• Trigger Finger: An Overview And Treatment Options

    Trigger finger.  What may only be a minor irritation to some, for others is a condition that can completely suspend their career or hobby.  What is trigger finger and is surgery the only treatment option? Read on to learn more about this common disorder, how it is treated, and how you can schedule a physical examination if you are suspicious that you may be suffering from trigger finger.

    What is Trigger Finger?

    Trigger finger, also referred to as stenosing tenosynovitis is a painful, noninfectious condition that cause the fingers or thumb to catch or “lock” in a bent position. The associated problems from trigger finger often are caused from inflammation of the flexor tendon sheath of the finger.  Each finger of the hand has flexor tendons that move through a tunnel between the joints.  The tunnel is a source of nutrition for the tendon and also contributes to the mechanical stability of the fingers. Through repetitive use, soreness and  inflammation of the tunnel can result.  The inflammation causes swelling of the tunnel at the joint at the base of the finger (also known as the metacarpophalangeal joint or MP), and nodules can form on the flexor tendon.  These nodules prevent the tendon from moving smoothly and cause the tendon to catch, lock, snap, or pop at the MP joint.

     In most cases, trigger finger is more of an inconvenience than a serious condition. But, if left untreated, the affected finger or thumb may become permanently stuck in a flexed or straight position making it challenging to complete everyday tasks.

    What are the Symptoms of Trigger Finger?

    Patients suffering from trigger finger will often complain of pain when they flex their finger and describe an associated “snapping” that occurs with this action.  The pain is most commonly felt in the palm and finger. In some cases, the finger will actually lock in a flexed or straight position and can only be corrected by using the opposite hand to gently straighten or unstraighten the fingers.  In severe cases, joint contractures can develop. Trigger finger usually affects the thumb, middle, or ring finger(s) of your dominant hand, but isn’t limited to just that hand or to only one hand at a time.  Finger stiffness and joint catching are more prevalent after inactivity, such as when you wake in the morning. Your fingers will often loosen up as you move them.

    What Causes Trigger Finger?

    The causes of trigger finger are most commonly from highly repetitive movements of the finger and thumb.  (Musicians, industrial workers and farmers are commonly affected by trigger finger since their fingers and thumbs are relied upon for daily repetitive movements.) But repetitive movements are not the only causes of trigger finger.  Certain medical conditions that can cause inflammation to the tissues of the hand–diabetes, gout, or rheumatoid arthritis–can result in trigger finger.

    How is Trigger Finger Diagnosed and Treated?

    Trigger finger is diagnosed with a physical exam of the hand and fingers. No X-rays or lab tests are used to diagnose trigger finger.  One of the best ways to start treatment of the affected finger(s) is to rest them.  If possible, strive to limit  the activities that are contributing to the painful condition.  Consult with your physician.  He may choose to put a splint on the finger to help prohibit joint mobility and keep the joint in a neutral position.

    Anti-Inflammatory Medications and Sarapin Injections

    Anti-inflammatory medications such as ibuprofen, naproxen, or acetaminophen may be prescribed to help with the pain.  As a first line of defense, your doctor may also recommend an injection of an anti-inflammation injection such as Sarapin. Sarapin, is a natural substance that is injected into the body, it is very safe to use. It is non-toxic and does not weaken or cause damage to the cartilage bones or tendons. Unlike synthetic drugs, Sarapin injections do not have serious side effects. It is an alternative choice of physicians in lieu of using steroids or cortisone injections when treating chronic pain conditions.

    Schedule Your Free Consultation

    If you are suspicious that you may be suffering from trigger finger, head to our New Haven office for assistance. Our team can give you the tools you need for a healthier, happier you.   Call now for a FREE Consultation, (260) 493-6565, or simply contact us by clicking here. Consultations can be done online, via the phone, or in person.

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