Medication Summary. I’ve had trigger fingers and it’s not fun I understand that. The hand is made up of tendons that cause our fingers and thumb to flex. Trigger Finger. Additionally, the affected digit can become locked, and passive extension of this digit can cause significant pain [ 5 ]. Tenderness usually occurs over the area of the nodule, at the bottom of the finger or thumb. The first band-aid goes along the top on the finger or thumb with the pad of the band-aid resting on the knuckle. Your thumb sticks in a bent position and in severe cases has to be pulled straight. The condition can be effectively treated with conservative or surgical treatments. This is a narrowing of the flexor tendon sheath which causes a clicking or popping sensation on attempted extension of the thumb. This change in appellation was suggested based on recent knowledge acquired through prospective studies of a large number of newborns for the presence of trigger thumb at birth across many centers. Although rare, the thumb can trigger because of de Quervain tenosynovitis. Doc says it’s a simple surgery to release the tendon and. There are some suggestions that there is swelling in the tendon sheath, but that is not well supported. Hold for 10 seconds. The most commonly affected digits are the thumb and ring finger, though the condition can also affect other fingers. There are two types of trigger thumb. It occurs 2-6 times more frequently in women (1). What causes a trigger finger/thumb? A trigger finger/thumb happens because the sheath (tunnel of tissue that the tendon moves through) isn't wide enough or gets swollen. They're responsible for making your fingers and thumbs open and close. It affects the tendons in your fingers and thumbs. Surgery for trigger finger is done to increase the space for your flexor tendon to move. Trigger finger is a form of tendonitis caused by the inflammation of the flexor tendon of the hand that allows your finger to bend. Learn about both surgical and non-surgical trigger thumb treatments and cures. 00. 3. Making this one of the more common trigger finger or trigger thumb mistakes preventing. If not, there are treatments that can help. This condition is extremely common and occurs in conjunction with other hand maladies including carpal tunnel and tennis elbow. The bent finger may suddenly straighten with a pop — similar to pulling and releasing a trigger. It is helpful, especially at a very young age. The trigger finger begins in these tendons and connective tissue pulley that hold tendon to the bone of the finger. Congenital trigger thumb is a trigger thumb in infants and young children. Rhus Tox – Top Grade Medicine. In the finger, the pulleys are a series of rings that form a tunnel through. Symptoms. This is a narrowing of the flexor tendon sheath which causes a clicking or popping sensation on attempted extension of. The ligament affected by skier’s thumb is the ulnar collateral ligament at the base of the thumb on the pointer finger side. Trigger thumb is a painful condition. Dr. in the thumb with fixed flexion posture, the proximal edge of the A1 pulley is immediately distal to the location of the palpable nodule when the IP joint is maximally extended care should be taken to plan the incision directly over the thumb flexor sheath which is pronated relative to the plane of the palm Trigger finger is the common name for a hand condition your doctor might call stenosing tenosynovitis. A thumb-trigger release itself will not automatically cure target panic, but it will help you defeat it. The short answer is yes, you can get trigger finger in the thumb. . 2. Trigger finger (stenosing tenosynovitis) is a condition in which a finger tries to snap closed while gripping. Flexion is normally facilitated by the extrinsic flexor pollicis longus (FPL) and intrinsic flexor pollicis brevis (FPB). The ligament. Your flexor tendon is a tendon in your fingers that is activated by your muscles to pull on the finger. When that happens, your finger or thumb can get stuck in a bent or straight position in a condition called trigger finger. . The 2024 edition of ICD-10-CM M65. Trigger finger develops when a pulley that lies underneath your knuckle becomes irritated and inflamed. It's rare in children. All 56 trigger thumbs demonstrated focal enlargement of the FPL without evidence of inflam-mation or trauma. The reported prevalence is 2. However, in more severe cases where there’s a lot of pain when the finger is locked, surgery may be the most effective option. Trigger Finger. Pyogenic Flexor Tenosynovitis. Pressure is more evenly distributed in the remainder of the pulley system. January 4, 2022. Alternatively, one can modify positions of the hand when gripping the handlebars. The thumb locks in the middle of its range of motion and can result in a slickly sensation. Overall, a trigger finger is a common condition causing pain and clicking at the base of a finger or thumb. Trigger finger and trigger thumb are not harmful, but