Tendonitis in Finger: Diagnosing, Surgery, and Trigger Finger (2024)

Overview

Tendonitis usually occurs when you repeatedly injure or overuse a tendon. Tendons are the tissue that attach your muscles to your bones.

Tendonitis in your finger can occur from repetitive straining due to leisure or work-related activities. If you think that you might be suffering from tendonitis, visit your doctor. They’ll likely suggest physical therapy to help with your symptoms. Severe tendon injuries may require surgery.

Tendonitis occurs when your tendons become inflamed due to injury or overuse. This can cause pain and stiffness in your fingers when bending.

Often, your doctor can diagnose tendonitis through examination. In some cases, you may need an X-ray or MRI to confirm diagnosis.

There’s a chance that your tendon pain may be caused by tenosynovitis. Tenosynovitis occurs when the sheath of tissue around the tendon becomes irritated, but the tendon itself is in good shape.

If you have diabetes, arthritis, or gout, you may be more prone to tendonitis. Tendons also become less flexible as they age. The older you are, the greater your risk for tendonitis.

Tendonitis symptoms in your fingers can flare up when performing tasks that involve your hands. Symptoms can include:

  • pain that increases during movement
  • a lump or bump in or around the tendon
  • swollen fingers
  • cracking or snapping feeling when bending your finger
  • heat or warmth in the affected finger
  • redness

Trigger finger is a type of tenosynovitis. It’s characterized by the curved position (as if you’re about to pull a trigger) that your finger or thumb may be locked into. It may be difficult for you to straighten your finger.

You may have trigger finger if:

  • your finger is stuck in a bent position
  • your pain is worse in the morning
  • your fingers make noise when you move them
  • a bump has formed where your finger connects to your palm

If your tendonitis is mild, you can most likely treat it at home. To treat minor tendon injuries in your fingers you should:

  1. Rest your injured finger. Try to avoid using it.
  2. Tape your injured finger to the healthy one next to it. This will provide stability and limit its use.
  3. Apply ice or heat to help with the pain.
  4. Stretch and move it once the initial pain lessens.
  5. Take over-the-counter medication to help with pain.

If the tendonitis in your finger is severe and physical therapy hasn’t remedied your pain, you may require surgery. Three types of surgeries are commonly recommended for trigger finger.

  • Open surgery. Using a local anesthetic, a surgeon makes a small incision in the palm of the hand and then cuts the tendon sheath to give the tendon more room to move. The surgeon will use stitches to close the wound.
  • Percutaneous release surgery. This surgery is also done using a local anesthetic. A surgeon inserts a needle into the bottom of the digit to cut the tendon sheath. This type of surgery is minimally invasive.
  • Tenosynovectomy. A doctor will only recommend this procedure if the first two options are not suitable, such as in person with rheumatoid arthritis. A tenosynovectomy involves removing part of the tendon sheath, allowing the finger to move freely.

To prevent tendonitis in your fingers, take periodic rests when performing repetitive tasks with your hands or fingers such as typing, performing assembly work, or crafting.

Tips to prevent injuries:

  • Periodically stretch your fingers and hands.
  • Adjust your chair and keyboard so they’re ergonomically friendly.
  • Make sure your technique is correct for the task you’re performing.
  • Try to switch up your movements when possible.

If the pain from your finger tendonitis is minor, resting it and icing it will likely allow it to heal within a couple weeks. If your pain is intense or does not get better with time, you should visit a doctor to determine if your injury requires physical therapy or surgery.

Tendonitis in Finger: Diagnosing, Surgery, and Trigger Finger (2024)

FAQs

Is trigger finger a form of tendonitis? ›

Trigger finger is actually a swelling – or tendonitis – of the flexor tendon that controls the flexing movement of a finger or thumb. It can include inflammation of the tubular sheath that the tendon slides through when the hand is opened and closed.

When should I consider surgery for trigger finger? ›

Whether surgery is recommended will depend on considerations such as the amount of pain you're in, whether it's associated with other medical problems, such as rheumatoid arthritis, and how much it's affecting your life. In most cases, trigger finger is a nuisance rather than a serious condition.

