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Trigger Finger

(Stenosing Tenosynovitis)

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Medical Author: William C. Shiel Jr., MD, FACP, FACR

* What is trigger finger?

* What are symptoms of trigger finger?

* What causes trigger finger?

* What is treatment for trigger finger?

* Find a local Orthopedic Surgeon in your town

What is trigger finger?

Trigger finger is a "snapping" condition of any of the digits of the hand when opened or closed.
Trigger finger is medically termed stenosing tenosynovitis.

What are symptoms of trigger finger?

Symptoms of trigger finger develop when either the ring, middle, or index finger attempts to flex
closed while gripping. Instead of a smooth, continual closure, the digit stutters, then snaps
closed. The closure is frequently associated with pain at the base of the digit on the palm of the
hand. Trigger finger can affect the thumb.

What causes trigger finger?


Trigger finger is caused by local swelling from inflammation or scarring around the tendons that
normally pull the affected digit inward toward the palm (flexion). Usually trigger finger occurs as
an isolated condition. Sometimes trigger finger is an associated condition resulting from an
underlying illness that causes inflammation of tissues of the hand, such as rheumatoid arthritis.
In fact, data presented at the 2005 American College of Rheumatology national meeting suggests
that a majority of patients with rheumatoid arthritis have inflammation around the tendons of
the palm of the hand that could develop into trigger finger.

What is the treatment for trigger finger?

Stretching, ice, and anti-inflammation treatments can be helpful. Medications that have been
used include naproxen, ibuprofen, diclofenac, and others.

The most rapidly effective treatment is a local cortisone injection around the affected tendon.
Most patients will respond to the cortisone injection. When a trigger finger persists after two
injections and is not responsive to the above treatments, surgical procedures to ultimately
remove the inflamed or scarred tissue are considered.

Cortisone Injection (Corticosteroid Injection)

of Soft Tissues & Joints

View Slideshows

Rheumatoid Arthritis Slideshow Pictures of Rheumatoid Arthritis

Rheumatoid Arthritis Exercises Slideshow Pictures of Rheumatoid Arthritis Exercises

Medical Author: Catherine B. Driver, MD

Medical Editor: William C. Shiel Jr., MD, FACP, FACR

* What are corticosteroids?


* Is a cortisone injection merely a pain reliever or temporary remedy?

* For what conditions are cortisone injections used?

* What are the advantages of cortisone injections?

* What are the disadvantages and side effects of cortisone injections?

* Are there special advantages in using cortisone injections for joint inflammation (arthritis)?

* Are there special side effects that can occur with cortisone joint injections?

* How are cortisone injections of soft tissues given?

* How are cortisone injections of a joint given?

* "I've always heard that cortisone injections are painful? Are they?"

* Corticosteroid (Cortisone) Injection of Joints & Soft Tissue At A Glance

* Patient Discussions: Cortisone Injection - Describe Your Experience

Viewer Comments

Featured patient discussions on cortisone injection

"I had pain in my left knee that ached all the time. The doctor diagnosed me with a meniscal
tear. I opted to try the Celestone shot first before having surgery. It was the best decision for me.
I was pain free for over two years and have just begun to experience a little return of pain. My
right knee was bothering me recently more so than my left, but I asked the doctor if I could try
the shot again and I got the shots in both knees today. It has been a couple of hours and I feel
slightly better already. I can't wait for the full effect to set in."

Read all cortisone injection comments »

Top Searched Cortisone Injection Terms:

side effects, lumbar epidural, joint, back pain, tennis elbow, Depo-Medrol, inflammation, MRI,
arthritis, sciatica, plantar fasciitis, SI joint, trigger finger, skin rash

Patient Discussions are not a substitute for professional medical advice, or treatment.

See the disclaimer at the bottom of the comments page.


Doctor to Patient

What are corticosteroids?

Corticosteroids are a class of medications that are related to cortisone. Medications of this class
reduce inflammation powerfully. They are used to reduce inflammation caused by a variety of
diseases. Cortisone is one type of corticosteroid. For the purpose of this review, "cortisone" is
used interchangeably with "corticosteroid."

Corticosteroids can be taken by mouth, inhaled, applied to the skin, given intravenously (into a
vein), or injected into the tissues of the body. Examples of corticosteroids include prednisone
and prednisolone (given by mouth), Solu-Medrol (given intravenously), as well as triamcinolone,
Kenalog, Celestone, Depo-Medrol, and others (given by injection into body tissues). This article
describes the role of cortisone injections into the soft tissues and joints.

Is a cortisone injection merely a pain reliever or temporary remedy?

Corticosteroids are not pain relievers. They reduce inflammation. When corticosteroids relieve
pain, it is because they have reduced inflammation.

While the inflammation for which corticosteroids are given can recur, corticosteroid injections
can provide months to years of relief when used properly. These injections also can cure diseases
(permanently resolve them) when the problem is tissue inflammation localized to a small area,
such as bursitis and tendonitis.