can be a really painful nuisance. Dupuytren’s contracture, meanwhile, usually happens in the ring and pinky fingers. The condition may occur as a result of repetitive use or injury. It is commonly seen in farmers, musicians and industrial workers. $21. (See the image below. In severe cases, you'll no longer be able to straighten the affected finger. The finge. Symptoms include a clicking or snapping sensation when moving the thumb , pain or tender ness , and a tender lump at the base of the thumb on the palm side of the hand . The problem often stems from inflammation of the tendons located within a protective covering called the tendon sheath. Splinting or bracing to cure trigger thumb has become an extremely popular treatment option. In these individuals, multiple digits may be involved in TF. It is a tenosynovitis in the flexor sheaths of the fingers and thumb as a result of repetitive use. Sometimes the tendon develops a nodule (knot) or swelling of its lining. Trigger finger occurs when the soft tissues of a tendon in your finger thicken, preventing the tendon from moving freely. Trigger thumb is a condition related to the flexor tendons and pulleys of the thumb where a person has difficulty bending or straightening the thumb. Trigger Finger Release Surgery. Trigger finger happens when there’s a problem with the tendons or tendon sheath (the tunnel through which the pulley works) in your finger or thumb. Trigger finger, also called stenosing tenosynovitis, occurs when a finger tendon (that controls the movement of that finger) can't glide smoothly in the tendon sheath around it. 31 - other international versions of ICD-10 M65. Stenosing tenosynovitis, commonly known as “trigger finger” or “trigger thumb”, involves the pulleys and tendons in the hand that bend the fingers. ‘O’ Exercise. M65. Both of these methods keep the affected finger extended and allow the irritated tendon to rest and heal. Thought traditional treatment for this is conservative or aspiration, high recurrence is observed. It may straighten suddenly with a snap. It is often painful, occurs more commonly in the morning, and improves after moving the finger around for a while. Paediatric Trigger Thumb. A heating pad could also be used. 00 (50% off) Add to Favorites. Clinical presentation. Often it is caused by the repeated movement or forceful use of the finger or thumb, unfortunately for us golfers we use the finger and thumb a lot in how we grip and swing the club. What is trigger finger/trigger thumb? Trigger finger in the medical world is called stenosing tenosynovitis. 1) Patients frequently present with a painful triggering or clicking during active motion of an affected digit. This is the American ICD-10-CM version of M65. Consider taking a nonsteroidal anti-inflammatory drug, such as ibuprofen. One of the more common hand injuries/thumb injuries, especially among women, is carpal tunnel syndrome. The treatments for trigger finger include taking anti-inflammatory medicines like aspirin or ibuprofen, wearing a finger splint that limits how much the finger can bend, or getting a. 3 “trigger finger“ nodular tendinous disease; CPT code: 20550 “Injection(s); single tendon sheath, or ligament, aponeurosis” Materials NeededWhat does a trigger finger or thumb feel like? The symptoms of trigger finger or thumb include pain and a funny clicking sensation when the finger or thumb is bent. It is not truly congenital (present at birth), but is most common in children younger than 5 years old. He then divides the A-1 pulley allowing full m. Now $ 1599. Trigger finger happens when the space inside the sheath that surrounds. It’s also known as trigger finger. Treatment options for a significant trigger finger include splinting, up to 3 cortisone injections and surgery. Trigger fingers are a type of stenosing tenosynovitis involving the flexor digitorum superficialis at the level of the A1 pulley. Much like our trigger finger sheath system, the anatomy of a thumb flexor sheath includes a proximal annular pulley (A1), a variable annular pulley (Av), an oblique pulley, and a distal annular pulley. 1. A trigger finger is a rare condition that is generally present at birth and is often linked to other disorders. Causes of a Numb Thumb or Hand. Usually, the tendon slides easily in and out of the sheath as you bend and straighten. Trigger finger occurs when the pulley becomes too thick, so theTrigger finger/thumb is a result of overuse syndrome. Sometimes knots develop in these tendons, or the sheath responsible for covering the tendons is swells and narrows that restricts the movement of tendon hence restricting the movement of the finger. In every case of trigger. Trigger thumb release surgery is currently being researched more deeply as some surgeons are pursuing a more minimally invasive approach. Place the affected finger in an aluminum flexion finger splint. As both conditions share some symptoms, the two often get confused with the other. 