Trigger Finger
What is a “trigger finger” or stenosing tenosynovitis?
Trigger finger is the “catching” or “locking” of the finger due to the tendon being unable to glide smoothly through its pulley in the palm, the A1 Pulley. This is caused by mechanical impingement.
What are the symptoms of trigger finger?
Trigger finger is usually progressive disease. There is usually pain at the A1 pulley, clicking and catching of the finger. Approximately 60% of patients with trigger finger usually also suffer from carpal tunnel syndrome.
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How do you treat trigger finger?
Non operative methods of treating Trigger finger include:
- Splinting
- Non Steroidal anti-inflammatory medications
- Corticosteroid injection
- Activity modification
If this fails or becomes exhausted. The next best option would be surgical one.
Failing these options, surgery can be considered for definitive treatment. The surgery for trigger finger is a small day only procedure. It involves a small incision less then 1cm and the release of the A1 pulley of the flexor tendon. Following surgery, you are able to bend and use all your fingers immediately. The wound will take 10-14 days to heal.
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