Trigger Finger (Stenosing Tenosynovitis)

Causes of Trigger Finger
The main cause is inflammation and thickening of the tendon used for finger movement, along with narrowing of the tendon sheath.
Common Risk Factors
Repetitive hand use:
๐ Typing
๐ Using scissors
Occupations:
๐ Craftsmen
๐ Carpenters
๐ Hairdressers
๐ Gardeners
Sports:
๐ Golf
๐ Tennis
Underlying conditions:
๐ Diabetes
๐ Rheumatoid arthritis
๐ Gout
Symptoms by Stages
Trigger finger symptoms can be classified into 4 stages:
Stage 1: Early Stage
๐ Pain at the base of the finger (especially in the morning)
๐ Small lump may be felt
๐ Tenderness when pressed
Stage 2: Catching Sensation
๐ Finger movement becomes uneven or “catching”
๐ Clicking sound when extending the finger
Stage 3: Locking Stage
๐ Finger locks in a bent position
๐ Requires the other hand to straighten
Stage 4: Severe Locking
๐ Finger becomes permanently stuck
๐ Cannot be straightened even with assistance
Treatment Options
Treatment depends on the severity of symptoms.
1. Rest
๐ Avoid repetitive hand movements
๐ Reduce gripping or forceful finger use
2. Warm Compress
๐ Apply warm compress at the base of the finger
๐ Helps reduce pain and relax muscles
3. Medication
Doctors may prescribe:
๐ Pain relievers
๐ NSAIDs
4. Steroid Injection
๐ Common for mild to moderate cases
๐ Injected at the tendon sheath
๐ Reduces inflammation and improves movement
5. Surgery
๐ Recommended for severe or persistent cases
๐ Minor procedure to release the tendon sheath
๐ Allows normal tendon movement
Summary
Trigger finger is a common condition caused by tendon inflammation due to repetitive use.
source : Ladprao General Hospital
**Translated and compiled by ArokaGO Content Team
Independent Writer
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