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Summary:
It probably started small. A finger that felt a little stiff in the morning. A faint click when you bent it. Easy to write off as nothing.
But these are often the first signs of trigger finger, and the earlier it is picked up, the simpler it is to treat. Left alone, what starts as mild stiffness can progress to a finger that locks in place and will not straighten without help.
Trigger finger, medically known as stenosing tenosynovitis, happens when the tendon that bends a finger becomes inflamed and thickened. The tendon normally glides through a tight sheath, a tunnel-like structure that keeps it in position. When the tendon swells, it struggles to pass through smoothly.
The result is that familiar catching, clicking, or locking sensation. In more severe cases, the finger becomes fixed in a bent position and cannot be straightened without physically pulling it back with the other hand. Any finger can be affected, though the ring finger and thumb are most commonly involved.
The early signs of trigger finger are easy to overlook because they do not always hurt. What to watch for:
Morning stiffness in a finger that eases once you have been moving for a while. A faint clicking or snapping when bending or straightening the finger. Tenderness or a small, firm nodule at the base of the affected finger, on the palm side of the hand. And the start of finger locking symptoms, meaning the finger catching or briefly sticking before releasing with a snap.
None of these isare dramatic on their own. That is the problem. By the time the finger is locking consistently and causing real pain, the condition is already well-established.
Trigger finger causes are not always clear-cut, but several factors increase the likelihood:
Repetitive gripping is a common contributor. People whose work or hobbies involve prolonged or forceful hand use, such as tools, instruments, certain sporting equipment, put sustained stress on the tendon sheath over time.
Underlying health conditions also play a role. Trigger finger is significantly more common in patients with diabetes, rheumatoid arthritis, or gout, all of which affect tendon and joint health. It also tends to occur more often in women and in adults between 40 and 60 years of age. Prior trauma to the palm or base of a finger can be a factor as well.
Also Read: 5 Ways Trigger Finger Can Impact Your Life
Trigger finger treatment in Singapore is generally approached in stages, starting with the least invasive option and working up from there depending on how the condition responds. In mild or early cases, a splint worn at night to keep the finger straightened can reduce tendon irritation and allow inflammation to settle. This works best when the condition is caught early.
A corticosteroid injection into the tendon sheath is the next step for cases that do not respond to splinting. It reduces inflammation within the sheath and allows the tendon to move more freely. Many patients get significant relief from one or two injections, though some cases do recur.
When symptoms are severe, persistent, or have not improved with conservative treatment, a trigger finger operation is the recommended course. It is a straightforward procedure performed under local anaesthesia. The surgeon releases the constricted portion of the tendon sheath, freeing the tendon to glide normally again. Trigger finger surgery in Singapore is typically a day procedure, and most patients regain full movement within a few weeks.
If you have noticed any of the early trigger finger signs described above, it is worth getting them assessed before the condition progresses. Waiting until the finger is locking fully or the pain is significant narrows your options.
At Spire Orthopaedic Centre, our hand specialists diagnose and treat trigger finger in Singapore across all stages, from early conservative management through to trigger finger operation where needed. We will assess your condition and recommend treatment suited to where you are in the course of the condition.
Book a consultation today and address your trigger finger before it gets in the way of daily life.