Physical Therapy Nest

Trigger finger is usually diagnosed through:

• Medical history review (symptom onset, repetitive hand activities, or medical conditions).

• Physical exam to check for tenderness, swelling, or locking of the finger.

• Observation of motion — the finger may click, lock, or require assistance to straighten.

• Imaging is rarely needed unless another joint issue is suspected.

Physical therapy helps reduce inflammation, restore tendon mobility, and prevent stiffness. Treatment may include:

• Splinting to keep the affected finger straight and reduce irritation

• Manual therapy and soft tissue massage around the tendon sheath

• Stretching exercises for the hand and fingers to restore mobility

• Strengthening exercises for grip and hand function once pain improves

• Modalities such as ultrasound or heat for pain relief

• Education on activity modification and ergonomic strategies
  In severe cases, injections or surgery may be necessary, followed by PT to restore motion and strength.

Signs and symptoms of trigger finger include:

• Finger stiffness, especially in the morning

• Popping or clicking sensation when moving the finger

• Pain or tenderness at the base of the affected finger or thumb

• Swelling or a small bump (nodule) at the base of the finger

• Finger locking in a bent position, sometimes requiring the other hand to straighten it

• Worsening pain with gripping or grasping

To reduce the risk of developing or recurring trigger finger:

• Avoid repetitive gripping and forceful hand use when possible

• Take frequent breaks during repetitive tasks

• Stretch hands and fingers regularly

• Use ergonomic tools or padded grips to reduce strain

• Manage underlying conditions such as diabetes or arthritis

• Seek early treatment if finger stiffness or pain begins