Trigger Finger Release

Trigger Finger Release

Trigger finger, also known as tenosynovitis, is a discomforting condition when a finger or thumb gets stuck or locked in one position. Trigger finger can leave the finger in a bent position. It causes extreme pain and stiffness while giving movement to finger.

The leading cause of the trigger finger is unknown, but it is more common in people suffering from diabetes, gout, or arthritis. Another reason includes forceful or repeated movements of the fingers or thumb. As tendons and muscle of hand together help in bending and straightening of the finger so inflammation of tendons can also result in this condition.   

Symptoms

The symptoms of trigger finger can go from mild to severe. In the beginning, you may feel irritation and distress at the base of the finger. Some of the common symptoms observed include;

  • The sensation of pain while bending or moving the finger
  • Padlocking of the finger in a bent position
  • Inflammation or bumps in the palm at the base of the pretentious finger
  • A popping or clicking of the finger while moving it
  • Difficulty in moving the finger

Treatment Options

The purpose of the treatment is to reduce or eliminate the pain, swelling, and locking of the finger and allow unproblematic movement for finger or thumb.

Non-surgical treatment

Non-surgical treatments are preferred over surgical procedures. The recovery period depends on the type of treatment.

  • Rest – As extensive use of the hand can be a cause of trigger finger so giving rest to hand and not moving fingers and thumb can help ease the pain.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) – Different anti-inflammatory drugs like aspirin, ibuprofen, and naproxen are given to relieve pain and inflammation.
  • Steroids – The injections of corticosteroids are inserted at the base of the trigger finger into the tendon sheath. Corticosteroids act as anti-inflammatory agents and provide relief from swelling and pain.
  • Splint – Wearing a splint to keep the affected finger or thumb in a straight position can be effective.

Surgical treatment

Treatment of trigger finger through surgery is called a trigger finger release. Surgical procedures are considered when non-surgical treatments fail to provide relief from pain.

  • Open surgery – In open surgery, a small incision is made in the palm area with a needle to open the tendon sheath and provide it more space to move. The open area is then stitched.
  • Percutaneous release surgery – In this procedure, a needle is inserted into the palm to cut the tendon sheath. This surgery does not leave the wound.
  • Tenosynovectomy – In this operation, the tendon sheath is removed to provide space to finger so they may move freely.
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