(Stenosing Tenosynovitis; Volar Flexor Tenosynovitis)
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- Age: 40 to 60
- History of repetitive hand motions
- Sex: female
History of certain diseases:
- Rheumatoid arthritis
- Finger or thumb stiffness
- Finger, thumb, or hand pain
- Swelling or a lump in the palm
- Catching or popping when straightening the finger or thumb
- Finger or thumb stuck in bent position
- Asking you to move the affected finger or thumb
- Feeling the hand and fingers
- Corticosteroids—given as an injection into the synovial tendon sheath to reduce swelling of the tendon sheath
Nonsteroidal anti-inflammatory drugs (NSAIDs) to help reduce inflammation and pain:
- Ibuprofen (eg, Advil, Motrin)
- Naproxen (eg, Aleve, Naprosyn)
- Adjust your workspace to minimize the strain on your joints.
- Alternate activities when possible.
- Take breaks throughout the day.
American Academy of Orthopaedic Surgeons http://www.orthoinfo.aaos.org/
American Society for Surgery of the Hand http://www.assh.org/
The Arthritis Society http://www.arthritis.ca/
HealthLink BC http://www.healthlinkbc.ca/
Salim N, Abdullah S, Sapuan J, Haflah NH. Outcome of corticosteroid injection versus physiotherapy in the treatment of mild trigger fingers. J Hand Surg Eur Vol. 2011 Aug 4.
Trigger finger. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed . Updated June 12, 2012. Accessed October 24, 2012.
Vance MC, Tucker JJ, Harness NG. The association of hemoglobin a1c with the prevalence of stenosing flexor tenosynovitis. J Hand Surg Am . 2012 Sep;37(9):1765-9.
- Reviewer: John C. Keel, MD
- Review Date: 03/2013 -
- Update Date: 00/31/2013 -