Trigger Finger Treatment

Bet you’re not used to holding a charged gun 24/7? Even if you are, you don’t have to suffer from such a limitating and unconvenient disease as a Trigger Finger, which is officially named “stenosing tenosynovitis”:catching or locking of the finger joint because of the limited moveability of tendons, that are directly responsible for opening and closing the finger. Extending the finger might become quite difficult, also often followed by popping and snapping sounds, up to complete locking in a bended position.

Why Does it Occur?

The origin of the problem is narrowing and decreasing of the passageway where finger tendonds are positioned. Actually the tendonds, that are responsible for movement of the finger. As tendons become irritated, they can thicken and may not be able to freely move inside the passageway where they are housed. The thickened tendons get stuck in the edge of the narrowed passageway for a moment, while the finger is extended, and as a result – finger gets catched and most probably feels stuck. The reasons of occuring of that irritation are not fully researched yet, but it’s known that people with such problems as rheumatoid arthritis or diabetes are more likely to have a trigger finger.

Also people who repeat certain hand and finger movements for a very long time, those like musicians, farmers, industrial and manual workers might be in a group of risk for this issue, as they usually repeat the same movements for thousands of times. Grasping and frequent using of tools with firm grips may also increase chances to face this problem. Some people can get a trigger finger even by using a lighter for many times when they get a light from a cigarette (One more reason to stop smoking by the way, isn’t it?)

Symptoms of a Trigger Finger

People who are facing the Trigger Finger problem usually feel locking, popping and stiffness in the affected finger, mostly when it’s extended, but in the most difficult cases the Trigger Finger can not be extended at all. Even if manually manipulated, sometimes the finger might not be easy to move. These symptoms, like sensation of stiffness and others may enhance if the finger is inactive for a long time. As long as the finger is moving, the symptoms might ease off for some time, but after all those unlovely sensations most probably will return.

Then What To Do?

First of all, a professional diagnostic is necessary. This problem, like many others requires a professional medical approach, a precise estimate of a particular case and a competent treatment prescription. The efficiency of the diagnosis also depends on patient’s feedback, his description of symptoms, how long and how severe have they been, what kind of manipulations and situations make the finger feel better of worse. In this case nothing more than a physical examination and a conversation with patient is needed in order to get a precise estimate of the problem. Our medical team of recognized experts has worked with wide range of physical disease for many years, and has also achieved significant results and valuable experience in diagnosis and treatment of physical issues, particularly in the matter of Trigger Finger treatment in NYC.

If you face this sensation of stiffness or pain in your fingers, or if you can’t straighten your finger due to it’s locking, or a popping sensation when extending the finger, you should not hesitate and ask for a medical consultation. Especially if these symptoms are accompanied with redness or warmth, then your case requires an immediate medical attention, because these symptoms might indicate a presence of an infection.

How Is It Treated?

The basic purposes of Trigger Finger treatment are reducing the inflammation in the finger and regaining it’s mobility. In different cases splinting the finger may be necessary, which helps to rest the finger in order to heal the joint while subsiding the inflammation. Also the Corticosteroid injections may be effective in reducing symptoms, though most likely multiple injections are needed in order to get a significant result.

Corticosteroids are medicaments, that are used for reducing swelling, tumors, different skin issues etc.

They are injected at the base of an affected finger or thumb, into the tendon sheath, where aforementioned tendons slide through. The result of applying the medication appears within few days after the injection has been done, but in some cases it might take up to few weeks for the result to appear.

However, in severe cases injections might not be efficient enough, especially if the patient has had those symptoms for quite a long time. Also it may be less effective for people with some certain underlying disease, for instance diabetes or rheumatoid arthritis. If injections don’t have an expected effect, then the percutaneous trigger finger release procedure may need to be performed in order to release the locked finger . Percutaneous procedure is performed through the skin and leaves no wounds or scars, as long as the procedure doesn’t require an incision. It starts with injecting a local anaesthetic, and then the surgeon operates with a special needle inserted into the affected finger. What if that wouldn’t help? In the most severe cases the open surgery will be the way it’s done. It also starts with injecting a local anaesthetic into the patient’s palm and proceeds with a small incision in it near the affected finger. The cut is made along the natural crease of the patient’s palm so the scar is supposed to be difficult to notice. The purpose of the surgery in this case is widening the tunnel where tendonds are placed, in order to make them move freely from the palm to the finger, without locking or getting stuck.

The professional medical team of Dynamic Neuromuscular Rehabilitation Center has been successfully treating trigger finger in NYC for years, and has great experience in working with physical diseases. We would be glad to welcome you in our center and to provide you a competent medical consultation and the best possible treatment in New York city, for you to get rid of disease that are keeping you from enjoying the fullness of life and making you suffer physically. If you are looking for a trigger finger treatment in New York city, we are proud to offer you our medical services.

The members of our medical experts team work with every patient individually, providing personal approach and individual treatment program. From diagnostic to performing the treatment, we work all together for your good, in order to make your treatment as much efficient as it’s possible, and even more. Don’t hesitate, call us for an individual consultation right now!


In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)


Complete tear of rectus femoris
with large hematoma (blood)


Separation of muscle ends due to tear elicited
on dynamic sonography examination

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