Diagnosis Explanation:

Trigger finger occurs when the flexor tendon in the finger becomes inflamed, causing the finger to catch, lock, or "snap" when bent and straightened. This happens due to thickening of the tendon sheath (A1 pulley), which restricts smooth tendon movement. It is commonly caused by repetitive gripping, prolonged inflammation, or conditions like diabetes and arthritis.

Symptoms:

• Pain and tenderness at the base of the affected finger.
• Clicking or popping sensation when moving the finger.
• Finger gets "stuck" in a bent position and then suddenly releases.
• Swelling or a small bump (nodule) in the palm.
• Morning stiffness that improves throughout the day.

Specific Work Modifications:

• If your job involves typing or writing: Use voice dictation software, ergonomic keyboard, and take frequent breaks.
• If your job requires manual labor: Avoid repetitive gripping, forceful pinching, and vibration tools. Use adaptive tools with larger grips.
• If your job is desk-based: Keep wrists and hands relaxed, use wrist rests, and take stretching breaks every 30 minutes.
• Avoid: Prolonged finger flexion, repetitive gripping, and high-impact hand activities.

Specific Activity Modifications:

• If you play an instrument or craft: Modify grip positions, take breaks, and use larger-handled tools.
• If you play sports: Avoid racket sports, weightlifting, and gripping-heavy activities until symptoms improve.
• If you do gardening or cooking: Use ergonomic tools with soft, padded handles.
• Avoid: Repetitive pinching, gripping, and forceful pulling motions.

Recommended Supplements:

• Collagen Peptides – 10g daily to support tendon and joint health.
• Vitamin B6 – 50-100mg daily to reduce inflammation in tendons.
• Omega-3 Fatty Acids – 1000mg daily to reduce joint and tendon swelling.
• Turmeric (Curcumin) – 500-1000mg daily for natural pain relief.
• Magnesium – 300-400mg daily to support muscle relaxation and tendon function.

Recommended Nutrition and Hydration:

• Increase Lean Protein (chicken, fish, tofu, eggs) to support tendon repair.
• Eat Anti-Inflammatory Foods (berries, leafy greens, turmeric, nuts) to reduce swelling.
• Consume Hydrating Foods (cucumber, watermelon, citrus) to maintain tendon lubrication.
• Limit Processed Foods & Sugars to prevent inflammation.
• Hydration: Drink 8-10 cups of water daily to support tissue health and recovery.

Home Exercise Prescription (Rehabilitation for Trigger Finger)

Early Phase (0-2 Weeks, Reducing Pain & Preventing Locking):

• RICE Protocol – Rest, Ice (15-20 min, 3x/day), Compression, Elevation.
• Finger Splinting (if needed) – Wear a finger splint at night to prevent excessive bending.
• Passive Finger Extension Stretch – Gently straighten the affected finger using the opposite hand, hold 10 seconds, repeat 10 reps, 2x/day.

Strengthening Phase (2-6 Weeks, Improving Flexibility & Function):

• Towel Scrunches – Place a towel on a flat surface, use fingers to scrunch it, 10 reps, 2x/day.
• Finger Lifts – Place hand flat, lift each finger individually, 10 reps per finger, 2x/day.
• Rubber Band Finger Extensions – Wrap a rubber band around fingers, open hand against resistance, 10 reps, 2x/day.

Advanced Phase (6+ Weeks, Preventing Recurrence & Strengthening Grip):

• Grip Strengthening (Soft Ball Squeeze) – Squeeze a soft ball 5 seconds, repeat 10 reps, 2x/day.
• Finger-to-Thumb Opposition – Touch thumb to each fingertip, 10 reps, 2x/day.
• Wrist Strengthening (Light Resistance Band) – Strengthen wrist and forearm muscles, 10 reps, 2x/day.

Helpful Books:

1. The Hand and Wrist Pain Solution: Simple Exercises for Relief – Dr. Ross Clifford.
2. Arthritis and Hand Therapy: A Self-Help Guide to Managing Joint Pain – Susan J. Barnhart, PT.

Contact the Key West orthopedic clinic or reach out to Dr. Jason Pirozzolo.