Trigger Finger - Is It Really All That Common

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Trigger Finger ?" Is It Really That Common?


Overview


While Carpal Tunnel Syndrome (CTS) is the most recognized form of Repetitive Strain Injury (RSI), Trigger Finger is rapidly becoming more prevalent. Affecting both the young and elderly, it is on the path to reaching epidemic levels similar to Carpal Tunnel Syndrome.

Increasing Prevalence of Trigger Finger


Before the 1990s, Trigger Finger primarily affected older individuals with a history of direct trauma or excessive strain on one or more fingers. It was often linked to osteoarthritis, leading many healthcare professionals to view it as a byproduct of the condition. However, in the past five years, younger individuals have increasingly reported Trigger Finger, suggesting that it is not solely linked to osteoarthritis but rather to high-risk repetitive tasks.

Repetitive motion injuries, also known as cumulative trauma disorders (CTDs), are on the rise. Recent statistics from the U.S. Survey of Occupational Injuries and Illnesses reveal that over 302,000 CTDs account for nearly two-thirds of all workplace-related illnesses. Ergonomic disorders have become the fastest-growing category of work-related illnesses, comprising 56 percent of cases reported to the Occupational Safety and Health Administration.

Recognizing Trigger Finger as a Repetitive Strain Injury


With its growing workplace impact, Trigger Finger has been added to the list of debilitating repetitive strain injuries, alongside conditions like Tendonitis, Carpal Tunnel Syndrome, and Cubital Tunnel Syndrome. But what exactly is Trigger Finger, and how can it be identified?

Understanding Trigger Finger


Trigger Finger is an overuse injury affecting any of the fingers, characterized by symptoms ranging from minor snapping or jerking to severe dysfunction and pain. Often, the finger locks in a bent position due to an adhesion or fibrotic nodule forming on the tendon, creating a conflict between the tendon size and the tendon sheath entrance. If untreated, this condition can worsen, causing the finger to get stuck in a flexed position.

Solutions for Trigger Finger


Treatment should focus on breaking down the adhesion or nodule through stretching and strengthening exercises. This approach helps reduce the size of the adhesion, allowing the tendon to move smoothly through the sheath. Strengthening the opposing finger extensor tendons is crucial for restoring the finger’s ability to extend. By balancing tendon length and strength, individuals can prevent or reduce the recurrence of Trigger Finger.

Conservative therapy involving stretches and exercises has proven effective in providing long-term relief. For those looking to avoid surgery or for whom surgery was unsuccessful, exercise therapy offers a viable solution for preventing and rehabilitating Trigger Finger's debilitating symptoms.

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