Trigger Finger - Getting to the point of pain.

Trigger finger or thumb (stenosing tenosynovitis) is a hand condition where a finger or thumb gets stuck in a bent position, then suddenly pops or catches straight, due to tendon

inflammation and swelling in its protective covering in the surrounding tendon sheath, often caused by repetitive gripping. Symptoms include pain, stiffness, clicking, and a tender bump at the palm's base. One of the major causes is OA (osteoarthritis).

Symptoms

• Catching, clicking, or popping sensation when bending or straightening the finger.

• Finger getting stuck (locking) in a bent position, requiring the other hand to straighten it.

• Pain or tenderness at the base of the affected finger or in the palm.

• A small, tender lump (nodule) in the palm.

• Stiffness, especially in the morning.

Causes & Risk Factors

• Repetitive gripping: Jobs or hobbies involving repetitive grasping or forceful gripping.

• Inflammation: Swelling of the flexor tendon within its sheath (tunnel).

• Medical Conditions: Associated with diabetes, rheumatoid arthritis, osteoarthritis, gout, and hypothyroidism.

• Age: More common in people between 40 and 60.

  
  

Treatment & Remedies

• Rest: Avoid activities that involve repetitive gripping for several weeks.

• Icing: Apply ice to the palm to reduce inflammation.

• Splints: Wearing a custom splint to address the catching

• Gentle Stretches: Light exercises to maintain finger mobility.

• There are also specific hand exercises that can be provided by an Occupational Therapist.

• Corticosteroid Injections: Steroids injected into the tendon sheath often resolve the issue.

• Surgery: If conservative methods fail, a minor surgery cuts the pulley to free the tendon.

Prevention

Take breaks from repetitive hand activities, Use ergonomic tools to reduce strain, and stretch hands and fingers regularly.

If you or someone you know is having difficulty performing any daily activity whether it is work, home, personal or leisure related, ask the health care provider for a referral to an Occupational Therapist.