HomeAnswersOrthopedician and Traumatologytrigger fingerWhat is trigger finger caused by?

The ring finger in my left hand is paining and stiff. Why?

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Published At April 24, 2021
Reviewed AtAugust 25, 2023

Patient's Query

Hello doctor,

I have my finger pain for few months, especially on the left hand of the ring finger. It becomes stiff also a bit like a trigger finger. I have pains, usually in the morning or when I wake up after a short or long sleep. When I fold the finger, the pain is not exactly in the joints of the finger. It is in between the joints, and I thought my right-hand finger also has some pain, but the left-hand finger is more. May I know what kind of condition is this?

Hello,

Welcome to icliniq.com.

Based on your history and symptoms, it is definitely a trigger finger. With symptoms of almost 1-year duration, it better to go for trigger release, or else if you want to try, you can try local steroid injection and percutaneous release. But better is the first option, as the recurrence rates are less.

Patient's Query

Hi doctor,

Can you explain what trigger release is? Is it some kind of medicine or surgical procedure? Actually, it is not locked, unlike the trigger finger. I used to have that issue a few years ago, but then it was gone by itself. I only have pains in the morning for some time during the day. Could it be an issue with the tendons also? I do not see any swelling so far, but then it has pains when I fold the middle finger and press between the finger joint. When the finger is not folded, and if pressed between the joints, then there is no pain. I wish to learn guitar and the fingers hurt to press on the strings.

Hello,

Welcome back to icliniq.com

The metacarpophalangeal joint is A2 pulley (that is, tendon sheath). It gets inflamed, and it will cause pain. Because of pain, the movements of the finger get restricted, and locking will occur over a period of time. Trigger release is a minor surgical procedure that can be done under local anesthesia. It is the release of the A2 pulley (tendon sheath) as there is no locking at present, so the best suggestion from my side is to go for a local steroid injection. Or else you want to try with medicine means go for analgesics for five days and do finger mobilization. When sheath gets loosened automatically, the pain will subside.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Maddika Sivasankarreddy
Dr. Maddika Sivasankarreddy

Orthopedician and Traumatology

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