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Home » Common Conditions – Procedures Performed by Dr. Alejandro Badia » Trigger Finger

Trigger Finger

trigger finger

Trigger finger is a condition that affects the tendons in your fingers or thumb

It can limit finger movement. When you try to straighten your finger, it may lock or catch before popping straight out.

Anatomy

Tendons are tissues that connect muscles to bone. When muscles contract, tendons pull on bones. This is what causes some parts of the body to move.

The muscles that move the fingers and thumb are located in the forearm, above the wrist. Long tendons – called the flexor tendons – extend from the muscles through the wrist and attach to the small bones of the fingers and thumb. When you bend or straighten your finger, the flexor tendon slides through a snug tunnel, called the tendon sheath, which keeps the tendon in place next to the bones.

Description

The flexor tendon can become irritated as it slides through the tendon sheath tunnel. As it becomes more and more irritated, the tendon may thicken and nodules may form, making its passage through the tunnel more difficult. The tendon sheath may also thicken, causing the opening of the tunnel to become smaller.

If you have trigger finger, the tendon may become momentarily stuck at the mouth of the tendon sheath tunnel when you try to straighten your finger. You might feel a pop as the tendon slips through the tight area, and your finger will suddenly shoot straight out.

Cause

The cause of trigger finger is usually unknown. There are factors that put people at greater risk for developing it.

  • Trigger fingers are more common in women than men
  • They occur most frequently in people who are between the ages of 40 and 60 years
  • Trigger fingers are more common in people with certain medical problems, such as diabetes and rheumatoid
  • Trigger fingers may occur after activities that strain the hand

Symptoms

Symptoms of trigger finger usually start without injury, although they may follow a period of heavy hand use. One or more fingers may be affected. Symptoms may include:

  • A tender lump in your palm
  • Swelling
  • Catching or popping sensation in your finger or thumb joints
  • Pain when bending or straightening your finger

Stiffness or catching tends to be worse after inactivity, such as when you wake up in the morning. Your fingers will often loosen up as you move them.

Sometimes, when the tendon breaks free, it may feel like your finger joint is dislocating. In severe cases of trigger finger, the finger cannot be straightened, even with help.

Physical Examination

Your healthcare provider can diagnose the problem by talking with you and examining your hand. No other testing is usually necessary to diagnose trigger finger.

Nonsurgical Treatment

Rest
If symptoms are mild, resting the finger may be enough to resolve the problem.

Medications

Over-the-counter medications, such as non-steroidal anti-inflammatory medications (NSAIDs) or acetaminophen can be used to relieve the pain.

Steroid Injections

Your healthcare provider may choose to inject a corticosteroid – a powerful anti-inflammatory medication – around the irritated tendon. In some cases, this improves the problem only temporarily, and another injection is needed. If two injections fail to resolve the problem, surgery should be considered.

Injections are less likely to provide permanent relief if you have had the triggering for a long time, or if you have an associated medical problem, like diabetes.

Surgical Treatment

Trigger finger is not a dangerous condition. The decision to have surgery is a personal one, based on how severe your symptoms are and whether nonsurgical options have failed. In addition, if your finger is stuck in a bent position, your healthcare provider may recommend surgery to prevent permanent stiffness.

Surgical Procedure

The goal of surgery is to widen the opening of the tunnel so that the tendon can slide through it more easily. This is done on an outpatient basis, meaning you will not need to stay overnight at the hospital.

An injection of local anesthesia to numb the hand is given for the procedure. The surgery is performed through a small incision in the palm or sometimes with the tip of a needle. The tendon sheath tunnel is cut. When it heals back together, the sheath is looser and the tendon has more room to move through it.

trigger finger1

Complications

Although not common, the possible complications include:

  • Incomplete extension: due to persistent tightness of the tendon sheath beyond the part that was released
  • Persistent triggering: due to incomplete release of the first part of the sheath
  • Bowstringing: due to excessive release of the sheath
  • Infection

Recovery

Patients are able, and encouraged, to move their fingers immediately after surgery. It is common to have some soreness in your palm. Frequently raising your hand above your heart can help reduce swelling and pain.

Please call (305) 227-4263 to request an appointment with Dr. Alejandro Badia.

Read also: Common Procedures by Dr. Badia

 

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Leonard Wolfson
Leonard Wolfson
19:42 04 Nov 19
Excellent visit. I injured my finger yesterday and was seen today by Dr. Badia. The staff was friendly and very efficient and the doctor spent more than enough time explaining what was going on and explaining my options. Truly a great experience.read more
Luisa Alfonso
Luisa Alfonso
16:25 06 Sep 19
The Dr and staff are professional and friendly. I’m happy I came here and I received the attention and answers I needed. I had injured my hand and I left the office feeling better. Thank you all for everything!!!read more
Robledo Aybar
Robledo Aybar
16:30 09 Aug 19
Due to a fall, I fractured my wrist in late Nov. 2018. Dr Badia and his team helped me overcome this issue and today I’m working, and back on my bike and running. The best service and experience!read more
Ellen Westbrook
Ellen Westbrook
23:08 29 Jul 19
Staff displayed professionalism and caring. Dr. Badia was as enthusiastic as I was about this surgery to improve the function of my hand. The surgical day process was smooth; I was kept informed every step of the way. I felt comfortable and safe.read more
victor mendelsohn
victor mendelsohn
02:37 30 May 19
From the first call I made to Dr. Badia‘s office I was impressed by the professionalism of the person who answered the phone. When I arrived at the office for my appointment I was once again greeted in a professional manner. This professionalism radiated through all of the team. I hadn’t seen Dr. Badia for over 10 years and he greeted me as if we’ve been in contact with each other for years.read more
Alexander Aguiar
Alexander Aguiar
18:19 24 Apr 19
From my first visit the staff as well as the Dr. Badia have been exceptionally professional and caring. I had an injury to my pinky finger, the required a placement of a rod in order to align. The surgery went well and was scheduled right away. The office staff has been amazing with scheduling and confirming appointments. Overall I am very happy with the care i received as well as the results. My finger healed and my range of motion has also gotten much better. Thank you Dr. Badiaread more
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Badia Hand to Shoulder Center

Complete Care of the Hand, Wrist, Elbow and Shoulder
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Dr. Alejandro Badia, M.D, F.A.C.S.
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