Stenosing Tenosynovitis Treatment

Trigger finger, or stenosing tenosynovitis, results from overuse or strain on the flexor tendons. The repeated motions and sustained positions characteristic of smartphone use is a possible cause of the inflammation that can lead to trigger finger. In the modern world, completely abandoning a cell phone is not an option, but with awareness of the risks and treatment options, further damage to the hand can be prevented and pain improved.


Prevention tips and techniques

Smartphone users, especially heavy users, should take regular breaks, use voice commands, alternate hands, and avoid prolonged gripping to reduce strain. Additionally, maintaining a regimen of hand and finger exercises, following a healthy lifestyle, and using ergonomic phone accessories can help prevent overuse injuries. However, if symptoms persist, individuals should seek professional medical advice.

Rest and activity modification

Temporarily resting the affected finger and avoiding activities that worsen symptoms can allow the inflamed tendon to heal. Modifying daily activities to minimize repetitive finger movements and finding alternative techniques or tools can reduce strain on the tendon. Consulting with a healthcare professional is recommended to receive personalized guidance on the appropriate rest duration and activity modifications for optimal healing.


By wearing a splint or brace on the affected finger, the device provides support and keeps the finger straight, reducing strain on the tendon. Splinting helps minimize friction, allows the tendon to rest and heal, and prevents triggering or locking of the finger during movement. Splints can be customized or purchased over the counter (OTC), but consultation with a healthcare professional is important to ensure proper usage and suitability.

Nonsteroidal anti-inflammatory drugs

Medications belonging to the nonsteroidal anti-inflammatory drug (NSAID) class help reduce pain, swelling, and inflammation associated with the condition. NSAIDs can provide symptomatic relief but do not address the underlying cause of trigger finger. Individuals should follow the recommended dosage, consult with a healthcare professional, and consider individual circumstances and medical history when using NSAIDs for the condition.

Steroid injections

For trigger finger pain, a corticosteroid medication can be injected into the affected tendon sheath to reduce inflammation and alleviate symptoms. The injection provides temporary relief from pain and stiffness. While the effects are temporary, steroid injections can effectively manage trigger finger symptoms. Multiple injections may be required, and potential side effects include temporary pain, skin discoloration, or skin thinning.

Physical therapy

Under the guidance of a physical therapist, specific exercises and stretches are prescribed to improve finger and hand flexibility, strengthen muscles, and restore optimal function. Exercises may include finger flexion and extension exercises, hand strengthening exercises, and gentle stretching routines. Compliance with the prescribed physical therapy (PT) regimen is crucial for successful rehabilitation and long-term recovery.

Percutaneous release

For severe or persistent trigger finger symptoms, percutaneous release is a minimally invasive surgery (MIS) option. Under local anesthesia, a needle is inserted into the constricted tissue surrounding the affected tendon to break up the tight area, allowing the tendon to move freely. The outpatient procedure offers a quick recovery time and a high success rate in relieving symptoms. However, potential risks and complications exist, such as infection, bleeding, and nerve injury.

Better hand health in the digital age

When persistent smartphone use causes trigger finger, there are preventive measures and treatment options available to help alleviate symptoms and promote healing. With a proactive approach and the right interventions, an individual can maintain healthy hands and continue to enjoy the benefits of the digital world without health issues.

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