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Mar 16, 2025

Common Myths About Trigger Finger – Debunked!

Trigger finger is a surprisingly common condition that affects millions of people worldwide, yet misconceptions about it persist. Whether you've experienced the frustrating locking and snapping of a finger or are just curious about hand health, it’s essential to separate fact from fiction. In this article, we’ll bust some of the most widespread myths about trigger finger and provide you with the knowledge you need to manage or prevent this condition effectively.

Myth #1: Only Older People Get Trigger Finger

The Truth: While trigger finger is more common in adults over 40, it can affect people of all age —even children!

Many assume that trigger finger is solely an age-related condition, but this isn’t true. While the risk increases with age due to factors like repetitive hand movements and underlying health conditions (such as arthritis or diabetes), younger individuals can also develop trigger finger. Infants may even be born with congenital trigger thumb, requiring medical attention early on [Wong et al, 2022; Jia et al, 2023].

If you frequently engage in activities that strain your hands, such as gaming, rock climbing, or playing musical instruments, you may be at risk regardless of your age [Tholl et al, 2022; Guggenheim et al, 2024; Betzl et al, 2020].

Myth #2: Trigger Finger Only Happens to People Who Use Their Hands Excessively

The Truth: Although repetitive motion can contribute to trigger finger, other factors play a significant role.

It’s true that frequent gripping and hand-intensive activities—such as typing, knitting, or working with tools—can increase the likelihood of developing trigger finger. However, many people who develop the condition do not have jobs or hobbies that overwork their hands [Gorsche et al, 1998; Moore, 2000; Shen et al, 2019].

Underlying health conditions like diabetes, rheumatoid arthritis, and thyroid disease can predispose individuals to trigger finger by causing inflammation and thickening of the tendon sheath. Genetic factors may also contribute, meaning some people may develop trigger finger even without excessive hand use [Guggenheim et al, 2024; Currie et al, 2022; Shen et al, 2019].

Myth #3: Trigger Finger Will Go Away on Its Own

The Truth: While mild cases may improve, moderate to severe cases typically require treatment.

Some people experience occasional stiffness or clicking in their fingers that resolves with rest or lifestyle changes. However, for many, trigger finger worsens over time, leading to more frequent locking, pain, and loss of mobility.

Ignoring persistent symptoms can lead to complications, including permanent stiffness and reduced finger function. While corticosteroid injections and splinting are effective first-line treatments for trigger finger, patients with recurrent or severe symptoms may benefit from early surgical release [Yanko et al, 2025; Currie et al, 2022; Hutchinson et al, 2021].

Myth #4: Surgery Is the Only Way to Treat Trigger Finger

The Truth: There are many non-surgical treatment options available.

Surgery is an effective option for severe cases of trigger finger, but it is far from the only treatment [Yanko et al, 2025; Ferrara et al, 2020; Atthakomol et al, 2023; Huisstede et al, 2018]. Many people experience relief through conservative approaches, including:

  • Rest & Activity Modification: Avoiding repetitive gripping and giving your hand time to heal can ease symptoms.
  • Splinting: Wearing a splint at night keeps the affected finger in a neutral position, reducing strain.
  • Physical Therapy & Stretching: Targeted exercises can improve flexibility and reduce inflammation.
  • Medications: Anti-inflammatory drugs (NSAIDs) can help manage pain and swelling.
  • Steroid Injections: Corticosteroid shots reduce inflammation and can provide long-term relief for many patients.
  • Shockwave therapy: Shockwave is a safe and effective treatment for trigger finger, and can provide significant pain relief and functional improvement.

If conservative methods don’t work, minimally invasive procedures such as percutaneous release may be an option before considering traditional surgery.

Myth #5: Trigger Finger Is Always Painful

The Truth: Some people experience no pain, just stiffness or clicking.

While pain is a common symptom, not everyone with trigger finger experiences discomfort. Some may notice clicking or snapping when bending their finger but feel little to no pain. Others might have swelling or difficulty straightening their finger without any significant discomfort [Yanko et al, 2025].

Even if your trigger finger isn’t painful, it’s still important to monitor symptoms and seek medical advice if they worsen or interfere with daily activities.

Myth #6: Trigger Finger Is Caused by Arthritis

The Truth: While arthritis can increase the risk, trigger finger is a separate condition.

People often assume that trigger finger is just another form of arthritis, but that’s not the case. Arthritis is a broad term that refers to joint inflammation and degeneration, whereas trigger finger is caused by a thickening or inflammation of the tendon sheath, restricting smooth movement.

There is a clear association between osteoarthritis and trigger finger, but this does not establish a direct causative relationship [Guggenheim et al, 2024; Su & Gau, 2024; An et al, 2024]. That said, individuals with arthritis—especially rheumatoid arthritis—are at a higher risk of developing trigger finger due to chronic inflammation affecting tendons and joints.

Myth #7: You Can Prevent Trigger Finger Completely

The Truth: While you can lower your risk, there’s no guaranteed way to prevent it.

