Dr. Muhammad Saleem Nawaz Sandhu – Physiotherapist in Lahore

Trigger Finger Treatment in Lahore – Dr. Muhammad Saleem Nawaz

Trigger Finger Physiotherapy Treatment in Lahore

Trigger Finger, also known as stenosing tenosynovitis, is a condition in which one of your fingers gets stuck in a bent position and may suddenly snap straight. This can cause pain, stiffness, and a clicking sensation when moving the finger. At Dr. Muhammad Saleem Nawaz’s Physiotherapy Clinic in Lahore, we provide personalized, non-invasive treatments to manage trigger finger effectively.

What is Trigger Finger?

Trigger finger occurs when inflammation narrows the space within the sheath that surrounds the tendon in the affected finger. This limits tendon movement, causing the finger to lock or catch during motion. It is more common in people who perform repetitive gripping actions or have underlying conditions like diabetes or rheumatoid arthritis.

Causes of Trigger Finger

  • Repetitive gripping or pinching activities
  • Rheumatoid arthritis
  • Diabetes mellitus
  • Prolonged use of tools with firm handles
  • Gender (more common in women)
  • Age (common between 40–60 years)

Signs and Symptoms

  • Finger stiffness, especially in the morning
  • Clicking or snapping when moving the finger
  • Finger locking in a bent position
  • Tenderness or a bump (nodule) at the base of the finger
  • Pain when bending or straightening the finger

Diagnosis

Diagnosis is usually clinical and based on symptoms and physical examination. No special imaging is typically required. The physiotherapist or physician will assess range of motion, tendon glide, and palpate for tenderness or nodules.

Differential Diagnosis

  • Dupuytren’s contracture
  • Flexor tendon injury
  • Osteoarthritis
  • Rheumatoid arthritis
  • De Quervain's Tenosynovitis

Treatment Options

  • Rest and activity modification
  • Splinting to limit finger movement
  • Non-steroidal anti-inflammatory drugs (NSAIDs)
  • Corticosteroid injections (in severe cases)
  • Surgery (as a last resort for chronic cases)

Physiotherapy Management

Physiotherapy plays a vital role in treating trigger finger conservatively. At our clinic, physiotherapy goals include reducing inflammation, restoring tendon glide, and improving finger strength and flexibility.

Common Physiotherapy Techniques:

  • Ultrasound therapy to reduce inflammation
  • Soft tissue mobilization and massage
  • Stretching and strengthening exercises
  • Tendon gliding techniques
  • Joint mobilization
  • Therapeutic modalities like paraffin wax or hot packs

Precautions

  • Avoid repetitive gripping activities
  • Use ergonomic tools or padded handles
  • Warm up fingers before tasks
  • Don't ignore early signs like clicking or stiffness
  • Follow your physiotherapist’s exercise plan consistently

FAQs – Trigger Finger

1. What is trigger finger?
Trigger finger is a condition where a finger gets stuck in a bent position and may suddenly pop straight.
2. What causes trigger finger?
Causes include repetitive use of fingers, diabetes, arthritis, or inflammation of the tendon sheath.
3. Can physiotherapy cure trigger finger?
Yes, in many cases physiotherapy helps avoid surgery by improving tendon movement and reducing inflammation.
4. How long does it take to recover?
Recovery can vary from a few weeks to a few months depending on severity and adherence to therapy.
5. Is trigger finger painful?
Yes, it can cause pain during finger movement and tenderness at the base of the finger.
6. Is trigger finger common in any age group?
It’s more common in people aged 40 to 60 and in women.
7. Will I need surgery?
Surgery is only needed in chronic cases where conservative treatment fails.
8. Can it happen again after treatment?
Yes, especially if risk factors like repetitive work or diabetes are not managed.
9. What is tendon gliding?
It’s a physiotherapy technique to help tendons move smoothly within the sheath.
10. Is ultrasound therapy helpful?
Yes, it helps reduce inflammation and promotes healing of tendons.
11. Can exercises help trigger finger?
Yes, specific stretching and strengthening exercises can reduce symptoms and prevent recurrence.
12. Should I avoid certain tasks?
Avoid tasks that involve strong grip or repetitive motion of the fingers until symptoms resolve.
13. Can children get trigger finger?
Yes, but it's rare. When it occurs, it's usually congenital and may require surgical correction.
14. Can I massage the area myself?
Gentle massage may help, but it’s best guided by a physiotherapist.
15. Is splinting helpful for trigger finger?
Yes, splinting the affected finger at night can reduce inflammation and allow healing.
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