Trigger Finger

Diagnosis

During the exam, a healthcare provider may ask you to open and close your hand. The provider checks for:

• Areas of pain
• Smoothness of motion
• Evidence of locking or catching

Additional evaluation may include discussion of your symptoms, hand usage patterns, and any prior injuries or conditions affecting the hand.

Treatment

Trigger finger treatment depends on the severity and duration of symptoms.

Medications
Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen sodium may help reduce pain and inflammation. Some NSAIDs are available in topical forms, including creams or patches applied directly to the affected area.

Therapy
Conservative noninvasive treatments may include:

• Rest – Avoid repetitive gripping, grasping, or prolonged use of vibrating tools. Padded gloves may provide protection if activity cannot be avoided.
• Splint – Wearing a splint helps rest the tendon.
• Stretching exercises – Gentle finger exercises can help maintain mobility and prevent stiffness.

Surgical and other procedures
If symptoms are severe or conservative treatments are ineffective, additional procedures may be recommended:

• Steroid injection – A steroid is injected near or into the tendon sheath to reduce inflammation and allow smoother tendon movement. Some people may require more than one injection.
• Needle procedure – A sturdy needle is inserted into the tissue around the affected tendon after numbing the palm. The needle and finger are moved to break apart tissue restricting tendon motion. Ultrasound guidance can improve results.
• Surgery – Through a small incision near the base of the finger, a surgeon opens the narrowed section of the tendon sheath to restore normal movement.

Regular follow-up ensures that tendon function improves and prevents recurrence.