Some preventive measures can reduce your chances of developing trigger finger, but they don’t provide complete immunity [Huisstede et al, 2018; Yanko et al, 2025]. These include:

  • Taking Breaks: Avoid prolonged gripping or repetitive hand movements.
  • Stretching & Strengthening Exercises: Keep your hands and fingers flexible and strong.
  • Using Proper Ergonomics: Whether typing or using tools, maintaining good hand positioning reduces strain.
  • Managing Underlying Conditions: Controlling diabetes, arthritis, and other health issues can lower your risk.

Despite these precautions, genetic predisposition and other factors beyond your control may still contribute to developing trigger finger. Trigger finger affects approximately 2% of the general population and up to 20% of adults with diabetes, indicating that underlying health conditions significantly contribute to its development [Currie et al, 2022]. This suggests that even with risk reduction strategies, individuals with predisposing conditions remain susceptible.

When to See a Doctor

If you notice persistent stiffness, clicking, or locking in your fingers, don’t ignore it. Seeking early intervention can prevent complications and help you maintain optimal hand function. A healthcare professional can assess your symptoms and recommend the best course of action, whether that’s physical therapy, medication, or a more advanced treatment.

Final Thoughts: Take Control of Your Hand Health

Trigger finger may be frustrating, but understanding the facts empowers you to take action. By debunking these common myths, you now have the knowledge to identify symptoms, explore treatment options, and take proactive steps to protect your hand function.

Learn more:

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info@BSBortho.com

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Wellesley MA 02481

References:

  1. An YS, Gil JW, Lee SK, Oh T, Seo SY. Is arthritis an associated risk factor for trigger finger occurrence after carpal tunnel release? A nationwide, population-based study in Korea. Int Orthop. 2024 Apr;48(4):1065-1070.
  2. Atthakomol P, Wangtrakunchai V, Chanthana P, Phinyo P, Manosroi W. Are There Differences in Pain Reduction and
    Functional Improvement Among Splint Alone, Steroid Alone, and Combination for the Treatment of Adults With Trigger Finger? Clin Orthop Relat Res. 2023 Nov 1;481(11):2281-2294.
  3. Betzl J, Kraneburg U, Megerle K. Overuse syndrome of the hand and wrist in musicians: a systematic review. J Hand Surg Eur Vol. 2020 Jul;45(6):636-642.
  4. Currie KB, Tadisina KK, Mackinnon SE. Common Hand Conditions: A Review. JAMA. 2022 Jun 28;327(24):2434-2445.
  5. Ferrara PE, Codazza S, Cerulli S, Maccauro G, Ferriero G, Ronconi G. Physical modalities for the conservative treatment of wrist and hand's tenosynovitis: A systematic review. Semin Arthritis Rheum. 2020 Dec;50(6):1280-1290.
  6. Gorsche R, Wiley JP, Renger R, Brant R, Gemer TY, Sasyniuk TM. Prevalence and incidence of stenosing flexor tenosynovitis (trigger finger) in a meat-packing plant. J Occup Environ Med. 1998 Jun;40(6):556-60.
  7. Guggenheim L, Kang Y, Furniss D, Wiberg A. Identifying non-genetic factors associated with trigger finger. J Plast Reconstr Aesthet Surg. 2024 Jul;94:91-97.
  8. Huisstede BM, Gladdines S, Randsdorp MS, Koes BW. Effectiveness of Conservative, Surgical, and Postsurgical Interventions for Trigger Finger, Dupuytren Disease, and De Quervain Disease: A Systematic Review. Arch Phys Med Rehabil. 2018 Aug;99(8):1635-1649.e21.
  9. Hutchinson DT, Rane AA, Montanez A. The Natural History of Pediatric Trigger Thumb in the United States. J Hand Surg Am. 2021 May;46(5):424.e1-424.e7.
  10. Jia L, King JD, Goubeaux C, Belardo ZE, Little KJ, Samora JB, Marks J, Shah AS. Presentation and Management of the Pediatric Trigger Finger: A Multicenter Retrospective Cohort Study. J Hand Surg Am. 2023 Jul;48(7):665-672.
  11. Moore JS. Flexor tendon entrapment of the digits (trigger finger and trigger thumb). J Occup Environ Med. 2000 May;42(5):526-45.
  12. Shen PC, Chang PC, Jou IM, Chen CH, Lee FH, Hsieh JL. Hand tendinopathy risk factors in Taiwan: A population-based cohort study. Medicine (Baltimore). 2019 Jan;98(1):e13795.
  13. Su YJ, Gau SY. Risk of Upper Limb Diseases in Osteoarthritis Patients: A Propensity-score-matched Cohort Study. In Vivo. 2024 Sep-Oct;38(5):2464-2470.
  14. Tholl C, Bickmann P, Wechsler K, Froböse I, Grieben C. Musculoskeletal disorders in video gamers - a systematic review. BMC Musculoskelet Disord. 2022 Jul 16;23(1):678.
  15. Wong AL, Wong MJ, Parker R, Wheelock ME. Presentation and aetiology of paediatric trigger finger: a systematic review. J Hand Surg Eur Vol. 2022 Feb;47(2):192-196.
  16. Yanko E, Thomson C, Bourassa R, Gasmo C, Le T, Crockett K. A collaborative interdisciplinary approach for trigger finger management. J Hand Ther. 2025 Jan 15:S0894-1130(24)00169-8.

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