TRIGGER FINGER Trigger finger, also known as stenosing tenosynovitis, is a condition where one of your fingers gets stuck in a bent position and may straighten with a snap, similar to pulling and releasing a trigger. This occurs when the tendon sheath in the affected finger becomes inflamed and narrowed. Here are key points for managing and treating trigger finger: 1. Non-Surgical Treatments: (a) Rest: Avoid activities that require repetitive gripping or forceful use of the fingers. (b) Ice: Apply ice to the affected area to reduce inflammation and pain. (c) Splinting: Wearing a splint to keep the affected finger in a straight position can help rest the tendon. (d) Medications: NSAIDs (e.g., ibuprofen, naproxen) can help reduce pain and inflammation. (e) Activity Modification: Changing the way you use your hands to minimize stress on the tendons. 2. Corticosteroid Injections: - A corticosteroid injection into the tendon sheath can reduce inflammation and allow the tendon to glide more smoothly, often providing significant relief. 3. Physical Therapy: Gentle stretching and strengthening exercises can help improve flexibility and function. Techniques such as ultrasound therapy or manual therapy can also be beneficial. 4. Ergonomic Adjustments: Modifying tools, equipment, or techniques to reduce repetitive strain on the fingers. 5. Surgical Treatment (if conservative treatments fail): (a) Percutaneous Release: A minimally invasive procedure where a needle is used to release the constricted part of the tendon sheath. (b) Open Surgery: The surgeon makes a small incision to release the affected tendon sheath, allowing the tendon to move freely.