How to treat trigger thumb

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Trigger finger and trigger thumb are two conditions that go hand-in-hand literally. This condition, at best, is mildly irritating and, at worst, is extremely painful and debilitating. This results in many common symptoms including finger stiffness, a popping or clicking sensation, tenderness or even a visible bump at the base of your finger, and finger locking in a bent position.

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Skip to content. What are trigger finger and trigger thumb? Trigger thumb, stuck in a flexed position flexion.

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With trigger thumb, patients present with a painful thumb that sticks or catches, often audibly, upon flexion or extension. Trigger thumb is thus named because once the thumb unlocks often by passive manipulationit snaps back much like discharging a trigger on a gun. Rheumatoid arthritis, gout, diabetes and trauma may cause trigger thumb but the exact etiology is unknown.

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These pulleys hold the tendons close to the bone. This is similar to how a line is held on a fishing rod Figure 1. Trigger finger occurs when the pulley becomes too thick, so the tendon cannot glide easily through it Figure 2. Trigger fingers are more common with certain medical conditions such as rheumatoid arthritisgout and diabetes.

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Back to Trigger finger. The treatment for trigger finger depends on the severity of your symptoms and how long you've had them. Non-steroidal anti-inflammatory drugs NSAIDssuch as ibuprofenmay also be helpful in relieving any pain.

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Trigger finger occurs due to inflammation of the tendons that flex your fingers, causing finger tenderness and pain. Advanced symptoms include a thumb, another finger, or both being locked in a bent or straight position. You may also be unable to uncurl your finger without using the other hand if you have an advanced case of trigger finger.

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If you have trigger finger, our surgeons can help you find the right treatment. Penn Integrated Hand Program surgeons provide comprehensive non-surgical and surgical treatment options to effectively treat trigger finger. View doctors who specialize in treating trigger finger.

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The inflammation that causes trigger finger can lead to pain, tenderness, and limited mobility. These symptoms may affect more than one finger at a time and on both hands. Symptoms may also be more pronounced or noticeable in the morning, when picking up an object, or when straightening your finger.

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Diagnosis of trigger finger doesn't require any elaborate testing. Your doctor or health care provider makes the diagnosis based on your medical history and a physical exam. During the physical exam, your doctor will ask you to open and close your hand, checking for areas of pain, smoothness of motion and evidence of locking.


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