Trigger Finger

This white paper is presented by Dr. Uzma H. Rehman, D.O. of Macomb Hand Surgery and
Midwest Hand Therapy (Offices in Sterling Heights, Michigan and Bloomfield Hills, Michigan).

This information is to serve as a general overview of carpal tunnel syndrome and should not
replace professional consultation or treatment. If you are experiencing hand or wrist pain, it is
recommended that you visit a licensed orthopedist that specializes in hand care.

For additional information on carpal tunnel syndrome or to schedule an immediate consultation

with Dr. Rehman, please contact us.

About Dr. Rehman

Dr. Uzma H. Rehman, D.O. is an orthopedist, board-certified by the American Osteopathic Board
of Orthopedic Surgery. She currently practices at Macomb Hand Surgery, treating patients in the
Michigan area.

Dr. Rehman received her Bachelor of Science from Michigan State University and her Doctor of
Osteopathy from the University of Osteopathic Medicine in Des Moines, Iowa. Dr. Rehmans post-
graduate training includes an internship and residency in orthopedics at Mt. Clemens General
Hospital of Michigan State University, followed by a Fellowship in Hand and Microvascular
Surgery at Wayne State University.

Dr. Rehman is currently the Chairman of the Department of Orthopedics at Mt. Clemens General
Hospital. In addition to her clinical success, she is also dedicated to teaching and serves as
Assistant Clinical Professor at Michigan State University. Professional memberships include the
American Osteopathic Association, the American Osteopathic Academy of Orthopedic
Surgeons, and the Michigan Osteopathic Association.

Introduction: What is Trigger Finger?

Trigger finger is a condition that causes the finger to lock in place when bent, making it very
difficult to straighten again. When the finger does finally straighten, it may make a snapping or
popping sound. The medical term for trigger finger is stenosing tenosynovitis.

Trigger finger happens when the tendons (tough bands of tissue connecting the muscles to the
bones) in the finger become inflamed. Under normal circumstances, tendons easily glide
through the sheath that protects them, and work with the muscles to bend and straighten the
finger. When a tendon becomes inflamed, it no longer easily moves through the narrow sheath,
and gets stuck, or pops upon finally straightening.

When the condition occurs in the thumb, it is often called trigger thumb.
Symptoms of Trigger Finger
Those with trigger finger experience some or all of the following symptoms:

Stiffness of the finger(s)

A popping sensation when the finger is bent or moved
Tenderness at the base of the finger or palm
A bump at the base of the finger
Catching or locking in a bent position
Soreness in the affected finger

What Causes Trigger Finger?

The causes of trigger finger are not always clear. Sometimes trigger finger can be the result of
another medical condition that affects tissue, such as rheumatoid arthritis, gout, or diabetes.

Trigger finger is common in people who perform repetitive gripping actions or prolonged,
strenuous grasping. Occupational examples include those that operate power tools, or
musicians that are constantly playing instruments. An injury to the palm or base of the hand can
also cause trigger finger if the tendon becomes inflamed or the sheath is damaged.

Trigger finger is more common in women and tends to occur between 40 and 60 years of age,
but has been seen in patients of both sexes and of all ages.

Treatment of Trigger Finger or Trigger Thumb

Its very important to seek treatment immediately if you are experiencing hand or finger pain. If
left untreated, trigger finger can progress and lead to the finger catching or locking in the bent
position, and could ultimately lead to a finger or thumb that cannot be straightened without
corrective surgery.

Typically trigger finger is treated by an orthopedic doctor trained in the treatment of hand and
upper extremity conditions. X-rays or lab tests typically may not be necessary, as the condition
can sometimes be identified with a physical exam of the hand and fingers.

To help determine the cause of trigger finger and the best treatment plan, the doctor may ask
about symptoms, length of symptoms, repetitive tasks, job functions, and previous injuries or
conditions.

Trigger finger can usually be treated through conservative methods that include one or more of
the following:

Resting the hands

Applying cold packs
Anti-inflammatory medication
Corticosteroid injections
Trigger finger exercises
Occupational therapy
Short-term splinting

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Activities known to aggravate trigger finger should be limited during the healing and recovery
process. In extreme conditions, hand surgery may be recommended to restore normal
movement and functionality.

Summary
If you have a job or hobby that requires repetitive gripping actions or prolonged, strenuous
grasping, remember to take breaks throughout the day. Workspaces and techniques can also
be adjusted in order to minimize the strain on your joints, which decreases ones risk of getting
trigger finger.

If you are currently experiencing hand or finger pain, please contact the office nearest you to
schedule an appointment:

43940 Woodward Ave., Suite 100B 43417 Schoenherr Rd.

Bloomfield Hills, MI 48302 Sterling Heights, MI 48313
Tel: 248-335-2638 Tel: 586-532-0803
Fax: 248-335-7726 Fax: 586-532-0883

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This paper was published by Dr. Uzma H. Rehman, D.O.
Macomb Hand Surgery & Midwest Hand Therapy
Copyright 2014. All rights reserved

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