Doctor insights on:
Trigger Finger Test
What kind of test can be done to make sure you have trigger finger before surgery is done. Dr says I have trigger finger, any test to confirm?
Your complaints: Of what is wrong and the finger exhibiting this condition is enough to make the diagnosis. It is the something like a blued eyes person coming into the office and the doctor says you have blue eyes…you don't need a test to prove they are blue…you merely have to look at them... ...Read more
1finger is swollen, hard to bend down. Easy to straighten. Trigger finger? Neg test for arthritis. Worse late nite or early morn. Docs mixed opinions.
Need more info: If you can flex it, it is not a trigger finger, which usually are not swollen. If itchy or tingly but has little tenderness, and has been present days, not weeks, and swelled up within day, it likely is non-hereditary angioedema, which may be triggered by something you have become sensitized to. Relief is quick with an oral steroid like prednisone, and a strong antihistamine like Benadryl. ...Read more
Physical examination: Trigger finger is caused when the space between the flexor tendon and the tendon sheath (tunnel) becomes tight. It becomes difficult to bend the finger and it may become stuck, either in flexion (bent) or extension (straight). This can be seen on physical exam. Typically the hand is tender over the horizontal crease in the hand. This is more common in diabetics. ...Read more
What kind of test can be done to make sure you have trigger finger before surgery is done. Just want make sure before surgery had be done.?
Not sure you: Need any test a clinical exam should be sufficienct. ...Read more
Pulley limitation: Trigger finger or thumb most commonly occurs when swelling or a nodule of the tendon which bends (flexes) the finger gets caught passing through a tight ligamentous pulley (tunnel) and the nodule hits the tunnel the finger gets caught and with forced bending eventually pops through. This is responsible for a trigger finger. ...Read more
Surgery: Trigger finger developes due to binding of the flexor tendons at the a1 pulley at the distal palmar crease. Sometimes responds to steroid injection but frequently requires surgical release of the pulley to allow for tendon glide allowing finger to straighten. If triggering is chronic this can cause ligament contracture at pip joint limiting joint extension. See hand surgeon. ...Read more
Corticosteroid shot: Corticosteroid injections are often beneficial in relieving the painful clicking or locking of trigger fingers/thumbs. Consult your hand surgeon. Occasionally, surgical intervention is needed in those cases where corticosteroid injections are not particularly helpful. ...Read more
Trigger finger: Can respond to ice and inflammatories. However if the problem is persistent it's been shown that between 47 and 90% of trigger fingers get better with a single solitary corticosteroid injection ...Read more
Tendonitis: A trigger finger is form of tendonitis of the tendons that bend down the finger. They can cause just pain, just locking and catching or pain and locking. The most effective treatment is an injection of cortisone. This reduces the inflammation around the tendons. You have an approximately 70% chance of this going away with just injections. If not surgery is an option. ...Read more
Yes: Develops secondary to binding of the flexor tendons at the a1 pulley at the distal palmer crease of the finger involved. Can be due to inflammation around the tendons or constriction of the pulley this can be painful due to the inflammatory reaction or degree of locking. But not all the time. ...Read more
Trigger fingers: Come in different grades. From mild pain with no catching. To locked fingers that do not hurt. If there is a slight click and no pain you may decide not to do anything after you see your doctor as long as the diagnosis is verified. Having a slight painless trigger finger is a common finding ...Read more
Trigger finger: Am respond to ice if it is painful and swollen in the palm. Midl heat if it is stiff and locking without swelling, massage of the palm, topical anitinflammatorires placed in the palm and gentle not forceful range of motion, How ever the clincal presentation or severity of trigger finger varies a lot i.e. they are not all the same. If one tries these and fails see a hand doctor ...Read more
Probably not.: You could be holding your ipad in a funny way so I would not say never but highly doubtful. ...Read more
Try an injection: You can try ice and over-the-counter anti-inflammatories. In general the best treatment initially is an injection of cortisone, you have an approximately 70% chance of the trigger finger going away with injections alone. If the symptoms continue you can consider a procedure called a trigger finger release which will permanently resolve your symptoms. ...Read more
