What is trigger finger?
It is the sudden locking of the fingers. Stuckness occurs in the finger joint when bending or extending the fingers. There may be symptoms such as pain along with getting stuck.
How Does Trigger Finger Form?
The tendons that make the bending movement of the fingers, that is, rope-like structures that connect the muscles with the bones, are covered with a sheath. covered. These tendons, which make the bending movement of the fingers, are connected to the small joints of the fingers with ring-like structures called pulleys. Pulleys create tunnels in the fingers with a series of rings and allow tendons to pass through these tunnels. These pulleys also help keep the tendons close to the bone. The tendon allows the finger to bend without friction within this loop. Trigger finger occurs as a result of this ring called pulley thickening, compressing the tendon and preventing free sliding movement. Thickening of the pulleys is more common, especially at the base of the fingers.
Which finger has trigger finger?
When the ring compresses the tendon, an inflammation occurs in the tendon and it may thicken 3-4 times more than normal, and as a result, it becomes difficult for the tendon to slide smoothly.
Trigger finger can affect any finger, more than one finger can be affected, and it can occur on both hands.
What is the Trigger Finger Complaint?
The patient with trigger finger has various complaints, from mild trigger pain to the rare complete locking. The patient feels discomfort in the knuckles and has sensitivity when pressing that area. Trigger finger is more common in the finger roots. When the locked finger is forced to straighten, it suddenly releases itself from where it is stuck and opens suddenly. During this time, a clicking sound and a feeling of relief are felt in the tendon.
Who Gets Trigger Finger?
Trigger finger is more common in people between the ages of 40 and 60 and in women than in men. Inflammatory joint rheumatism such as rheumatoid arthritis, gout and diabetes increase the risk of trigger finger.
How Should Trigger Finger Treatment Be?
The goal of treatment in trigger finger is to ensure normal sliding of the tendon within the ring called pulley. is to provide. It is important to reduce inflammation and reduce local pressure. Manual therapy techniques such as anti-inflammatory drugs, neural therapy, dry needle, hot, cold, fascia release and deep friction massage can be applied. Using a splint reduces the pressure on the tendon. One of the non-surgical options that is beneficial in loosening the stuck ring and suppressing the inflammation is injecting steroids into this area. Steroid injection can be repeated 3 times at intervals of several months. If there is no improvement in complaints with non-surgical treatments, surgery should be considered.
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