Trigger Finger
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What Is Trigger Finger?

  Introduction

Trigger finger is a common disorder of the hand which causes a painful snapping or locking of the fingers or thumb. The medical name for this condition is stenosing tenosynovitis. Stenosing refers to the narrowing of an opening or passageway in the body. Tenosynovitis refers to inflammation of the outer covering of the tendons that bend and extend the fingers and thumb.

Trigger finger involves the pulleys and tendons in the hand that bend the fingers. The tendons work like long ropes connecting the muscles of the forearm with the bones of the fingers and thumb. In the finger, the pulleys form a tunnel under which the tendons must glide. These pulleys hold the tendons close against the bone. The tendons and the tunnel have a slick lining that allows easy gliding inside the pulleys.

This resource, Trigger Finger Central, exists to serve 2 purposes. First, to educate those suffering from Trigger Finger and provide them with an easily understood description of what trigger finger is AND what can be done about it.

The second purpose of this site is to introduce sufferers to a new medical treatment, System rüdach™, which was researched & developed by a team of physicians and pharmacists in Newport Beach, California.

Used as directed, System rüdach reduces underlying, excessive inflammation of muscles, ligaments and tendons as well as repair nerve damage. By focusing on actually treating the root causes of the ailment as opposed to masking the symptoms the healing process is accelerated and, in most cases, the patient's discomfort is dramatically alleviated.


  Causes Of Trigger Finger 

Normally, the tendon moves smoothly in and out of its surrounding sheath as the finger straightens and bends. When inflamed, the normally thin covering of the sheath may be thickened to several times its normal size. This reduces the amount of space through which the tendons are able to pass. When the tendon catches, it produces inflammation and more swelling. This causes a vicious cycle of triggering, inflammation, and swelling.

Upon forceful bending of the finger or thumb, the enlarged portion of the tendon is dragged through the constricted opening. This motion is often accompanied by a painful snap, and the finger or thumb may be locked in a bent position. Straightening the finger or thumb may require using the non-affected hand to actually pull the finger back into an extended position, causing another painful snap as the swollen portion of the tendon passes back through the sheath.

The exact cause of trigger finger is not always readily apparent. In many cases, however, this condition may be the result of repeated strain of this area due to work or hobby activities. Tasks that require repetitive grasping or the prolonged use of tools (scissors, screwdrivers, etc.) which press firmly on the tendon sheath at the base of the finger or thumb may irritate the tendons and result in thickening of the tendons themselves or the tendon sheath. Symptoms of trigger finger may also be associated with conditions such as rheumatoid arthritis, gout, or metabolic disorders such as diabetes that produce changes in connective tissues and synovium.

The physicians who developed CT Cream with A.C.P. are proud to have recently had the product incorporated into the best selling medical reference, The Prescription For Nutritional Healing by James F. Balch, M.D. as a treatment for inflammation related repetitive stress injuries.

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   Relief Of Trigger Finger 

The goal of treatment in trigger finger/thumb is to eliminate the catching or locking and allow full movement of the finger without discomfort. Swelling around the flexor tendon and tendon sheath must be reduced to allow smooth gliding of the tendon. The wearing of a splint or taking anti-inflammatory medication by mouth or an injection into the area around the tendon may be recommended to reduce swelling. Treatment may also include changing activities to reduce swelling.

Another attractive option for many sufferers, especially those who prefer to not ingest medication orally or have an aversion to painful injections, is the application of an appropriate and effective topical anti-inflammatory. The fact is, until recently effective topical anti-inflammatory were expensive and inaccessible to end users without the assistance of a compound pharmacist.

CT Cream with A.C.P. was specifically designed to reduce inflammation and does so by taking advantage of well known elements including Arnica, Choline, Pyridoxine and Vitamin B6. Researched, formulated and introduced in 1999 by Dr. Ying Lee, CT Cream has proven to be extremely successful in treating inflammation related ailments such as epicondylitis, tendonitis, bursitis, carpal tunnel syndrome and trigger finger.

If rest, anti-inflammatory medications, and a stretching routine fail to positively influence your ailment, you may have to consider surgery, though this form of treatment is rare (fewer than 5 percent of patients). In such cases, the surgical technique required usually involves opening the first pulley so the tendon will glide more freely and repairing any localized tears. Occasionally, hand therapy is required after surgery to regain better use.

   Risk Factors/Prevention

It isn't usually known what causes the problem. Trigger fingers are more common in women than men. They occur most frequently in people who are between the ages of 40 to 60 years. Trigger fingers are more common in people with certain medical problems such as diabetes and rheumatoid arthritis.