PHYSIO
Home > Blog > Hand Therapy & Customized Splinting > Conditions > Finger, Hand, Wrist, Forearm & Elbow Conditions > Trigger Finger And Hand Therapy
Trigger finger which is medically termed as ‘stenosing tenosynovitis’ is among the five causes of disability in the human hand.
Patients with trigger finger report experiencing:
of the tendon and tendon sheathe at the base of the finger with trigger finger. Although it tends to affect adults between 40-70 years of age, there are some children under the age of 8 who are prone to it (moreso in the thumb).
The most classic sign of trigger finger are a combination of or all of the following:
In some cases, there may be involvement of multiple fingers at the same time (2, 3 or more trigger finger in the same hand), especially for individuals who are more at risk such as patients with:
For a normal flexor tendon for the finger in the hand/palm, the tendon glide inside a tendon sheath (it's like a protective tunnel blanket).
What happens is that:
the tendon sheathe starts to thicken (the tendon itself may thicken too) and that causes more friction and sometimes "jamming" of tendon-tendon sheathe. In many cases, a nodule (ball-like structure) can develop in the tendon which then will block movement.
It's this nodule that causes the finger to be locked in flexed position, and there are 4 stages of trigger finger:
Normally by stage 2-3, we recommend a direct injection to release and decrease the swelling; at Stage 4, patient almost always will get immediate relief from surgical trigger finger release.
The most common causes of trigger finger revolves around repetitive force-generating activities such as:
Of course, it can be caused or aggravated by:
What the hand therapist will do depends on how severe and what medical interventions has been done:
1) Conservative (non surgical)
2) Post Trigger Finger Surgical Release
For more severe cases that do not respond to the above conservative management, other treatment options are:
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HAND THERAPY & CUSTOMIZED SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists (sprains and fractures) and fingers, usually will benefit / require Hand Therapy to
Commonly treated hand pain injuries includes
REFORMER CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.
It is a system of safe and effective exercises, which meet specific individual needs, to treat a wide range of injuries and conditions.
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
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Sports and deep tissue release massage helps to increase nutrient-rich blood flow to tired, tight and tense muscles to accelerate recovery and shorten downtime / recovery period required.
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Read the benefits of regular deep tissue release therapy here.
ALTERNATIVE THERAPIES
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.
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