From the Research
For trigger finger symptoms in both fifth digits, I recommend taking ibuprofen 600 mg three times daily to reduce inflammation and pain, using the provided finger splints, especially at night, and performing hand exercises as outlined in the guide to maintain flexibility and strengthen the affected tendons, as these conservative measures are supported by recent studies such as 1 that highlight the effectiveness of physical therapies in managing trigger finger.
Treatment Approach
The patient's symptoms of locking both fifth digits, particularly after work at a metal shop, suggest a diagnosis of trigger finger, which is likely exacerbated by repetitive gripping motions.
- The use of ibuprofen 600 mg three times daily is aimed at reducing inflammation and pain associated with trigger finger, as inflammation is a key component of the condition.
- Finger splints, especially when used at night, can help keep the fingers in a neutral position and prevent locking, thus reducing the strain on the tendons and promoting healing.
- Hand exercises, as outlined in the guide, are crucial for maintaining flexibility and strengthening the affected tendons, which can help in preventing the recurrence of trigger finger symptoms.
Importance of Lifestyle Modifications
- It's essential for the patient to take regular breaks during work to rest his hands and reduce strain on the tendons, as continuous repetitive motion can worsen the condition.
- Considering a less physically demanding job or modifying the current work environment to reduce repetitive gripping motions could significantly alleviate the patient's symptoms, as suggested by the patient's history of symptom onset after work.
Follow-Up and Further Treatment
If symptoms persist despite these conservative measures, follow-up with physical therapy for more targeted treatment is recommended, as studies like 1 suggest that physical therapies, including external shock wave therapy (ESWT) and ultrasound therapy (UST), can be effective in managing trigger finger by reducing pain and trigger severity and improving functional level and quality of life. Trigger finger occurs when the tendon sheath becomes inflamed and thickened, causing the tendon to catch or lock when moving the finger, and this conservative treatment approach aims to reduce inflammation and prevent the need for more invasive interventions like corticosteroid injections or surgery.