Stepping Stones Rehab. Services
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|Posted on February 21, 2012 at 6:13 PM|
We always get patients in the clinic who c/o finger getting stuck in bent position and when patient pushes hard it snaps into extension as if trigger is released. In worst cases finger gets stuck in bent position and patient has to use the other hand to extend the finger back.
Often times it starts without pain and slowly gets very painful. Especially, when patients think that this is due to weakness in hand and they either buy some kind of gadget to improve grip strength which often backfires heavy gripping worsens the symptoms.
Mostly these patients respond very well to steroid injections at the A-1 pulley region. In long standing cases where finger develops tightness in flexion, patients might benefit from Trigger finger release.
Hand therapy helps in regaining range of motion in the affected finger or thumb after surgery. Splinting/ heat/ massage/ultrasound therapy/ tendon gliding exs/ activity modification could also help in resolving symptoms without surgery in mild cases.