Orthopedic Treatment For Trigger Finger

by Administrator 21. May 2015 10:21

Trigger Finger, also known as Stenosing Tenosynovitis, occurs due to inflammation that narrows the space within the sheath surrounding the tendon in the affected finger. It involves the catching, snapping or locking of the concerned fingers flexor tendon. It is a painful disorder and the finger may become locked in a bent position.

Causes:

  • Repeated movement
  • Prolonged firm grasp
  • Rheumatoid Arthritis
  • Gout
  • Local trauma to the palm or base of the finger

Symptoms:

  • Sore finger
  • Lump in the hand
  • Pain in the palm
  • Inability to straighten the finger
  • Finger stiffness, particularly in the morning
  • A popping or clicking sensation as you move your finger
  • Finger locking in a bent position, which suddenly pops straight

Risk Factors:

  • More common in women than men
  • Occurs more frequently in people between the age of 40 to 60
  • Occupation involving repetitive movement of the hand
  • Diabetes

Diagnosis:

  • Physical examination: The orthopedic doctor may diagnose Trigger Finger by performing a physical examination. He may check for the presence of nodules in and around the finger. The finger is examined to determine areas of pain, severity of pain, smoothness of motion and evidence of locking.
  • Imaging Tests: The orthopedic doctor may recommend imaging tests such as an X-ray to determine the extent of the condition.
  • Medical history: The orthopedic doctor may inquire about the medical background of the patient and ask questions about the symptoms. The questions may include:
  1. What all symptoms are you experiencing?
  2. How long have you been experiencing these symptoms?
  3. Are the symptoms continuous or they seem to come and go?
  4. Does anything seem to make your symptoms better or worse?
  5. Are your symptoms better at any particular time of the day?
  6. Do you perform repetitive tasks daily?
  7. Have you recently had an injury to your hand?

The orthopedic surgeon devises a treatment plan after determining the cause and severity of the condition.

Treatment:

Non-surgical treatment

  • Rest: Giving the hand rest and avoiding any repetitive movements.
  • Ice or heat therapy:  The doctor may advise using ice or heat packs.
  • Medications: The doctor may prescribe anti-inflammatory medications to reduce inflammation and pain.
  • Use of splinters: Wearing a splint assists in keeping the finger in straight position.

Surgical Treatment

The doctor may recommend surgery if the non-surgical treatment do not offer relief. This is followed by post-surgical care and the doctor may prescribe physiotherapy to assist with healing and ensure flexibility in the finger. The patient must visit the orthopedic surgeon for regular follow up.

For complete treatment of Trigger Finger, consult Dr. Neagle in Carrollton, TX. To schedule an appointment with the hand surgeon, call at (972) 492 - 1334 or visit 4780 North Josey Lane, Carrollton, Texas 75010.

Tags: ,