Trigger finger tendonitis

Recover Hand Function from Trigger Finger

Trigger finger, also known as stenosing tenosynovitis, is a condition in which one of the fingers or thumb gets stuck in a bent position and then pops or snaps straight. It is usually caused by inflammation and narrowing of the sheath that surrounds the tendons in the affected finger, making it difficult for the tendon to glide smoothly through the sheath.

Treatment options for trigger finger tendonitis typically depend on the severity of the condition:

1. Rest and Activity Modification: In milder cases, resting the affected finger and avoiding activities that aggravate the condition may be sufficient to reduce symptoms.
   
2. Splinting: Wearing a splint or brace that keeps the affected finger extended can help rest the tendon and alleviate symptoms. This is often recommended for several weeks, especially at night.
   
3. Anti-Inflammatory Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen may help reduce pain and inflammation associated with trigger finger.
   
4. Corticosteroid Injections: A healthcare provider may administer corticosteroid injections into the tendon sheath to reduce inflammation and relieve symptoms. In many cases, this provides temporary relief.
   
5. Physical Therapy: Certain exercises and stretches prescribed by a physical therapist can improve the range of motion and strength of the affected finger.
   
6. Ultrasound-Guided Percutaneous Release: This minimally invasive procedure involves using ultrasound to guide a needle to release the tendon sheath, providing relief from the locking or triggering sensation.
   
7. Surgery (Trigger Finger Release): If conservative treatments are ineffective or if the condition is severe, a surgical procedure called trigger finger release may be recommended. During this procedure, the surgeon opens the tendon sheath to create more space for the tendon to move freely.

The choice of treatment depends on the individual's symptoms, the finger affected, and the severity of the condition. Dr. Sunishka Wimalawansa, a board-certified plastic surgeon, will assess the situation and recommend the most appropriate treatment option, such as surgery in more stubborn or advanced cases.

Call us today for an appointment.