What Is Trigger Finger?
Trigger finger, also called stenosing tenosynovitis, is a condition in which a finger or thumb becomes stuck, catches, or locks when bent. The condition occurs when inflammation narrows the space around the tendon that controls finger movement.
Tendons normally glide smoothly through protective tunnels called tendon sheaths. When irritation or swelling develops, the tendon may catch during movement, causing pain, stiffness, or a locking sensation.
At Delaware Orthopaedic Specialists, our fellowship-trained hand and wrist specialists provide advanced diagnosis and treatment options to help patients relieve pain and restore smooth hand function.
Symptoms of Trigger Finger
- Finger stiffness, especially in the morning
- A clicking or popping sensation during movement
- Finger locking in a bent position
- Pain or tenderness near the base of the finger or thumb
- Difficulty straightening the finger
- Swelling or a small lump in the palm
- Reduced hand function or grip strength
Causes & Risk Factors
Trigger finger develops when repetitive irritation causes inflammation around the finger tendons.
- Repetitive gripping or hand use
- Frequent use of tools or machinery
- Diabetes or rheumatoid arthritis
- Previous hand injuries
- Inflammatory conditions affecting the tendons
- Occupations involving repetitive hand motions
- Aging-related tendon irritation
Diagnosis
At Delaware Orthopaedic Specialists, diagnosis begins with a detailed evaluation of the hand, fingers, and tendon movement.
- Physical examination of the hand and fingers
- Assessment of locking, clicking, or stiffness
- Evaluation of tenderness and swelling
- Review of symptoms and activity level
- Imaging studies when needed to rule out other conditions
Most cases of trigger finger can be diagnosed during a physical examination without extensive imaging.
Treatment Options for Trigger Finger
Non-Surgical Treatment
Many patients improve with conservative treatment, especially when symptoms are treated early. Non-surgical treatment options may include:
- Rest and activity modification
- Splinting to limit tendon irritation
- Anti-inflammatory medications
- Stretching exercises
- Corticosteroid injections
- Hand therapy
Surgical Treatment
If symptoms persist or the finger becomes locked, surgery may be recommended. Trigger finger release surgery involves opening the narrowed tendon sheath to allow smoother tendon movement. Our orthopedic hand specialists use advanced surgical techniques designed to support quick recovery and improved hand function.
Recovery & Rehabilitation
Recovery timelines vary depending on symptom severity and the treatment approach used.
- Mild cases may improve within weeks with conservative care
- Finger motion often improves quickly after injections or surgery
- Hand therapy may help restore flexibility and strength
- Most patients return to normal daily activities relatively quickly
Early treatment may help prevent worsening stiffness and long-term tendon irritation.
Why Choose Delaware Orthopaedic Specialists?
Local Care, Close to Home
We proudly serve patients throughout Delaware and nearby communities, including Wilmington, Newark, Middletown, Stanton, North Wilmington, and Chadds Ford. Our hand and wrist specialists provide expert orthopedic care close to home.
At Delaware Orthopaedic Specialists, our fellowship-trained physicians provide comprehensive treatment for hand, finger, and tendon-related conditions.
- Experienced hand and wrist specialists
- Advanced diagnostic evaluation and treatment planning
- Comprehensive non-surgical and surgical treatment options
- Personalized rehabilitation and recovery support
- Convenient locations throughout Delaware and nearby Pennsylvania
Schedule an Appointment
Schedule an appointment with Delaware Orthopaedic Specialists today to receive expert diagnosis and treatment for trigger finger.
Frequently Asked Questions
What causes trigger finger?
Trigger finger is caused by irritation and inflammation around the tendon sheath, often from repetitive gripping or hand use.
Can trigger finger go away on its own?
Mild cases may improve with rest and activity modification, but persistent locking or pain often requires treatment.
Do I need surgery for trigger finger?
Many patients improve with splinting or corticosteroid injections, though surgery may be recommended for severe or ongoing symptoms.
How long does it take to recover from trigger finger surgery?
Most patients regain finger motion quickly and return to normal activities within several weeks after surgery.
When should I see a specialist?
If your finger locks, catches, becomes painful, or interferes with daily activities, it is important to seek orthopedic evaluation.