Trigger Finger & Trigger Thumb
What is Trigger Finger and Trigger Thumb
Signs and Symptoms
The symptoms of Trigger Finger are characterised by a range of physical manifestations that vary in intensity and frequency.
- Pain and Stiffness: Individuals may experience discomfort and rigidity in the affected finger or thumb.
- Swelling: The affected digit may exhibit signs of inflammation and swelling, contributing to discomfort.
- Finger Pops: Some individuals may notice audible popping or snapping sensations when moving the affected finger or thumb.
- Inability to Grip Objects or Close the Hand Fully: The condition may impede the ability to grasp objects or fully close the hand, affecting daily activities and dexterity.
Causes and Risk Factors
The development of Trigger Finger is attributed to a combination of factors that affect the tendons and their sheaths in the fingers and thumb.
Repetitive Strain
Health Conditions
Certain systemic health issues, such as diabetes, rheumatoid arthritis, osteoarthritis or gout, are strongly associated with an increased risk of Trigger Finger or Thumb. These conditions can cause systemic inflammation and changes in the connective tissue, thereby predisposing individuals to tendon-related problems.
Age and Gender
Trauma
Direct injury to the finger or thumb can precipitate the development of Trigger Finger or Thumb, especially if the injury affects the tendon or its sheath.
Diagnosis
Our Doctors will conduct a thorough diagnosis of your Trigger Finger. This includes a comprehensive physical examination, detailed discussions about your symptoms, and a review of your medical history. The severity of your Trigger Finger will be categorised into four different grades based on the evaluation of your finger mobility and function.
Treatment Modalities
Pain Medication
This involves the use of medications such as Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), opioids, and other specialised medications designed for pain management. The type and dosage are tailored to the individual’s condition and medical history.
Myospan
Minimally invasive treatments aim to effectively relieve common pain conditions by targeting pain sources.
- Coreflex Injections: Typically contain a corticosteroid and are used for inflamed joints or tissues.
- Platelet-Rich Plasma (PRP) injections: Utilise own platelets to promote healing in damaged tissues.
- Intra-Articular Injections: Most commonly used to treat osteoarthritis in the hip or knee, but they can also be given in other joints, including shoulders, wrists, ankles, hands, and fingers.
For chronic pain conditions originating from spinal issues, Neurospan can be performed by our team of pain specialists from Singapore Paincare Center.
Struggling With Persistent Pain?
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Prevention Strategies
Taking a break is the most beneficial action you can take. It’s likely that you’ve been exerting too much strain on your finger(s), and it’s essential to allow your body some time to recuperate. You may also consider wearing a splint at bedtime to ensure your fingers have the opportunity to recover.
Frequently Asked Questions (FAQ)
What Causes Trigger Finger?
Trigger Finger is primarily caused by inflammation and narrowing of the tendon sheath, leading to impaired movement of the tendon. This can be due to repetitive motions, gripping activities, or health conditions like rheumatoid arthritis and diabetes.
Who is at Risk of Developing Trigger Finger?
Individuals over 40, women, and those with certain medical conditions such as diabetes, rheumatoid arthritis, osteoarthritis or gout are at a higher risk. Occupations or hobbies that involve repetitive hand use also increase the risk.
How is Trigger Finger Diagnosed?
Diagnosis is primarily clinical, based on medical history and physical examination. The presence of a clicking sensation or locking of the finger during flexion and extension is a key indicator.
What Are the Non-Surgical Treatment Options for Trigger Finger?
Non-surgical treatments include rest, activity modification, splinting, NSAIDs, steroid injections, and physical therapy. These options aim to reduce inflammation and improve finger movement.
When is Surgery Recommended for Trigger Finger?
Surgery is considered when symptoms are severe or do not respond to non-surgical treatments. It involves releasing the constricted section of the tendon sheath to allow better tendon movement.
Can Trigger Finger Be Prevented?
While not all cases are preventable, reducing repetitive strain on the fingers, using ergonomic tools, and managing underlying health conditions can reduce the risk. Early treatment of symptoms can also prevent worsening.
Our Clinics
- Mon – Fri: 9am to 1pm, 2pm to 4pm, 6:30pm to 9:30pm (CLOSED ON FRI NIGHTS)
- Sat: 9am to 1pm
- Sun: 6:30pm to 9:30pm
- Closed on PH
- Mon, Wed, Thu: 8:00am – 2:00pm, 6:00pm – 9:00pm
- Tue & Fri: 8:00am – 2:00pm
- Sat: 8:00am – 12:00pm
- Sun: 10:00am – 1:00pm
- PH: Closed
#01-54 The Midtown, Singapore 533971
- Mon to Fri: 8:00am – 12:00pm, 1:00pm – 3:00pm, 6:00pm – 9:00pm
- Sat: 8:00am – 12:00pm
- Sun & PH: Closed
988 Upper Serangoon Rd, Singapore 534733
- Mon to Fri: 8:30am – 2:30pm, 6:00pm – 10:00pm
- Sat & Sun: 8:30am – 12:30pm
- PH: Closed
Singapore 730018
- Mon: 8:00am – 9:00pm
- Tue – Fri: 8:00am – 4:30pm, 7:00pm – 9:00pm
- Sat: 8:00am – 12:30pm
- Sun & PH: Closed
Mon, Wed, Thu: 8:30am – 12:30pm, 1:30pm – 4:30pm, 6pm – 9pm
Tue & Fri: 8:30am – 12:30pm, 1:30pm – 4:30pm
Sat: 8:30am – 12:30pm
Sun & PH: Closed
Thomson Imperial Court, Singapore 574424
- Mon to Wed: 8:30am – 10:00pm
- Thu: 8:30am – 3:00pm, 6:00pm-9:30pm
- Fri: 8:30am – 6:00pm
- Sat & Sun: 9:00am – 3:00pm
- PH: Closed
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