3%. II. The medicine works by reducing the swelling in the finger, which can help it move better. Cold therapy (ice wrapped in a thin towel or frozen gel packs) should be applied to the inflamed tendon (it usually looks like a little bump or nodule in the lower part of your finger or in the palm of. Trigger finger can make it difficult to move or use the finger; it also causes pain and discomfort. Welland Reversible Thumb & Wrist Stabilizer splint for BlackBerry Thumb, Trigger Finger, Pain Relief, Arthritis, Tendonitis, Sprained and Carpal Tunnel Supporting, Lightweight and Breathable S/M. Congenital Trigger Thumb. The Oval-8 Finger Splint, available in CLASSIC Beige and NEW Oval-8 CLEAR, are a convenient, low-profile, comfortable method for splinting the PIP or the DIP joint of the digits and the IP joint of the thumb. It happens when the tendon that bends and straightens the thumb or finger can't slide smoothly under the ligaments that hold the tendon against the bones. However, interphalangeal (IP) joint motion loss and metacarpophalangeal (MP) joint. The main triggering mechanism is on the first annular (A1) pulley, following long-term friction and compression leading to an obstruction of the flexor tendon gliding in the. Does a trigger thumb need treatment. Trigger finger tends to be particularly stiff in the morning, and splint therapy can help avoid that. 4. Trigger finger and trigger thumb are two conditions that go hand-in-hand (literally). Trigger finger, also known as stenosing tenosynovitis, is a condition that makes it hard to straighten your finger. Treatment. Trigger finger is the inflammation and thickening of tendon sheaths the tunnel-like structures that hold the tendons to the bone in the fingers and thumb. It can “freeze” them in a flexed position. Background. Trigger thumb in children is characterized by the same clicking, popping and sticking of the thumb in the bent position that adults with the condition experience. A narrowing of flexor pulley sheaths combined with hypertrophy and inflammation of the tendon/sheath interface causes trigger finger or stenosing. In skier’s thumb, this ligament gets stretched or torn. Trigger finger is a condition that makes your fingers or thumb difficult to move. 🛡️FULL THUMB PROTECTION: Whether you are playing sports, working machinery, or simply typing and email our thumb splint offers complete protection for trigger thumb, a broken thumb, a fractured thumb, rheumatoid arthritis, ligament tears, sprained, post-operative care, complete immobilization, thumb pain relief, sprained. 1 2 3 4 Next Last SusanEllen66 | @SusanEllen66 | Sep 17, 2022 Trigger thumb needs surgery usually. The top homeopathic medicines for trigger finger are Rhus Tox, Ruta Graveolens, Arnica Montana, Causticum, Merc Sol, and Sulphur. The difference between these trigger finger surgeries is how the doctor goes about doing so. When it comes to preservation of fine movements such as thumb, aggressive approach involving exploration and excision of cyst gives good functional outcome and reduces chance of. You can help prevent some causes of thumb twitching: Avoid your triggers. It's rare in children. Based on the findings from our study, skin surface landmarks may be helpful in the treatment of trigger thumb. If splinting interferes with your daily activities, you can wear the splint only at night. Trigger finger also needs external force. Trigger finger, also known as stenosing tenovaginitis or tenosynovitis 1, occurs when the long flexor tendons in our fingers become inflamed due to repetitive stress or movement of the thumb/finger. When the tendon gets thick, it cannot pass through the tunnel or does so with a “click” or. soft tissue disorders related to use, overuse and pressure ( M70. Please check with our office that we have a therapy appointment coordinated for you within 2-4. 3. A trigger finger is a condition of the flexor tendons of the finger and the A1 pulley 4. Gentle stretching, massage and splinting are all commonly recommended therapies. Tenderness or a bump in the palm at the base of the affected finger. People should repeat the. It can involve any digit but typically affects the thumb and ring finger of the dominant hand. The ring finger is most. Trigger finger surgery works by widening the tunnel that the impacted tendon travels through, alleviating your stiffness and pain. The sheath and/or pulley becomes thick and the tendon may develop a nodule inside it. Thus, the most common medication treatments are focal corticosteroid injection at the site of maximal tenderness or inflammation and the administration of nonsteroidal anti. After surgery to treat Trigger Thumb, then exercises play an important role in bringing the. It can be hard to bend (flex) or fully straighten (extend) the finger. The lifetime risk of developing trigger finger is between 2% and 3%. Trigger finger, also known as stenosing tenosynovitis is a painful condition that involves bended finger that can't be straightened. For a full