Warning

Trigger finger is a painful condition in which a finger or thumb clicks or locks as it is bent towards the palm.

Thickening of the mouth of a tendon tunnel leads to roughness of the tendon surface, and the tendon then catches in the tunnel mouth. People with insulin-dependent diabetes are especially prone to triggering, but most trigger digits occur in people without diabetes. Triggering occasionally appears to start after an injury such as a knock on the hand. There is little evidence that it is caused by work activities, but the pain can certainly be aggravated by hand use at work, at home, in the garden or at sport. Triggering is sometimes due to tendon nodules in people known to have rheumatoid arthritis. It is not caused by osteoarthritis.

Who to refer, who not to refer, how to refer

Who to Refer

  • Diagnostic difficulties
  • Symptoms Not settling within a few weeks

Urgent Referral Criteria

  • Locked finger with background of triggering

Who Not to Refer

  • Evidence of thickening of skin (Dupuytren’s)

Additional Info

  • Clinical examination

Imaging

  • Nil Required

 

How to refer

We accept referrals through SCI gateway for those who are based in Scotland.

We also accept e referrals through the below email address using the attached form for those who are based just on the other side of the border. 

E- Referral Email address - bor.orthoreferrals@borders.scot.nhs.uk

Referral form - E-Referral to Orthopaedics (Non Sci-Gateway)      

Primary care management

  • CSI x 2 attemps if Person trained and if possible ( Successful in upto 70% of cases)
  • Patient Education (see info leaflet in below section)

Resources and links

Editorial Information

Last reviewed: 31/07/2025

Next review date: 31/07/2027

Author(s): Mr Roshan Raghavan.

Author email(s): Roshan.Raghavan@nhs.scot.