trigger finger

 Stenosing Tenosynovitis, otherwise known as "Trigger Finger" is a condition in which the finger becomes stuck in a bent position. This occurs due to inflammation of connective tissue structures which swell and compress underlying tendons, pulling the finger into the bent position. Specifically, the connective tissue sheath that surrounds the finger tendon becomes inflamed and results in compression of the tendon. 

symptoms

  • Finger stiffness
  • Tenderness or a bump at the base of the finger (in the palm)
  • Clicking or popping noises during finger movements 
  • Finger locking and popping back
  • Difficulty or inability to straighten finger
  • Warm, swollen finger joint

causes

  • Repetitive gripping
  • Underlying conditions
  • Surgery for carpal tunnel syndrome

treatment

  • Anti-inflammatory drugs (NSAIDs)
  • Rest
  • Splint
  • Therapeutic stretching exercises
  • Physiotherapy 
  • Surgery or steroid injections

How does physiotherapy help?

Physiotherapy can help treat trigger finger in a few ways. Physiotherapists can properly tape the finger into correct alignment, and provide an effective and appropriate splint that is reasonable given the needs of the individual (i.e. not bulky or extremely restrictive). Physiotherapists can also provide exercise plans with modified activities to accommodate the finger and any splints or tape. Manual therapy or thermal modalities may also be used to aid the healing process and promote gains in mobility.