Thumb Injection resource, visit: courtesy of James R Verheyden, MDWith a lifetime risk of 2. These muscle/tendon mechanisms originate at. It is a painful disorder and. A tendon nodule develops at the site of constriction into the fibrous flexor sheath. Congenital Trigger Thumb. The condition is also known as stenosing tenosynovitis. . Trigger Finger is when the tendon of a finger joint has thickened and can't move back and forth through its surrounding sheath easily enough to facilitate smooth. Trigger finger/thumb occurs when the pulley at the base of the finger becomes too thick and constricting around the tendon, making it hard for the tendon to move freely through the pulley. The thumb: Gets stuck or locked in a bent position. A1 pulley ganglion causing trigger thumb is uncommon entity. Methods. Trigger finger (also called trigger thumb) is a condition that causes pain, stiffness, and a locking sensation when you bend and straighten your finger. Other symptoms may include pain and stiffness in the fingers and thumb. Prevention. Okay…. stop or cut down activities that are causing the pain – for example, typing, using vibrating tools for work, or playing an. Trigger thumb (or finger) is a condition in which the thumb or a finger remains in a bent position for periods of time due to inflammation in the tendons. Here are five signs that you may have trigger finger: Pain/discomfort at the base of the finger or thumb. Frederick’s Trigger Finger Splint. Texting thumb may be more associated with. The condition is often painless. Typically, people 45 and older and those with diabetes or rheumatoid arthritis may be predisposed to trigger finger. This lining is called tenosynovium. reinforced the idea that pediatric trigger thumb is a devel-opmental condition. Trigger finger happens when the tendon responsible for finger or thumb movement becomes unable to slide smoothly in and out of the sheath surrounding it. Fish Oil. occupations with high hand activity 5. We evaluated range of motion, grip strength, severity and frequency of. Trigger finger is the locking of a finger caused by inflammation of the tendons. Much like our trigger finger sheath system, the anatomy of a thumb flexor sheath includes a proximal annular pulley (A1), a variable annular pulley (Av), an oblique pulley, and a distal annular pulley (A2. These acids, when entering the body, can help cope with tissues damaged by trigger finger. Refer a Patient. The pressure from swelling, thickening, or the inflammation of the tendon or tendon sheath leads to your tendons getting stuck, catching, or locking in position. Symptoms include a sensation of "catching" when trying to bend or straighten the finger. Trigger finger is a condition affecting tendons that flex the fingers and thumb, typically resulting in a sensation of locking or catching when you bend and straighten your digits. Trigger thumb is known as a disorder characterized by snapping or locking of the thumb. 2,4 Although no studies indicate the specificity or sensitivity of trigger finger as a diagnostic predictor of diabetes, multiple trigger digits are more common in. At Nebraska Hand & Shoulder, we provide solutions for individuals experiencing trigger finger. Trigger Finger. Medication Summary. Locking of the thumb is similarly named trigger thumb. If the fibrous wall of a tunnel thickens, the tunnel becomes too tight. The bent finger usually straightens out on its own. Medical Conditions. In the furthest stage, no extension is possible. 3% of the 827 patients with de Quervain tenosynovitis. There are two types of surgery that may be performed for trigger finger: Percutaneous Release. When the thumb is affected, it's referred to as 'trigger thumb. This particular thumb splint for trigger thumb has a cushioning ring that reduces. Trigger finger is a medical condition causing locking or catching sensations, stiffness, and pain when patients bend and straighten the affected finger. Your flexor tendon is a tendon in your fingers that is activated by your muscles to pull on the finger. Omega-3 fatty acids are beneficial for trigger finger treatment. Our minimally invasive procedure can eliminate the source of the condition and get you back to experiencing life without pain. This leaflet provides general information about trigger finger or thumb, including the treatment options available. Supplementary Materials. The most common treatment for trigger finger is an injection of a steroid called cortisone. female gender. Tenotomy can be used throughout your body to repair lots of different tendon issues. It may be more common when you use a smaller phone or a. The exact same changes were made to the Model 1904, and I assume to the Thumb Trigger model. Trigger finger (stenosing tenosynovitis) is one of the most common causes of hand disability, affecting between 1% and 2% of the population, and as high as 20% of people with high risk factors. Resting your hands if possible, wearing a splint at night, stretching exercises and a steroid injection all can alleviate trigger finger without surgery. Symptoms of trigger finger typically involve the ones you mention — stiffness, a popping or clicking sensation when the finger moves, and the. Surgical management of pediatric trigger finger with isolated release of the A1 pulley has been associated. 