What is the difference between tenosynovitis and trigger finger? ›

Stenosing tenosynovitis, commonly known as “trigger finger” or “trigger thumb”, involves the pulleys and tendons in the hand that bend the fingers. The tendons work like long ropes connecting the muscles of the forearm with the bones of the fingers and thumb.

What is the number one cause of trigger finger? ›

Usually, the tendon sheath becomes irritated due to overwork or injury, so people who do repetitive movements, heavy squeezing or lifting in their work can be prone to the condition. It can happen at any time and is more common than people realize.

How long is recovery from finger tendonitis? ›

The repaired tendon will usually be back to full strength after about 12 weeks. But, it can take up to 6 months to regain the full range of movement. In some cases, it may never be possible to move the affected finger or thumb as much as before it was damaged.

What helps tendonitis in fingers? ›

Treatment for Tendonitis in the Hand and Wrist
  • Immobilization. Bracing. Splinting.
  • Nonsteroidal anti-inflammatory medicines.
  • Steroid Injection.

What is the downside of trigger finger surgery? ›

If the surgery is done right, there should be no side effects. However, like any other surgery, wound infection, allergic reaction (to medication, materials, or equipment), and bleeding are possible.

What kind of doctor does trigger finger surgery? ›

Whenever possible, our orthopaedic surgeons use minimally-invasive surgical techniques to treat trigger finger. Surgery for trigger finger is usually a same-day procedure, lasting approximately 20 minutes.

What is the downtime for trigger finger surgery? ›

How soon you can return to work depends on your job. If you can do your job without using the hand, you may be able to go back 1 or 2 days after surgery. But if your job requires you to do repeated finger movements, put pressure on your hand, or lift things, you may need to take up to 6 weeks off work.

What will happen if a trigger finger is not treated? ›

Stiffness or loss of motion: A trigger finger may result in loss of the ability to bend the finger. This can be estimated by how far the tip of the finger is from the palm of the hand when the patient is asked to bend the finger as much as they can. This is most common in chronic, untreated trigger fingers.

How can you tell the difference between tenosynovitis and tendonitis? ›

Key points about tendonitis and tenosynovitis

Tendonitis is when a tendon is inflamed. It can cause swelling, pain, and discomfort. Another problem called tenosynovitis is linked to tendonitis. This is the inflammation of the lining of the tendon sheath around a tendon.

What can be mistaken for trigger finger? ›

Hand specialist outlines 5 common hand conditions, symptoms
  • Cubital tunnel syndrome sounds similar to carpal tunnel syndrome, because it is. ...
  • Dupuytren's Contracture can sometimes be mistaken for trigger finger because both conditions lead to a finger being 'stuck' in a bent position.

What vitamin deficiency causes trigger finger? ›

"trigger fingers," bursitis, and periarthritis of the shoulder. CTS. The most common clinical findings were paresthesias, thenar muscle weakness and atrophy (which we now believe may result from many years of a severe deficiency of vitamin B-6), and positive Phalen and Tinel signs.

How to fix a trigger finger without surgery? ›

Conservative noninvasive treatments may include:
  1. Rest. Avoid activities that require repetitive gripping, repeated grasping or the prolonged use of vibrating hand-held machinery until your symptoms improve. ...
  2. A splint. Wearing a splint can help rest the tendon.
  3. Stretching exercises.
Dec 3, 2022

What cream is best for trigger finger? ›

Diclofenac topical (Zorvolex, Zipsor, Cambia, Cataflam, Voltaren XR) NSAIDs inhibit inflammatory reactions and pain by decreasing prostaglandin synthesis.

What is the fastest way to heal a trigger finger? ›

The most common trigger finger treatments include:
  1. Rest: Taking a break from work, hobbies or tasks that caused trigger finger will give your tendons time to heal.
  2. Splinting: You might need to wear a splint to hold your affected digits in place and help them stretch back to their usual position.

What is the best medicine for trigger finger? ›

Medications. Consider taking a nonsteroidal anti-inflammatory drug, such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve). Some types of these medicines can be delivered by creams or patches through the skin right where the problem is happening.

What causes the inflammation that causes trigger finger? ›

Repeated movement or forceful use of your finger or thumb can lead to inflammation of a tendon, which can cause trigger finger. You also might get trigger finger from something called contact friction, the result of holding something that vibrates.

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