Trigger Finger

Trigger finger, also known as stenosing tenosynovitis, is a condition in which one or more of your fingers is locked in a bent position, restricting movement and causing pain and tenderness. Those suffering from trigger finger may experience stiffness or hear snapping and popping when attempting to move or bend the finger(s). Getting ample rest and reducing movement may allow it to heal. However, in more serious cases, trigger finger may require treatment such as surgery, depending on the severity of the issue.

 

Trigger finger occurs when the tendons connecting our muscles and bones are unable to glide through the synovial sheath—tissue layer surrounding our tendons—smoothly. In a healthy finger, our tendons can easily slide through this small, protective sheath whenever we move or bend our fingers. However, repeated or forceful movement can lead to an inflammation of the tendon, causing swelling and pressure, and may even lead to the formation of bumps or nodules. The protective sheath then becomes narrow, making it difficult for the finger(s) to straighten or bend.

 

This is a condition that can hinder your daily activities, hence it is important to seek trigger finger treatment in Singapore as soon as you notice symptoms.

Trigger Finger

Trigger finger happens when the protective sheath becomes narrow, causing a constriction around the tendon and making it difficult for the tendon to glide through easily. The increased resistance results in the tendon becoming irritated and swollen. The inflammation of the tendon may result in a bump or nodule forming, making it more difficult for the finger to straighten, thus restricting further movement. Since the condition can hinder your daily activities, it is important to seek trigger finger treatment in Singapore as early as possible.

 

Risk Factors

Factors that put you at higher risk of developing trigger finger are:

  • Repeated Gripping

Certain jobs and hobbies, or performing actions that involve repetitive hand use and prolonged gripping such as texting may increase your risk of trigger finger.

  • Medical Conditions

Some trigger fingers are associated with conditions such as diabetes, rheumatoid arthritis or hypothyroidism.

 

Signs And Symptoms

Symptoms of trigger finger often include soreness at the base or lowest joint of the finger. A nodule can sometimes be felt near the base of your finger, near your palm. Some patients may experience a painful clicking or snapping sensation when flexing the finger. They may also have difficulty trying to bend or straighten the finger. The symptoms of the trigger finger tend to be worse in the mornings, but as the day goes, the finger will start to relax more, making movement easier.

 

Trigger finger treatment is crucial even in the early stages of the condition. If left untreated, the trigger finger can worsen and may sometimes result in another finger becoming locked in a bent or straight position. In severe cases, patients may be unable to straighten or bend the affected fingers without the help of the other hand.

 

Treatment

Trigger finger treatment is dependent on the severity of symptoms. Nonsteroidal anti-inflammatory drugs (NSAIDs) and wearing of splints may relieve swelling around the protective sheath and tendon to allow for smooth gliding.

 

Another treatment option includes an injection of a steroid medication near or into the tendon sheath to reduce inflammation at the site, allowing the tendon to glide smoothly and freely again.

 

If non-surgical forms of trigger finger treatment do not provide any relief, then your doctor may recommend going for surgery. A small incision is made at the base of the finger to open the protective sheath, expanding the protective sheath so that the tendon can glide more freely. This surgery is performed with local anaesthesia and patients are often discharged home on the same day of the procedure. Post-operative pain is minimal in most patients, and active movement on the finger is encouraged.

 

Every case is different, hence it is best to consult a hand surgeon to determine the trigger finger treatment method that is most suitable for you. Reach out to us today if you are suffering from a trigger finger and let us help you

Frequently Asked Questions

It is difficult to pinpoint the best treatment for trigger finger as it depends on the patient’s symptoms and severity. However, most treatment methods ranging from non-surgical to surgical have been proven to be helpful.

Some trigger fingers may heal on their own with adequate rest. Non-surgical options include stretching exercises, wearing a finger splint, non steroidal anti-inflammatory medications and steroid injections. Surgery may be recommended to provide “release” if the condition does not improve with conservative measures.

The cost of trigger finger treatment in Singapore depends on your condition and the type of treatment needed. Despite surgical options costing more than non-surgical options, surgical fees are still affordable as the hand surgery required is considered minor. It is advisable that you speak to your hand doctor to find out the exact cost and how your insurance coverage might help.

Taking adequate rest, wearing a finger splint and doing stretching exercises are some ways to relieve the symptoms of trigger finger.

Self-massages can help to relieve the symptoms of trigger finger as they help to increase circulation and flexibility.

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