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Related Experiment Video

Updated: May 5, 2026

Three-Dimensional Finger Motion Tracking during Needling: A Solution for the Kinematic Analysis of Acupuncture Manipulation
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A collaborative interdisciplinary approach for trigger finger management.

Emma Yanko1, Chris Thomson2, Richard Bourassa3

  • 1College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.

Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists
|January 16, 2025
PubMed
Summary
This summary is machine-generated.

Conservative management, including physical therapy and corticosteroid injections, effectively treated most trigger finger cases, reducing the need for surgery. This approach offers self-management strategies to potentially lower recurrence rates.

Keywords:
Conservative treatmentInterdisciplinaryPhysical therapy modalitiesTrigger finger disorder

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Area of Science:

  • Orthopedics
  • Hand Surgery
  • Physical Therapy

Background:

  • Stenosing tenosynovitis, commonly known as trigger finger, is a frequent cause of hand disability.
  • This study introduces a management protocol prioritizing conservative treatments over immediate surgical consultation for trigger finger.

Purpose of the Study:

  • To evaluate the effectiveness of a conservative management protocol for trigger finger.
  • To identify patient characteristics associated with the need for surgical intervention or corticosteroid injections.

Main Methods:

  • A retrospective chart review of 72 patients with trigger finger referred for surgery but initially managed conservatively.
  • Patients received physical therapy assessment and treatment, with subsequent management determined by the protocol.
  • Analysis included descriptive statistics and comparisons of patient characteristics and treatment outcomes.

Main Results:

  • Of 60 patients completing the protocol, 22% resolved with physical therapy alone.
  • 48.5% resolved with 1-2 corticosteroid injections after physical therapy.
  • 12.5% were referred for surgical consultation, with no significant differences in characteristics across groups.

Conclusions:

  • The interdisciplinary protocol successfully managed the majority of trigger finger cases conservatively.
  • This approach ensures timely access to evidence-based care, including injections and surgery when needed.
  • Physical therapy empowers patients with self-management skills, potentially reducing long-term recurrence.