{"id":6842,"date":"2023-03-14T01:27:09","date_gmt":"2023-03-14T01:27:09","guid":{"rendered":"https:\/\/www.peninsulahandtherapy.com.au\/?page_id=6842"},"modified":"2023-03-14T01:30:25","modified_gmt":"2023-03-14T01:30:25","slug":"trigger-finger","status":"publish","type":"page","link":"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/trigger-finger\/","title":{"rendered":"Trigger Finger"},"content":{"rendered":"\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.peninsulahandtherapy.com.au\/wp-content\/uploads\/2023\/03\/Screen-Shot-2023-03-14-at-12.29.48-pm.png\" alt=\"\" class=\"wp-image-6849\" width=\"327\" height=\"216\" srcset=\"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-content\/uploads\/2023\/03\/Screen-Shot-2023-03-14-at-12.29.48-pm.png 586w, https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-content\/uploads\/2023\/03\/Screen-Shot-2023-03-14-at-12.29.48-pm-300x198.png 300w, https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-content\/uploads\/2023\/03\/Screen-Shot-2023-03-14-at-12.29.48-pm-200x133.png 200w\" sizes=\"auto, (max-width: 327px) 100vw, 327px\" \/><\/figure>\n\n\n\n<p><strong>What is a \u201ctrigger\u201d finger?<\/strong><\/p>\n\n\n\n<p>Flexor tendons are surrounded by a sheath that allows the tendons to glide easily over joints, bones and other tendons. Tendons are held in position by a series of fibrous bands, known as pulleys. These pulley\u2019s lie over the top of the tendon sheath and attach to bone.&nbsp;&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.peninsulahandtherapy.com.au\/wp-content\/uploads\/2023\/03\/image-2.png\" alt=\"\" class=\"wp-image-6843\" width=\"386\" height=\"386\" srcset=\"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-content\/uploads\/2023\/03\/image-2.png 450w, https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-content\/uploads\/2023\/03\/image-2-300x300.png 300w, https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-content\/uploads\/2023\/03\/image-2-150x150.png 150w, https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-content\/uploads\/2023\/03\/image-2-50x50.png 50w\" sizes=\"auto, (max-width: 386px) 100vw, 386px\" \/><\/figure>\n\n\n\n<p>When the finger is unable to glide because of a nodule that catches at the site of the first pulley. The finger may lock or suddenly trigger, extending with a snap.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Trigger finger most commonly occurring in middle aged women, and more commonly in people with Rheumatoid arthritis, Diabetes Mellitus, Dupuytren\u2019s disease and repetitive trauma. Trigger finger can often co-exist with Carpal Tunnel syndrome.&nbsp;&nbsp;<\/p>\n\n\n\n<p><strong>Stages of triggering<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>STAGE&nbsp;<\/td><td>SYMPTOMS:<\/td><\/tr><tr><td>1&nbsp;<\/td><td>Normal<\/td><\/tr><tr><td>2&nbsp;<\/td><td>A painful palpable nodule<\/td><\/tr><tr><td>3&nbsp;<\/td><td>Triggering<\/td><\/tr><tr><td>4&nbsp;<\/td><td>The PIPJ locks into flexion and is unlocked with active PIPJ extension<\/td><\/tr><tr><td>5&nbsp;<\/td><td>The PIPJ locks into flexion and is unlocked with passive PIPJ extension<\/td><\/tr><tr><td>6&nbsp;<\/td><td>The PIPJ remains locked in a flexed position<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Treatment<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Heat can be applied for general pain and ice can be used for general inflammation&nbsp;<\/li><\/ol>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\"><li>Your therapist can provide you with a custom thermoplastic splint to help prevent your finger from triggering.&nbsp;&nbsp;<\/li><\/ol>\n\n\n\n<ol class=\"wp-block-list\" start=\"3\"><li>Steroid injection\/iontophoresis&nbsp;&nbsp;<\/li><\/ol>\n\n\n\n<ol class=\"wp-block-list\" start=\"4\"><li>Failing the above, a referral can be made for a surgical consult to release the pulley providing resistance to the tendon.&nbsp;&nbsp;<\/li><\/ol>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-16f428ed-3de9-46d0-a05e-29a1b6e08a75\" href=\"https:\/\/www.peninsulahandtherapy.com.au\/wp-content\/uploads\/2020\/05\/ahta_-_trigger_finger_final.pdf\">AHTA Trigger Finger Handout<\/a><\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is a \u201ctrigger\u201d finger? Flexor tendons are surrounded by a sheath that allows the tendons to glide easily over joints, bones and other tendons. Tendons are held in position by a series of fibrous bands,&hellip; <a class=\"read-more\" href=\"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/trigger-finger\/\">Read more <span class=\"screen-reader-text\">Trigger Finger<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"class_list":["post-6842","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/P7MFdP-1Mm","_links":{"self":[{"href":"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-json\/wp\/v2\/pages\/6842","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-json\/wp\/v2\/comments?post=6842"}],"version-history":[{"count":3,"href":"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-json\/wp\/v2\/pages\/6842\/revisions"}],"predecessor-version":[{"id":6850,"href":"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-json\/wp\/v2\/pages\/6842\/revisions\/6850"}],"wp:attachment":[{"href":"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-json\/wp\/v2\/media?parent=6842"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}