Trigger Finger

Trigger finger is a condition that affects one or more of the hand's tendons, making it difficult to bend the

affected finger or thumb.

If the tendon becomes swollen and inflamed it can "catch" in the tunnel it runs through (the tendon sheath). This can make it difficult to move the affected finger or thumb and can result in a clicking sensation.

Trigger finger is also known as stenosing tenosynovitis or stenosing tenovaginosis. It usually affects the thumb, ring finger or little finger. One or more fingers can be affected, and the problem may develop in both hands. It's more common in the right hand, which may be because most people are right-handed.

Symptoms of trigger finger

  • Symptoms of trigger finger can include pain at the base of the affected finger or thumb when you move it or press on it, and stiffness or clicking when you move the affected finger or thumb, particularly first thing in the morning.

  • If the condition gets worse, your finger may get stuck in a bent position and then suddenly pop straight. Eventually, it may not fully bend or straighten.

  • See your GP if you think you may have trigger finger. They'll examine your hand and advise you about appropriate treatments.

What causes trigger finger?

  • Tendons are tough cords that join bone to muscle. They move the bone when the muscle contracts. In the hand, tendons run along the front and back of the bones in the fingers and are attached to the muscles in the forearm.

  • The tendons on the palm side of the hand (flexor tendons) are held in place by strong bands of tissue, known as ligaments, which are shaped in arches over the tendon. The tendons are covered by a protective sheath which produces a small amount of fluid to keep the tendons lubricated. This allows them to move freely and smoothly within the sheath when the fingers are bent and straightened.

  • Trigger finger occurs if there's a problem with the tendon or sheath, such as inflammation and swelling. The tendon can no longer slide easily through the sheath and can bunch up to form a small lump (nodule). This makes bending the affected finger or thumb difficult. If the tendon gets caught in the sheath, the finger can click painfully as it's straightened.

  • The exact reason why these problems occur is not known, but several factors may increase the likelihood of trigger finger developing. For example, it's more common in women, people over 40 years old, and those with certain medical conditions.

  • Another hand-related condition called Dupuytren's contracture can also increase your risk of developing trigger finger. In Dupuytren's contracture, the connective tissue in the palm of the hand thickens, causing 1 or more fingers to bend into the palm of the hand.

  • Long-term conditions, such as diabetes and rheumatoid arthritis, are also sometimes associated with trigger finger.

How trigger finger is treated

In some people, trigger finger may get better without treatment.

However, if it is not treated, there's a chance the affected finger or thumb could become permanently bent, which will make performing everyday tasks difficult.

If treatment is necessary, several options are available, including:

  • rest – avoiding certain activities

  • medication – taking non-steroidal anti-inflammatory drugs (NSAIDs) may help relieve pain

  • splinting – where the affected finger is strapped to a plastic splint to reduce movement

  • steroid injections – steroids are medicines that can reduce swelling

  • surgery on the affected hand – surgery can help allow the affected tendon to move freely again

Surgery is usually only used when other treatments have failed. It can be up to 100% effective, although you may need to take 2 to 4 weeks off work to fully recover.

Trigger finger in children

Trigger finger is generally less common in children than in adults, but sometimes young children aged between 6 months and 3 years develop it. It can affect the child's ability to straighten their thumb, but it's rarely painful and usually gets better without treatment.