3. Trigger thumb is a simple term for stenosing flexor tenosynovitis of the thumb. The third band-aid goes around the finger at the top of the knuckle. Synovium produces a fluid that allows the. 'The pain produced by a trigger thumb can be minimized with gloves sufficiently padded to protect the swollen area. Trigger finger affects the flexor tendons in the palm of your hand. The provision of omega-3 fatty acids for the body is very beneficial in the trigger finger treatment. General, Media. The ring finger and thumb are most. If left untreated, the tendon may also become inflamed and develop a nodule. This condition is also known as stenosing tenosynovitis. Fish Oil. Welland Reversible Thumb & Wrist Stabilizer splint for BlackBerry Thumb, Trigger Finger, Pain Relief, Arthritis, Tendonitis, Sprained and Carpal Tunnel Supporting, Lightweight and Breathable S/M $9. Trigger Finger is a common condition which may cause significant functional impairment. A Doctors Opinion. Conclusions: These findings are helpful in counseling families and better understanding this patient population. A needle is inserted into the area around the tendon and is moved around to help loosen the tendon and improve function. Pain is typically present on the palm side the thumb. Dermatologist . Trigger finger. Manage. 1. The tendon that bends or flexes the thumb is called the flexor pollicis longus (FPL). This inflammation soon leads to thumb pain around the knuckle. This clicking may be worse in the morning. These painful conditions can develop due to overuse, repetitive movements, or. Trigger Finger & Trigger Thumb; Everything You Need to Know to FixYoutube Channel: Show additional numbers. Trigger thumb usually can be released, at least temporarily, by forcing the digit to open. They can make it hard for you to perform any activity that requires using your hand. Trigger Thumb Trigger Thumb is perhaps one of the most painful conditions when it comes to medical condition involving the fingers. The A1 pulley is most often affected, but there are some reported cases. Background Carpal tunnel syndrome is a prevalent mononeuropathy. Triggering with thumb flexion, such as with pushing a button on the phone, results from the flexor tendon becoming. Yet, if unsuccessful, an out-patient surgical release of. 311 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. When making a fist and straightening the fingers, the affected finger or thumb may stay bent and then suddenly pop to a straight position. Trigger finger is usually caused by swelling affecting 1 of the tendons that run along your fingers and thumbs, although the exact reason why this occurs is not fully understood. It can affect any of your fingers and your thumb or. The problem is generally idiopathic. [3] The name "trigger finger" may refer to the motion of. The tendon can't glide smoothly and gets stuck. ICD-9 code: 727. Symptoms. - Discussion: - stenosing tenosynovitis of the flexor pollicis longus in childhood is relatively uncommon condition which causes triggering, IP joint flexion contracture, and a flexor tendon nodule over the metacarpal head level (Notta's nodule); - although present at birth, dx often not made until 4-6 months of age. He exposed the Flexor Pollicis Longus tendon. View on Amazon. The condition is also more common among women than men. Vive Finger Splint (3 PCS) Aluminum Finger Splint, Metal Finger Stabilizer for Trigger Finger Splint, Middle, Pinky, Ring, Dislocated Thumb Support - Metal Aluminum Immobilizer, Foam - Left, Right Hand - Straightening for Arthritis, Broken Bone. Trigger finger or trigger thumb is a common hand condition caused by overuse, repetitive gripping or pinching or, less commonly, from direct trauma. -) Localized swelling of the flexor pollicis longus muscle tendon that limits excursion within the. You’re going to apply it at the crease of your thumb. When the thumb is involved, the condition is called Trigger Thumb. See moreWhat is Trigger Thumb (Stenosing Tenosynovitis)? This painful condition causes your fingers to get stuck in a bent position, snapping to straighten. Trigger finger. Carpal Tunnel Hand & Thumb Injuries. The A1 pulley is most often affected, but there are some reported cases where the A2 and A3 pulleys were involved [1]. Trigger finger, also known as stenosing tenosynovitis, is a condition that makes it hard to straighten your finger. If the thumb lacks normal flexibility for at least four to six months, surgical release may be recommended. Trigger finger is thought to be caused by inflammation and subsequent narrowing of the A1 pulley of the affected digit, typically the third or fourth. These injuries, commonly