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How Can Physical Therapy Help Alleviate Trigger Finger Symptoms?

Are you experiencing pain and difficulty straightening your fingers from your palm? These are common symptoms of trigger finger, medically termed as 'stenosing tenosynovitis'. It's a prevalent hand condition marked by the catching or locking of a finger in a bent position, often accompanied by discomfort. While surgical intervention remains an option to release the affected tendon, conservative treatments through physical therapy can often resolve issues without the need for expensive and potentially risky surgery.

Common position where fingers get stuck while trying to open hand
Pain and difficulty straightening fingers

Understanding the Hand's Complexity:

The hand is a remarkable structure composed of bones, joints, ligaments, tendons, and muscles, all working harmoniously to facilitate movement and dexterity. Among these structures, the flexor tendons play a crucial role in finger movement, enabling flexion during grasping and gripping activities. Encased within a protective tunnel-like structure called the flexor tendon sheath, these tendons glide smoothly during finger movement, facilitated by synovial fluid produced within the sheath.

Unveiling Trigger Finger Pathophysiology:

Trigger finger arises from inflammation and thickening of the flexor tendon sheath, leading to narrowing of the tunnel where the tendon passes. Over time, fibrous tissue may form within the sheath, creating nodules that further impede tendon movement. Trigger finger is often associated with repetitive movements, direct hand or finger trauma, and certain medical conditions such as rheumatoid arthritis, diabetes, and gout.

Effective Physical Therapy Interventions:

Physical therapy offers evidence-based interventions to address trigger finger symptoms comprehensively. Through skilled guidance, individuals can engage in range of motion exercises to improve finger mobility and hand function. Additionally, manual therapy techniques like joint mobilizations and soft tissue mobilization help reduce stiffness and promote tendon gliding.

Tailored Treatment Plans:

At Monica Deutsch Physical Therapy, we provide personalized treatment plans tailored to your symptoms, functional limitations, and goals. Our approach encompasses ergonomic modifications for home and work environments, customized home exercise programs, and education on trigger finger pathology and self-management strategies.

Physical therapy provides a conservative and holistic approach to trigger finger management, aiming to enhance hand function, alleviate pain, and improve overall quality of life. By integrating exercises, modalities, splinting, and manual therapy techniques tailored to individual needs, we empower individuals to play an active role in their recovery and long-term hand health.


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