Trigger Finger

Trigger finger occurs when the flexor tendon becomes irritated and begins to thicken, eventually creating nodules making it difficult for the joint to bend and straighten. When the tendon is lengthening, it becomes momentarily stuck then quickly pops out into extension.

Causes and risk factors

  • Trigger finger is most common in women

  • Certain medical conditions such as diabetes mellitus, hypothyroidism and rheumatoid arthritis

  • Overuse, such as repetitive gripping

  • On occasions traumatic injuries may lead to trigger finger

Symptoms

  • Swelling

  • Tender lump in the hand

  • Popping and catching in the finger joints

  • Pain when extending or bending the finger

  • Finger can “lock” in the palm requiring extension with your other hand

Diagnosis and treatment

Initial home treatment involves oral vs topical = anti-inflammatory medications, massage, heat and working on range of motion of the digit. If symptoms persist, often Dr. Holt will discuss performing a steroid injection. If the symptoms do not resolve, surgery may be an option to relieve pain and restore function. Trigger finger release surgery can be performed in an office-based setting under local anesthesia with no sedation.

Trigger Finger Release Surgical Information/Post Operative Instructions

Additional Information/Links:

OrthoInfo: Trigger Finger