caused during contact sports or falls. ” The tendons that bend the fingers glide easily with the help of pulleys. You may hear a popping or clicking sound when it is pulled straight. This causes your child’s finger or thumb to pop or click when she tries to straighten it. Risk factors for TF development after open CTR were examined. When it affects the thumb, it is called Trigger Thumb. Most cases are secondary to thickening of the digit’s A1 pulley, but other pulley sites, the metacarpophalangeal joint or the carpal tunnel can be involved. Surgery was 100% effective. Find out more about other. Trigger finger is a condition when a finger or thumb briefly locks when you try to extend it. A progressing experience of the finger 'sticking' or 'catching' when opening (or closing). 44% (11 cases), middle finger 22. ) This condition resides in the tissue right. The bent position is the most common form of trigger finger, and it can affect multiple fingers. It is difficult to straighten out without pulling on it by the other hand. You can also have it in. Fish oil is rich in omega-3 fatty acids. It may happen in any finger. A narrowing of flexor pulley sheaths combined with hypertrophy and inflammation of the tendon/sheath interface causes trigger finger or stenosing. (Though, again, it can happen in any finger. On the palmar side of each finger, there is a tendon that helps each finger bend toward the palm. The most common treatment for trigger finger is an injection of a steroid called cortisone. One or more fingers can be affected and the problem. Your doctor may recommend attaching a splint to the affected finger or taping two fingers together. Some mild cases recover over a few weeks without treatment. You will be put under general anesthesia, or will receive a bier block (intravenous regional anesthesia); and your surgeon will open the muscle at the base of your affected finger to give the tendon a smoother. Treatments include painkillers, splinting, steroid injections and. Stop painful locking trigger thumb with this quick and easy taping method!Please ask your doctor or rehabilitation professional if taping is safe for you. It most commonly affects musicians, farmers, and industrial workers. 311 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Because of the increased resistance to the gliding of the tendon through the pulley. If you have any of these symptoms or any numbness in the fingers at night (possible carpal tunnel syndrome), call the Reno Orthopedic Center at 775-786-3040 and the upper extremity hand team would be happy to evaluate you. The base of the finger or thumb may feel sore, and gripping or grasping hand motions can cause pain. Trigger finger is a condition that affects one or more of the hand's tendons, making it difficult to bend the affected finger or thumb. It is commonly associated with pain in the palm; a tender, palpable bump at the base of the affected digit, and a reduction in. rest your thumb when you can. Spontaneous resolution usually happens within. Straightening, or trying to straighten, a trigger finger or thumb can also be quite painful. 31 may differ. Stop Trigger Thumb with this BAND-AID® Trick. This will allow the tissues to relax and promote increased movement in the hand. 99 $ 9 . Learn more about this protocol in the borax entry on this page. Smartphone thumb, also called texting tendinitis or “trigger thumb,” has many of the same causes and symptoms of smartphone finger. The. Trigger finger occurs when the soft tissues of a tendon in your finger thicken, preventing the tendon from moving freely. When the condition occurs in the thumb, the thumb will lock or click into a bent position. Ice therapy for the affected finger can decrease. Trigger thumb is a condition that causes your thumb to get stuck in a bent (flexed) position. Trigger thumb is a painful condition causing your thumb to lock up in a bent position. Buy on Amazon Buy on Walmart. You may need more than one injection for it to be effective. Trigger finger occurs when a finger or thumb gets stuck in a bent position, as if you were squeezing a trigger. This is a narrowing of the flexor tendon sheath which causes a clicking or popping sensation on attempted extension of the thumb. Women are particularly prone to develop two types of tendon problems in their hands. Trigger finger, also called stenosing tenosynovitis, is a painful condition that creates a locking or catching feeling when you straighten or bend your finger. Decreased strength when pinching or. Trigger finger if treated early, can. With open surgery the doctors make a small incision to open up the tendons sheath. The ring finger and thumb are most often affected by Trigger Finger. 6. Typically, people 45 and older and those with diabetes or rheumatoid arthritis may be predisposed to trigger finger. Trigger finger, also known as “digital stenosing tenosynovitis”, is a condition affecting the tendons and pulleys responsible for bending your fingers/ thumb.