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Trigger finger treatment in Düsseldorf - Experts for Digitus Saltans

A restriction in the mobility of our hands is a catastrophe for everyone. Our hands enable us to survive because there is practically nothing we don't need to touch during any process. In addition to fractures that impair the use of the hands, a dysfunction of the flexor tendon, which runs from the palm into the finger, also occurs relatively frequently.

Your orthopedist in Düsseldorf refers to it as a trigger finger or snapping finger. It is rare for more than one finger on a hand to be affected, but it is possible.

Symptoms of Trigger Finger: Important Signs of Stenosing Tenosynovitis

In addition to severe pain in the affected finger, normal mobility is also no longer possible. A bent finger can suddenly no longer be properly straightened, and conversely, a straightened finger can no longer be properly bent. It then suddenly and uncontrollably snaps back to the opposite position.

Depending on the severity, this may no longer be possible, and the finger must be moved passively. This very uncomfortable condition prevents normal use of the hand and significantly restricts the patient.

Causes of a Trigger Finger - Orthopedic Practices in Düsseldorf

Causes of a trigger finger

The aforementioned flexor tendon glides back and forth through fine channels called tendon sheaths. Small annular ligaments hold the tendons along the bone. Due to strain, but also due to various metabolic diseases, the tendons can become inflamed at the transition from the hand to the finger, leading to the formation of nodules on the annular ligaments.

These nodules then prevent the tendons from moving easily and freely through the annular ligaments. Most often, women or certain professional groups engaged in manual work are affected by trigger finger.

Treatment of Trigger Finger - Digitus Saltans - orthopedic practices in Düsseldorf

Treatment of Trigger Finger - Digitus Saltans

This condition can, depending on its severity, lead to significant pain and therefore requires appropriate treatment. In treating a trigger finger, a conservative approach with immobilization can initially be chosen. Additionally, anti-inflammatory and pain-relieving medications are administered. With this method, very good treatment outcomes are generally achieved for a trigger finger in Düsseldorf.

However, if there is no improvement through conservative treatment, surgery may be necessary. In this procedure, the first annular ligament in the flexion crease is severed. The operation is usually performed on an outpatient basis under local anesthesia and is low-risk when conducted by an experienced surgeon. After the procedure, the functionality of the fingers is generally fully restored.

If you are suffering from trigger finger, we are happy to assist you in regaining your quality of life. To discuss this, you can schedule an appointment with us in various ways.

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Frequently Asked Questions (FAQ)

The treatment of a trigger finger includes rest and protection, medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve pain and inflammation, physical therapy exercises to improve mobility, cortisone injections for severe symptoms, and surgery in severe cases. It is important to consult a doctor to ensure an accurate diagnosis and appropriate treatment.
Yes, in some cases, a trigger finger can improve on its own, especially if the symptoms are mild and the affected person avoids activities that worsen the symptoms. However, a doctor should always be consulted to discuss an appropriate treatment strategy, as untreated trigger finger can lead to permanent movement restrictions.
The cause of a trigger finger is usually a thickening in the area of the flexor tendons of the fingers, which makes it difficult for the tendon to glide through the annular ligaments. This thickening can be caused by repetitive movements or overuse. In our specialist center, we offer effective diagnosis and treatment options for trigger finger.
If a trigger finger is not treated, it can lead to a permanent restriction of movement in the affected finger. The tendon can become so severely pinched that the finger remains constantly in a bent position (contracture). Additionally, persistent inflammation of the tendon sheath can lead to further deterioration. It is therefore important to see a doctor at the first signs of a trigger finger.
A trigger finger often starts with stiffness and an uncomfortable feeling in the finger, especially in the morning. Sometimes there is a snapping or clicking sound when moving the finger. Over time, it can become increasingly difficult and painful to bend the finger. In some cases, the finger may eventually get stuck in a bent or straight position. These issues arise from a narrowing of the sheath around the tendon and a thickening of the tendon itself, which makes it difficult for the tendon to glide.
The necessity and urgency of surgery for a trigger finger depend on the severity of the symptoms and the degree of impairment. In many cases, conservative treatment with rest, physical therapy, and medication may be sufficient. Surgery is usually only considered when these measures are ineffective or the finger remains permanently in a bent position. The decision should always be made in consultation with a doctor.
Yes, a trigger finger is treatable. Treatment can be conservative with rest, physiotherapeutic exercises, and medications, or, in more severe cases, through surgery. While symptoms may sometimes resolve on their own, it is always advisable to consult a doctor to ensure appropriate treatment and avoid permanent movement restrictions.
Exercises for strength and flexibility can help with trigger finger. These include gentle stretching and extending of the affected finger, grip and release exercises, and moving the finger in a warm water bath. These exercises should always be performed under the guidance of a physical therapist to avoid further damage. It is important to stop the exercises and consult a doctor if there is pain or discomfort.
The healing time after trigger finger surgery varies depending on individual health and the severity of the case, but typically ranges from a few weeks to a few months. Generally, symptoms improve shortly after the surgery, but complete healing and restoration of full functionality often require physical therapy and time. It is important to closely follow the instructions of the doctor and physical therapist to ensure optimal recovery.
Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen can be used to relieve pain and inflammation in cases of trigger finger. In some cases, doctors may also administer a cortisone injection directly into the affected tendon sheath to reduce inflammation and facilitate movement. All medications should be taken under the guidance of a doctor.
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