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    3. Orthopaedics
    4. Trigger Finger

    Trigger Finger

    At Mayo Clinic Healthcare in London, our orthopaedic specialists provide expert assessment and trigger finger treatment without surgery, helping many patients relieve pain and restore hand function without the need for an operation. Using a comprehensive clinical assessment and advanced diagnostic imaging where appropriate, our specialists identify the cause and severity of your symptoms before creating a personalised treatment plan tailored to your needs.

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    • Trigger finger develops when the flexor tendon, which helps bend the finger, becomes irritated or swollen. This can make it difficult for the tendon to pass smoothly through the pulley system in the finger.

      Initially, symptoms may be mild and intermittent, but without appropriate treatment they can become more frequent and eventually cause the finger to lock in a bent position.

      Although any finger can be affected, trigger finger most commonly involves the thumb, ring finger or middle finger and may affect one or several fingers. 

    • Symptoms usually develop gradually and may vary in severity. Common signs include:

      • Pain or tenderness at the base of the affected finger or thumb
      • A clicking, snapping or popping sensation when moving the finger
      • Stiffness, particularly first thing in the morning
      • A feeling that the finger catches during movement
      • Difficulty straightening the finger after bending it
      • Locking of the finger in a bent position, sometimes requiring assistance to straighten it
      • A small, tender lump or thickening in the palm near the base of the finger

      As the condition progresses, symptoms may become more persistent and interfere with work, hobbies and daily tasks.

    • The exact cause is not always clear, but trigger finger develops when repeated irritation causes thickening or inflammation around the tendon and pulley.

      Factors that may increase your risk include:

      • Repetitive gripping or forceful hand movements
      • Occupations or hobbies involving prolonged manual work
      • Increasing age, particularly between 40 and 60 years
      • Diabetes
      • Rheumatoid arthritis and other inflammatory conditions
      • Previous hand injuries or surgery

      Women are affected more frequently than men, and people with diabetes may experience more severe symptoms or involvement of multiple fingers.

    • Trigger finger can usually be diagnosed during a specialist consultation.

      Your consultant will discuss your symptoms, medical history and any activities that may be contributing to the problem. A thorough examination of your hand allows your specialist to assess movement, identify tenderness and determine whether the finger is catching or locking. 

      Imaging is not routinely required but may occasionally be recommended if another hand condition is suspected or to exclude alternative causes of your symptoms.

      At Mayo Clinic Healthcare, diagnosis is supported by a multidisciplinary approach whenever appropriate, ensuring that any underlying conditions contributing to your symptoms are also identified and managed.

    • Many patients respond well to trigger finger treatment without surgery, particularly when treatment begins before permanent stiffness develops.

      Your treatment plan will be tailored to your symptoms, lifestyle and overall health.

      Activity Modification

      Reducing activities that involve repetitive gripping or prolonged forceful hand movements may allow the inflamed tendon to recover. Your specialist will advise practical strategies to minimise strain while maintaining normal hand function wherever possible.

      Splinting

      A finger splint may be recommended to rest the affected tendon, particularly at night. Wearing a splint for several weeks can reduce irritation and improve movement in selected patients.

      Anti-inflammatory Medication

      Non-steroidal anti-inflammatory medicines (NSAIDs) may help relieve pain associated with trigger finger, although they do not address the underlying narrowing of the tendon sheath. Your consultant will advise whether these medications are suitable for you.

      Hand Therapy

      Specialist hand therapy may be recommended to improve flexibility, maintain range of movement and reduce stiffness. Gentle stretching exercises and education on activity modification can support recovery and help prevent symptoms from worsening.

      Corticosteroid Injection

      A corticosteroid injection into the tendon sheath is one of the most effective non-surgical treatments for trigger finger. The injection reduces inflammation around the tendon, allowing smoother movement and relieving pain.

      Many patients experience significant improvement following a single injection, although some may require a second injection or eventually benefit from surgery if symptoms return or persist. Corticosteroid injections may be less effective in people with longstanding symptoms or diabetes.

    • Choosing the right specialist is an important part of achieving the best possible outcome.

      At Mayo Clinic Healthcare, patients benefit from:

      • Consultants with extensive expertise in diagnosing and treating hand conditions
      • Personalised treatment plans based on your symptoms, lifestyle and treatment goals
      • Access to multidisciplinary expertise, including orthopaedic specialists, radiologists and hand therapists where appropriate
      • Evidence-based care informed by the latest clinical research and international best practice
      • Modern diagnostic facilities and coordinated care in the heart of central London
      • A patient-centred approach focused on helping you achieve the best possible functional recovery

      Whether your symptoms are mild or more advanced, our team is committed to providing expert care tailored to your individual needs.

    Private health insurance

    Mayo Clinic Healthcare works with all major private health insurance providers, including AXA PPP, Aviva, BUPA, Health Partners Group, Vitality Health and WPA. Self-pay arrangements are also available.

    Private assessment

    To request an appointment, fill out our online consultation form, or alternatively, call us on +44 (0) 207 871 2575. 

     

    Medically Reviewed by

    Mr Karthik Karuppaiah, Consultant Orthopaedic Surgeon

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    4. Trigger Finger