-probably-didnt-know-about-epsom-salt
- ↑ Joel Giffin, PT, DPT, CHT. Physical Therapist. Expert Interview. 9 September 2020.
- ↑ https://www.mayoclinic.org/diseases-conditions/trigger-finger/diagnosis-treatment/drc-20365148
- ↑ https://pubmed.ncbi.nlm.nih.gov/1538090/
- ↑ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6483762/
- ↑ https://orthoinfo.aaos.org/en/diseases--conditions/trigger-finger
- ↑ https://www.nhs.uk/conditions/trigger-finger/treatment/
- ↑ https://www.nhs.uk/conditions/trigger-finger/treatment/
- ↑ https://www.aafp.org/pubs/afp/issues/2003/1201/p2167.html
- ↑ https://pubmed.ncbi.nlm.nih.gov/28454779/
- ↑ https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3474
- ↑ https://my.clevelandclinic.org/health/diseases/7080-trigger-finger
- ↑ https://my.clevelandclinic.org/health/diseases/4924-rheumatoid-arthritis
- ↑ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489659/
- ↑ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6914931/
- ↑ https://www.nhs.uk/conditions/trigger-finger/treatment/
- ↑ https://www.childrenshospital.org/conditions/trigger-thumb
About This Article
Article Summary
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To cure trigger finger, which is caused by repeated gripping motions, make sure to take breaks from repetitive tasks, like typing on the computer. Additionally, try applying ice to the inflamed tendon to reduce pain or swelling. You can also stretch the contracted tendon by holding onto the affected finger and slowly extending it while putting pressure on the sore area. If home remedies don’t work, ask your doctor about wearing a finger splint to stretch out the area while you sleep. For more tips from our Medical co-author, including how to get a corticosteroid injection for trigger finger, keep reading!
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Reader Success Stories
- "This information was very informative. I have had a problem with this for about a month now on both middle fingers. I drive for a living, about 150 miles a day, luckily for me with a break in the afternoon. Plus, I also paint. I will try some of the exercises to keep limber and we will see what happens." ..." more
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"This information was very informative. I have had a problem with this for about a month now on both middle fingers. I drive for a living, about 150 miles a day, luckily for me with a break in the afternoon. Plus, I also paint. I will try some of the exercises to keep limber and we will see what happens."
..."
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"I already have had to have surgery for one trigger finger that was locked in the bent position. It is now about 3 yrs later and I am experiencing another trigger finger on the same hand. This article is a great refresher as to how to manage my trigger finger until I can get in to see my orthopedic doctor."
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"I am working at stretching the affected finger, thanks to your article. This seems to be working. I am also taking glucosamine, which I usually only take in winter to ameliorate incipient arthritis. This is just a personal experiment."
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"This article was very thorough in its coverage of what it is, what causes it, and how it can be treated. Of all of the Internet articles I read, this one was the most helpful."
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"Good information. There are some things I can do at home before I see the doctor. If nothing else, cold compress, splint at night and hand massages should ease my pain. Thanks."
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