Trigger finger, also known as stenosing tenosynovitis, affects the flexor tendons of the fingers or thumb. It most commonly affects the ring finger or thumb.
The tendons in the hand help control finger movement and pass through small tunnels called tendon sheaths. When a flexor tendon and its surrounding sheath become inflamed, a small lump or nodule can form near the base of the finger. As the finger bends, the lump moves through the tendon sheath. When the finger straightens, the lump can become caught, causing the finger to click, catch or lock in a bent position.
- Pain or discomfort at the base of a finger or thumb
- Tenderness or soreness
- A small lump or nodule at the base of the finger
- Clicking, catching or snapping when bending or straightening the finger or thumb
- Stiffness, often worse in the morning
- The finger or thumb may lock in a bent position
- Repetitive use of the hand
- Prolonged gripping
- Work or activities involving high-force tools or vibrating equipment
- Conditions such as diabetes, rheumatoid arthritis, osteoarthritis, gout, hypothyroidism, amyloidosis, De Quervain’s tenosynovitis and carpal tunnel syndrome
- Medical history
- Clinical examination
Treatment depends on severity and may include:
- Rest and activity modification
- Hand therapy
- Splinting
- Anti-inflammatory medication, where appropriate
- Corticosteroid injection
- Surgery in persistent or severe cases
Please contact 1300HANDOC to discuss treatment recommendations based on your condition.