Variable: Trigger finger is thought to be associated with "overuse syndromes." however, it is difficult to determine what constitutes overuse of the hands! Everyone uses their hands for everything. It is also seen in association with diseases like diabetes mellitus and rheumatoid arthritis. Corticosteroid injections can generally be quite effective at treating trigger fingers. ...Read more
Do U mean U=artist?: There r 2 things that can b done besides nothing. An injection helps quite a few, but most need a surgical release of the tendon sheath. If u mean arthritis ; a trigger thumb, the treatment 4 trigger is the same, but depending on where the arthritis is, it is treated as a separate condition. ...Read more
Severe Tendonitis: Trigger finger is a common disorder of later adulthood characterized by catching, snapping or locking of the involved finger flexor tendon, associated with dysfunction and pain. A disparity in size between the flexor tendon and the surrounding retinacular pulley system, most commonly at the level of the first annular (a1) pulley, results in difficulty flexing or extending the finger. ...Read more
That varies.: Many patients get very rapid relief of their pain in the palm and finger following a trigger finger release. A small number take several weeks to a few months to recover. Many patients are nearly recovered at 2 weeks post op. ...Read more
Yes: Trigger finger is a very common condition that affects many people. It can be successfully treated without surgery in the vast majority of cases. If it does require surgery, the surgery is relatively simple and has a good track record. See an orthopedic surgeon/hand surgeon if you need evaluation and treatment. ...Read more
Reduce adhesion: The active flextend/restore trigger finger stretches and exercises can help reduce the adhesion by breaking down the scar-tissue and thinning the tendon, allowing it to move freely through the pulley system without the locking and associated pain. ...Read more
Steroid: Initial treatment would include a steroid injection to the tendon sheath at the A1 pulley and therapy. If unsuccessful than treat with surgical division of the A1 pulley to eliminate the binding of the tendon ...Read more
I get a weekly deep 90 min. Body massage. Should I have him more gently massage my trigger finger?
Is trigger finger always congential in 12 year olds? Can it be due to overuse? My sons dr. Say it can't.
Neither: We call a trigger finger in a 12 year old congenital but we do not know what causes it. Congenital means from birth. 12 year old cannot over use. ...Read more
Hi my son has just been diagnosed with possible trigger finger, he's 1 month away from turning 2, can he grow out of this and can it be temporary?
Unlikely: Congenital trigger finger, if not resolved by age 2, rarely resolves on its own. This requires surgical release to ensure proper developement of thumb function, which occurs between the ages of 2-3. See a board certified orthopaedic hand surgeon for evaluation and treatment. ...Read more
Sometimes: Surgery has excellent results in relieving trigger finger. Occasionally patients will respond to conservative management such as steroid injections and do not require further treatment. Patients with diabetes generally do not respond as well from injections and require surgery more often than those without diabetes. Other options include endoscopic and percutaneous release. ...Read more
See a hand surgeon: Trigger finger symptoms can be bothersome and progressive. While many will resolve with steroid injection alone, some require surgical release. The a1 pulley is the structure that is released in this procedure allowing the tendon to glide freely. ...Read more
OMT Technique: Myofascial release is an osteopathic manipulative treatment used by dos to relieve strain/restriction in muscle & its surrounding tissue (fascia). Strain keeps the tissue "stuck" in 1 position, making it harder to move in that position. Different ways to do it. It is often done by moving the tissue the way it wants to go, which in turn frees up the strain. Can be used to treat most restrictions. ...Read more
No: Though we have not identified a genetic cause for trigger fingers, I have found anecdotally that some people have a genetic predisposition to getting trigger fingers. In other words, I have had patients with trigger fingers who told me that one of their parents also had a trigger finger. Diabetes can increase your chance of developing a trigger finger. ...Read more
... Can be helpful. Mostly it's important to avoid activities that "provoke" symptoms.
Trigger finger/thumb is really a tendon irritation that may need medical care if it persists or interferes with function. If your finger/thumb "locks" in a bent or straight position, you really should seek medical evaluation and care.
The problem is much more common in diabetics and arthritics. ...Read more