Trigger finger is specifically a painful finger and thumb condition, and is generally characterized by painful clicking or locking of the finger when making a fist. Trigger finger happens when tendons in the finger or thumb become inflamed. When this happens, bending the finger or thumb can pull the inflamed tendon through a narrowed tendon sheath, making it snap or pop. (see picture 1)
What causes us to get or develop trigger finger?
The cause has not yet been confidently defined, although repetitive movements with forceful gripping is considered a possible cause (Lee, 2011).
Anti-inflammatory medication, activity modification, splinting, steroid injection and surgery are the most common treatment modalities used to manage trigger finger (Ryzewicz & Wolf, 2006). Research would indicate that Hand Therapy may be beneficial on all severity levels even if just minor pain relief for the more chronic/severe presentations (Lee et al., 2011).
Trigger Finger Hand Therapy Singapore Interventions
A thorough assessment is completed using
subjective and objective methods to ensure the treatment is patient
specific. This also depends on the different grade of trigger finger as
this can result in different functional ability.
Splinting (see picture 2)
reduce use of the hand and pressure over the potentially painful nodule a
customised thermoplastic splint is provided. Expert opinion would
recommend three to six weeks for splinting or stopping once symptoms
have resolved (Huisstede et al., 2014). Studies have proven that
orthotic use may have an increased long-term effect over steroid
injection (Valdes, 2012) while both injection and splinting often
compliment each other.
Therapeutic ultrasound can assist in stimulating the inflammatory phase of healing (Roberston & Baker, 2001; Watson, 2008).
treatment modality that can be applied to encourage tendon nutrition
and circulation, assist in pain relief and reduce any edema is massage
(Salim et al., 2011).
Resting the inflamed tendon is
advised to stop irritation prolonging or worsening the pain. Carrying
out exercises within the splint only is advised to reduce any stiffness.
Those interested to find out more about Hand Therapy, please send any queries or email to our Hand Therapist:
Hand therapy has a crucial role in the recovery from injury of the hand or wrist, and in the recovery from hand surgical operations. A Hand Therapist is integrated into the hand surgery team. Hand therapy brings together techniques of occupational therapy (scar management, retraining, splinting, advice on activities of daily living) and physiotherapy (joint mobilisations, stretching, active and resisted exercises, ultrasound). The hand therapist can assist with emotional and psychological support, as well as with restoration of hand function.
Specialist Rehab Group works with specialist physiotherapists and specialist rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
Areas of specialization
physiotherapy: back and neck (spine), sports, shoulder, hip, knee, ankle
Initially, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover. They then 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
To call for inquiries or appointments, please contact us at:
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Disclaimer We are a wholly Singapore Private Limited group of licensed physiotherapists, hand therapists, podiatrists, chiropractors, sports massage therapists, clinical pilates practitioners and TCM physicians practicing in our scope of rehabilitation and its areas of specializations. As listed in our website are the list of services we provide our clients as referred by their medical doctors or by self referrals/word of mouth.
The range of rehabilitation results vary from patients to patients, depending on a variety of factors and reasons such as severity of condition, genetics, gender and age. However, we will still deliver the best evidence-based-practice of physiotherapy, hand therapy, TCM, sports training and deep tissue release therapy that we can deliver.
The information available on this site is for educational purposes only, if you need a full professional advise on physiotherapy, hand therapy and occupational therapy, please schedule an appointment with us by contacting our staff by Call/SMS/WhatsApp at 96402670, thanks!