The patient is a 46-year-old male who developed resistance to flexion One morning at 4am the patient woke with severe pain and a locked finger in flexion of the metacarpophalangeal joint. There was pain in the ball of the finger as well as in the dorsal aspect of the distal interphalangeal joint. The patient rushed to the bathroom and placed his finger in hot water. He tried to manipulate the finger to straighten it. The hot water therapy and manipulation worked well and the patient was successful in unlocking his finger. Another episode occurred again within one month leading the patient to visit a local hand surgeon. After examination and x-rays of the hand, the surgeon assured the patient that it was a case of trigger finger. The case was in the early stages and could be managed without surgery. The surgeon made a metallic splint for the ring finger and advised the patient to wear it as much as possible during the day and always during sleep for at least six months. The patient complied with the instructions and within a few weeks the pain subsided. No pain medication was prescribed. Six months later the patient continues to wear the metallic splinter every night at bed time. The pain is almost absent and movement of the finger is more comfortable. movement of the right ring finger for two months. Day by day the movement became more difficult.
Raja DS. Trigger Finger. The Internet Journal of Allied Health Sciences and Practice. 2008 Jul 01;6(3), Article 5.