For what conditions are cortisone injections used?

Cortisone injections can be used to treat the inflammation of small areas of the body (local
injections), or they can be used to treat inflammation that is widespread throughout the body
(systemic injections). Examples of conditions for which local cortisone injections are used include
inflammation of a bursa (bursitis), a tendon (tendonitis), and a joint (arthritis). Knee arthritis, hip
bursitis, painful foot conditions such as plantar fasciitis, rotator cuff tendinitis and many other
conditions may be treated with cortisone injections. Epidural injections in the lumbar spine are
cortisone injections inserted into a specific location in the spinal canal by a specialist under X-ray
guidance (fluoroscopy). Systemic corticosteroid injections are used for conditions affecting many
joints, such as allergic reactions, asthma, and rheumatoid arthritis.

Cortisone Injection (Corticosteroid Injection)

of Soft Tissues & Joints

View Slideshows

Rheumatoid Arthritis Slideshow Pictures of Rheumatoid Arthritis

Rheumatoid Arthritis Exercises Slideshow Pictures of Rheumatoid Arthritis Exercises

Medical Author: Catherine B. Driver, MD

Medical Editor: William C. Shiel Jr., MD, FACP, FACR

* What are corticosteroids?

* Is a cortisone injection merely a pain reliever or temporary remedy?

* For what conditions are cortisone injections used?

* What are the advantages of cortisone injections?

* What are the disadvantages and side effects of cortisone injections?

* Are there special advantages in using cortisone injections for joint inflammation (arthritis)?

* Are there special side effects that can occur with cortisone joint injections?

* How are cortisone injections of soft tissues given?

* How are cortisone injections of a joint given?

* "I've always heard that cortisone injections are painful? Are they?"

* Corticosteroid (Cortisone) Injection of Joints & Soft Tissue At A Glance

* Patient Discussions: Cortisone Injection - Describe Your Experience


Viewer Comments

Featured patient discussions on cortisone injection

"I had pain in my left knee that ached all the time. The doctor diagnosed me with a meniscal
tear. I opted to try the Celestone shot first before having surgery. It was the best decision for me.
I was pain free for over two years and have just begun to experience a little return of pain. My
right knee was bothering me recently more so than my left, but I asked the doctor if I could try
the shot again and I got the shots in both knees today. It has been a couple of hours and I feel
slightly better already. I can't wait for the full effect to set in."

Read all cortisone injection comments »

Top Searched Cortisone Injection Terms:

side effects, lumbar epidural, joint, back pain, tennis elbow, Depo-Medrol, inflammation, MRI,
arthritis, sciatica, plantar fasciitis, SI joint, trigger finger, skin rash

Patient Discussions are not a substitute for professional medical advice, or treatment.

See the disclaimer at the bottom of the comments page.

Doctor to Patient

What are corticosteroids?

Corticosteroids are a class of medications that are related to cortisone. Medications of this class
reduce inflammation powerfully. They are used to reduce inflammation caused by a variety of
diseases. Cortisone is one type of corticosteroid. For the purpose of this review, "cortisone" is
used interchangeably with "corticosteroid."

Corticosteroids can be taken by mouth, inhaled, applied to the skin, given intravenously (into a
vein), or injected into the tissues of the body. Examples of corticosteroids include prednisone
and prednisolone (given by mouth), Solu-Medrol (given intravenously), as well as triamcinolone,
Kenalog, Celestone, Depo-Medrol, and others (given by injection into body tissues). This article
describes the role of cortisone injections into the soft tissues and joints.
Is a cortisone injection merely a pain reliever or temporary remedy?

Corticosteroids are not pain relievers. They reduce inflammation. When corticosteroids relieve
pain, it is because they have reduced inflammation.

While the inflammation for which corticosteroids are given can recur, corticosteroid injections
can provide months to years of relief when used properly. These injections also can cure diseases
(permanently resolve them) when the problem is tissue inflammation localized to a small area,
such as bursitis and tendonitis.

For what conditions are cortisone injections used?

Cortisone injections can be used to treat the inflammation of small areas of the body (local
injections), or they can be used to treat inflammation that is widespread throughout the body
(systemic injections). Examples of conditions for which local cortisone injections are used include
inflammation of a bursa (bursitis), a tendon (tendonitis), and a joint (arthritis). Knee arthritis, hip
bursitis, painful foot conditions such as plantar fasciitis, rotator cuff tendinitis and many other
conditions may be treated with cortisone injections. Epidural injections in the lumbar spine are
cortisone injections inserted into a specific location in the spinal canal by a specialist under X-ray
guidance (fluoroscopy). Systemic corticosteroid injections are used for conditions affecting many
joints, such as allergic reactions, asthma, and rheumatoid arthritis.

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