What's Happening

The tendon that bends your finger glides through a series of snug pulleys in your palm. With trigger finger, that tendon (or the pulley around it) becomes irritated and thickened, so it no longer glides smoothly — catching, snapping, or locking as the finger bends and straightens.

What Increases Your Risk

  • Repetitive gripping — gardening, hand tools, instruments, racquet sports

  • Most common between ages 40–60

  • Diabetes, rheumatoid arthritis, thyroid disease, or gout

How Symptoms Progress

Trigger finger typically moves through stages:

  • Early — a snapping or popping feeling, soreness at the base of the finger, worse in the morning

  • Progressing — increasing stiffness, swelling, and catching with bending

  • Advanced — the finger locks bent and needs help from your other hand to straighten

How We Treat It

  1. Calm the irritation — activity modification and nighttime splinting to rest the tendon.

  2. Restore smooth gliding — targeted tendon-gliding exercises and stretches.

  3. Address contributing factors — grip technique and tool or equipment adjustments.

  4. Progress activity — a gradual return to gripping tasks as motion normalizes.

Bottom line: Most trigger fingers improve with splinting and gliding exercises, especially when caught early. Injections or a simple release procedure are effective options if conservative care doesn't fully resolve it.