Trigger Fingers Click From Fingers, Attention Women in Their 50s...What about prevention and treatment?

Jun 04, 2025

Trigger Fingers Click From Fingers, Attention Women in Their 50s...What about prevention and treatment?



As the time spent using computers and smartphones has increased significantly, more people complain of pain in their wrists or fingers. Repeated use of fingers can cause several diseases in the hands and wrists, of which trigger fingers are typical. Trigger fingers are diseases that cause pain in the process of bending and stretching fingers, causing great inconvenience in daily life. With the help of Professor Koo Ki-hyuk of orthopedic surgery at Gangdong Kyunghee University Hospital, we summarized the symptoms and treatments of trigger fingers.

◇ When bending and stretching fingers 'Click'?

There are about seven structures called pulleys surrounding the finger tendon so that the finger tendon does not deviate from its position when it moves. When the glide narrows or the tendon thickens, it becomes difficult for the tendon to pass under the glide. In this state, if you bend and stretch your fingers, the tendon hangs on the glide and passes through it at once, making a sound of 'tick'. It was named the trigger finger (resin) because it shows a phenomenon similar to when pulling the trigger.




◇Most common among middle-aged women in their 50s

The number of trigger finger patients continues to increase. According to data from the Health Insurance Review and Assessment Service, the number of patients who visited the hospital with trigger fingers (disease code M653, trigger fingers) has increased by more than 50% over the past decade.(177,931 in 2014 → 269,178 in 2023) In particular, it was the most common among women in their 50s, with 63,879 female patients in their 50s as of 2023.

Professor Koo Ki-hyuk of orthopedic surgery at Gangdong Kyunghee University Hospital explained, `Although the cause is not known exactly, not only trigger fingers but also common diseases on the hands and wrists such as wrist tunnel syndrome and d'Querbein disease are the most common among women in their 50s.'




◇ Be careful if you have a lot of repetitive, strong grips

The cause of the trigger finger is often difficult to identify. It is usually caused by repeated fist grabs or repeated use of hands in jobs and hobbies. It can also occur when you work long behind the wheel, exercise holding equipment like golf or tennis, or frequent housework that puts strength on your hands or fingers. In addition, in diabetic patients, the incidence rate rises to several times, so special attention is required.

Diagnosis is not difficult. Characteristically, it can be easily diagnosed if there is a feeling of spreading 'tak' after not stretching a finger, or if there is a feeling of getting caught 'tak' when bending and stretching a finger.




It can be diagnosed only by examination, but it is helpful to perform an X-ray and ultrasound examination to exclude other lesions. When the symptoms are severe, the click disappears and severe pain occurs every time you move your finger, and if you press the A1 glide area and the symptoms are worse in the morning, you can suspect the trigger finger even if there is no click.

◇ If you are uncomfortable, use steroid injections to treat it first

The treatment of the trigger finger depends on the symptoms. Mild trigger fingers reduce hand use and improve naturally over time, but if they do not improve or feel uncomfortable, steroid injection treatment is considered first.

Since it occurs in the 'A1 glide' at the beginning of the finger in the palm, it is injected into the palm, and most of the symptoms improve a week after the injection. If the improved symptoms recur, one more injection treatment can be performed, and finally only about 25% of patients need surgical treatment. About two steroid injections are safe, but if multiple steroid injections are repeated, tendon rupture, a severe complication, has been reported, so steroid injections more than two times should be careful.

◇1.5cm incision and surgery in 5-10 minutes 'End'

Surgical treatment is considered if it recurs even after two or more steroid injections, it is not effective in injection treatment, or if it has already progressed to flexion construction of the joint. Trigger finger surgery is possible by not being admitted to the hospital room, but by being admitted to the surgery center on the same day. It is an operation in which only about 1.5 cm is incised under local anesthesia, and it takes about 5 to 10 minutes. The surgical method is performed by incising the 'A1 bow' of the palm, which causes the trigger finger, to open the passage through which the tendon passes.

It is possible to use hands in light daily life immediately after surgery. At the same time, to prevent adhesion, a rehabilitation exercise in which fingers bend and stretch immediately after surgery is started. It is recommended to avoid repetitive use of hands and long-term grip movements.

A good exercise for trigger fingers is 'Hookfist'exercise. While keeping the middle-finger joint in a flat state, repeat the finger joint bending and stretching motion 10 to 20 times as soon as possible.

Trigger Fingers Click From Fingers, Attention Women in Their 50s...What about prevention and treatment?
'Hook fist' 운동법
Trigger Fingers Click From Fingers, Attention Women in Their 50s...What about prevention and treatment?
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This article was translated by Naver AI translator.