Trigger Finger (Stenosing Tenosynovitis)

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Trigger Finger is a common hand ailment involving the tendons that bend the fingers. That’s when the sheath around the tendon gets inflamed or thicker, so the tendon cannot glide easily. The affected finger can thus catch, snap, or lock in a flexed posture before rapidly straightening, usually with discomfort or pain.

It often includes the thumb, middle, or ring finger and is more likely in people who do repetitive gripping activities, such as using tools or typing. People with diabetes, rheumatoid arthritis, and other inflammatory conditions are at higher risk. Early signs are stiffness, especially in the morning, and a sensitive bump at the base of the finger.

Treatment varies with the severity. In mild situations, rest, splinting, anti-inflammatories and simple stretching exercises can help it become better. In more stubborn situations, steroid injections are used to decrease inflammation. If conservative measures fail, a simple surgical operation may be undertaken to relieve the constricted tendon sheath. Early treatment restores fluid finger motion and prevents long-term problems.