From the Research
The first-line treatment for Trigger Finger (Stenosing Tenosynovitis) is corticosteroid injection, as it is the most effective conservative management option, with a success rate of up to 85% in resolving symptoms 1, 2. The diagnosis of trigger finger is primarily based on clinical symptoms, including the characteristic "triggering" sensation when flexing or extending the affected finger.
- The condition is more common in middle-aged women and individuals with diabetes mellitus, carpal tunnel syndrome, and those who engage in repetitive finger movements 1, 3.
- Conservative management options, such as splinting and activity modification, may also be considered, but corticosteroid injection is generally the most effective first-line treatment 4, 2.
- Surgical open release, including percutaneous A1 pulley release, is reserved for cases where conservative management fails, as it is highly effective with low complication rates 5, 3.
- It is essential to note that the treatment approach may vary depending on the presence of comorbid conditions, such as rheumatoid arthritis or diabetes mellitus, which can affect the treatment outcome 5, 2.