Tigger Finger

Trigger finger, also known as stenosing tenosynovitis, is a condition characterized by the inflammation and narrowing of the sheath surrounding the tendons in the fingers or thumb. This narrowing restricts the smooth movement of the tendons, causing them to catch or "trigger" during finger flexion or extension. Here are some details about the anatomy of trigger finger and how bodywork can help correct the issue:

Anatomy:

  1. Tendons and Sheaths: Tendons are fibrous connective tissues that attach muscles to bones. In the fingers and thumb, these tendons pass through a series of pulleys and a protective sheath called the flexor tendon sheath.

  2. Flexor Tendon Sheath: The flexor tendon sheath surrounds and protects the tendons as they glide smoothly during finger movement. It consists of a series of annular pulleys and the surrounding synovial tissue.

  3. Annular Pulleys: The annular pulleys are ring-like structures that hold the tendons close to the bone, maintaining their proper alignment and preventing bowstringing during finger movement.

Causes and Risk Factors:

  1. Repetitive Hand Movements: Frequent and repetitive finger movements, such as gripping, grasping, or typing, can strain the tendons and lead to inflammation of the flexor tendon sheath.

  2. Rheumatoid Arthritis: Individuals with rheumatoid arthritis are more prone to developing trigger finger due to inflammation and swelling of the joints and tendons.

  3. Diabetes: People with diabetes have an increased risk of developing trigger finger, although the exact mechanisms are not fully understood.

  4. Age and Gender: Trigger finger is more common in individuals over 40 years old, and women are affected more frequently than men.


Bodywork Approaches to Correct the Issue:

  1. Massage Therapy: Techniques like myofascial release, friction massage, and cross-fiber friction can help reduce adhesions and scar tissue in the affected area, promoting improved tendon gliding and reducing inflammation.

  2. Range of Motion Exercises: Gentle stretching and range of motion exercises prescribed by a qualified bodyworker can help maintain joint mobility, enhance finger flexibility, and prevent further adhesions.

  3. Trigger Point Therapy: Trigger point release techniques can help alleviate muscle tension and tightness in the hand, wrist, and forearm muscles, which may contribute to trigger finger symptoms.

  4. Joint Mobilization: Gentle joint mobilization techniques performed by a skilled bodyworker can help improve joint function, reduce stiffness, and promote better tendon gliding.

  5. Ergonomic Recommendations: Providing guidance on proper ergonomics and hand positioning during daily activities can help minimize strain on the fingers and reduce the risk of trigger finger recurrence.

  6. Self-Care Strategies: Educating individuals on self-care techniques such as heat or cold therapy, splinting, and gentle stretching exercises can empower them to manage their symptoms and promote healing.

It is important to consult with a healthcare professional or a qualified bodyworker to accurately diagnose trigger finger and determine the most appropriate bodywork techniques for your specific condition. Treatment may also involve medical interventions such as corticosteroid injections or, in severe cases, surgical release of the tendon sheath. The bodywork approach can be used as a complementary therapy to support the healing process and restore optimal function in the affected fingers.

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