The Role Of Splints In Trigger Finger Treatment: How They Can Help?

trigger finger treatment

Trigger finger, also known as stenosing tenosynovitis, is a condition that affects the tendons in the fingers, causing them to become swollen and inflamed. This results in difficulty extending or straightening the affected finger, often accompanied by a popping or locking sensation. One of the most effective methods for managing trigger finger is using splints. In this article, we will explore the role of splints in trigger finger treatment, how they work, and why they are often recommended by healthcare professionals.

What Is Trigger Finger?

Trigger finger treatment occurs when the tendon that controls the finger movement becomes irritated or inflamed. This causes a narrowing of the tendon sheath, which makes it difficult for the tendon to glide smoothly. As a result, the finger may get “stuck” in a bent position and then suddenly “snap” straight, much like a trigger being pulled. This condition is common in individuals who perform repetitive gripping or grasping movements, but it can also be caused by underlying health conditions like diabetes or rheumatoid arthritis.

Understanding Trigger Finger Treatment Options

Trigger finger treatment typically starts with non-invasive methods, such as rest, anti-inflammatory medications, physical therapy, and the use of splints. If these conservative treatments do not provide relief, more aggressive measures, such as corticosteroid injections or even surgery, may be necessary. However, splints are often the first line of treatment for mild to moderate cases of trigger finger.

How Splints Help In Trigger Finger Treatment?

Splints are designed to restrict the movement of the affected finger, providing support and allowing the tendon to rest and heal. Here are the key benefits of using splints in trigger finger treatment:

1. Immobilization of the Finger

The primary function of a splint is to immobilize the finger in a neutral or straightened position. By preventing excessive movement, splints reduce the strain on the inflamed tendon and allow the tissue to rest. This is particularly important in the early stages of treatment, as immobilization can help reduce swelling and prevent further irritation of the tendon.

2. Pain Relief and Reducing Swelling

One of the main symptoms of trigger finger is pain, particularly when trying to straighten the finger. The use of a splint helps alleviate this pain by limiting movement and reducing the pressure on the inflamed tendon. Over time, this can help reduce the swelling that is causing the finger to lock or catch, ultimately leading to greater comfort.

3. Improving Finger Function

While splints are designed to limit movement to aid healing, they also play a role in improving overall finger function. By supporting the finger in a neutral position, splints allow patients to perform everyday tasks with minimal discomfort. This can be especially beneficial for people who need to continue working or performing activities during the treatment process.

4. Prevention of Further Injury

When a finger is left untreated or is subjected to continued use, the condition can worsen, leading to more severe symptoms. Splints provide a preventive measure by ensuring that the affected finger does not move in ways that can exacerbate the condition. This helps prevent the development of more chronic or severe cases of trigger finger, which may require surgical intervention.

Types Of Splints For Trigger Finger Treatment

There are several types of splints used in trigger finger treatment, each designed to meet the specific needs of the patient. Some of the most common options include:

1. Static Splints

Static splints are the most common type of splints used for trigger finger treatment. These splints hold the affected finger in a fixed, neutral position, typically with the finger in a straightened position. Static splints are usually worn during the night to prevent finger movement while sleeping, but they can also be worn during the day in more severe cases. These splints are generally made of lightweight plastic or metal and are easily adjustable.

2. Dynamic Splints

Dynamic splints are designed to allow some controlled movement of the finger while still providing support. These splints typically feature a spring or elastic component that applies a gentle force to the tendon, encouraging gradual movement and preventing stiffness. Dynamic splints are often used in the rehabilitation phase after more significant inflammation has subsided.

3. Oval-8 Splints

Oval-8 splints are custom-made to fit the shape of the finger, offering support while allowing a degree of flexibility. These splints are particularly effective for mild to moderate cases of trigger finger. They can be worn during daily activities and are often recommended for people who want to continue using their fingers without further aggravating the condition.

4. Custom-Made Splints

For patients with more complex cases of trigger finger or unique anatomical needs, a custom-made splint may be required. These splints are designed by a healthcare professional based on a mold of the patient’s finger. Custom splints provide the best fit and support, helping to ensure that the finger remains immobilized while allowing for effective treatment.

When To Use Splints For Trigger Finger Treatment?

Splints are most effective when used during the early stages of trigger finger or in mild to moderate cases. If a person experiences persistent pain, discomfort, or locking in the finger, splints may help alleviate these symptoms and allow the tendon to heal. In more severe cases, splints can still be beneficial, but additional treatments such as corticosteroid injections or surgery may be needed.

Splints are typically worn for a period of weeks, depending on the severity of the condition and the response to treatment. A healthcare provider will guide how long to wear the splint and may recommend wearing it during specific times of day, such as at night or during periods of rest.

Complementary Treatments Alongside Splints

While splints are an essential part of trigger finger treatment, they are most effective when combined with other treatment modalities. Here are some additional therapies that can enhance the effectiveness of splints:

1. Anti-Inflammatory Medications

Non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, can help reduce pain and inflammation associated with trigger finger. These medications can be used alongside splints to provide comprehensive relief.

2. Physical Therapy

Physical therapy, including stretching and strengthening exercises, may be recommended once the acute inflammation has subsided. Therapy can help restore normal range of motion and strength to the finger.

3. Corticosteroid Injections

In cases where splints and conservative treatments do not provide sufficient relief, corticosteroid injections may be recommended to reduce inflammation and promote healing.

4. Surgery

If all other treatments fail, surgery may be necessary to release the constricted tendon sheath and allow the tendon to move freely again.

Conclusion

Splints play a crucial role in the treatment of trigger finger, offering support, pain relief, and a means of preventing further damage to the affected tendon. By immobilizing the finger and allowing the tendon to heal, splints can significantly reduce symptoms and help patients regain normal finger function. However, for optimal results, splints should be used in conjunction with other treatment options, such as anti-inflammatory medications, physical therapy, and, in some cases, injections or surgery. If you are experiencing symptoms of trigger finger, consult with a healthcare professional to determine the most appropriate treatment plan for your condition.

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