Trigger Fingers
Trigger finger, or stenosing tenosynovitis, is a condition where a finger locks or catches in a bent position due to inflammation of the tendon sheath. It is commonly caused by repetitive gripping activities, leading to tendon sheath thickening and inflammation, particularly in individuals with conditions like diabetes or rheumatoid arthritis. Recovery takes time up to 4-6 weeks, full recovery 3 months or more depending on severity and rehab efficacy.
Signs and Symptoms:
- Locking or sticking of the finger in a bent position and suddenly pop straight.
- Difficulty fully straightening the finger.
- Pain or discomfort at the base of the finger, especially when bending or straightening it.
- Increased stiffness, especially in the morning or after periods of inactivity.
- Swelling or tenderness at the base of the affected finger.
- A noticeable clicking or snapping sensation when moving the finger.
- Small, painful lumps or nodules may develop at the base of the finger where the tendon is affected.
Physiotherapy Managements:
- Manual therapies : Soft tissue mobilization and joint mobilization to reduce muscles and joint tension.
- Therapeutic exercises : Tendon gliding exercise to enhance tendon gliding by promoting smooth movement of the tendons within their sheaths. Stretching and Strengthening exercises to improve flexibility and strength in the affected finger.
- Ice therapy : To reduce pain and swelling.
- Ultrasound therapy : To help decrease inflammation and promote healing.
- Patient education by activity modification to avoid exacerbating the condition.
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