Hand
> Trigger
Finger > Treatments
Rest,
Medication, Splint
Home Recovery
Non-operative treatment is often
prescribed to heal your trigger finger. Physicians typically
recommend a combination of the following treatments:
Rest
– Physicians generally recommend relative rest
for as long as necessary to ease your pain, which means
decreasing the duration of exercises that strain your
hand by over 50 percent and increasing the time between
workouts. Try to decrease the amount of time spent working
with tools or other objects that strain your hand and
finger muscles.
Ice
and elevation – Initially, you should apply ice
and elevate your hand above heart level for about 20
minutes every three or four hours. You will probably
need to do this for two or three days or until the pain
subsides, and you may need to continue to ice for a
few weeks after taking part in activities that strain
your hand.
Medication
– Oral, over-the-counter anti-inflammatory medication
like aspirin or ibuprofen is usually effective for easing
trigger finger pain.
Splint
– Your physician may prescribe a finger splint
that holds your injured finger in extension for seven
to 10 days.
Corticosteroids
– If other treatments do not heal your trigger
finger, one or two injections of corticosteroids may
be given to stop tendon inflammation. However, too many
corticosteroid injections may damage your tendon.
It may take up to three months of conservative treatment
and physical therapy to heal trigger finger. Patients
who cannot ease their trigger finger pain may be candidates
for surgery between six weeks and one year after beginning
non-operative treatment.
After you rest your finger in the
splint for seven to 10 days, your physician may refer
you to a physical therapist to begin stretching and
range of motion exercises for your fingers. Strengthening
exercises usually follow a 10 percent rule, which means
you increase the weight and repetitions by no more than
10 percent per week. This helps you avoid straining
tendons before they have a chance to heal.
The best way to avoid repeated trigger
finger injuries is to make the finger stretching and
strengthening exercises you learned in physical therapy
part of your typical workout routine. You should generally
avoid direct pressure from squeezing tools or sports
equipment that have hard, sharp, or small diameter handles.
It is important that the tools and sports equipment
you use are properly padded and large enough in diameter
to fit the natural grip of your palm. Physicians also
advise limiting repetitive, forceful hand movements.
There are no exercises or warm-ups that will help prevent
trigger finger. Your physician may refer you to an athletic
trainer who can tape your fingers if you return to activities
such as heavy weight lifting or rock climbing.
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