Trigger finger is a condition that occurs when the tendons in a finger or thumb become inflamed and irritated, causing the finger or thumb joint to “lock” or “catch” when bent. It occurs most commonly in people who use their fingers or thumbs repeatedly or who grasp objects like tools for a long period of time, and it's more common in women and in people between 40 and 60 years of age. The first sign of trigger finger usually is soreness at the base of the thumb or finger.
Tendons are moving parts of fibrous tissue covered by a sheath that allow muscles to move joints. In a healthy finger or thumb, tendons slide easily through the sheath, working together with muscles to bend and straighten the joints. But when a tendon becomes inflamed and swollen, it can have difficulty sliding through narrower areas of the sheath, causing it to catch. Motion of the finger or thumb is sometimes accompanied by a “popping” sound or a “snapping” sensation. In addition to repetitive motions, diabetes, gout and rheumatoid arthritis can also cause the condition to develop.
Treatment begins with an assessment of the joint to determine if trigger finger is the cause of the symptoms you're experiencing. Cortisone injections directly into the sheath surrounding the inflamed tendon are usually the first line of treatment, aimed at reducing inflammation and promoting smooth movement of the tendon through the sheath. While some patients respond favorably over the long term, others may find the injections only provide temporary relief. If the trigger finger or thumb persists after two or three injections, Dr. Feldman may consider surgery to release the sheath to eliminate the obstruction.
Dr. Feldman accepts most major insurance providers. For questions regarding your specific plan, please call your insurance provider.
"Warm, personable, extremely smart and at the top of his game, don't waste your time looking for anyone else and just go to Dr Feldman."
"Dr. Feldman and his staff are awesome. Dr. F did a tendonitis release on my wrist in 2013 and I had great results afterwards. "