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Covid-19 Update


Face Coverings

From 15 June 2020, visitors and outpatients coming into our hospitals will be asked to wear a face covering at all times, to help us reduce the spread of Covid-19.
 
A face covering can be as simple as a scarf or bandana that ties behind the head. It should cover your mouth and nose while allowing you to breathe comfortably.

New measures to increase services
Our staff have been working hard to respond to the coronavirus pandemic and ensure the safety and quality of our services for all patients.
 
Just like the rest of the NHS, our number one priority for the last few months has been ensuring that all those who need urgent care - not just those with coronavirus - have been able to get it when they need it.  Combined with the need to avoid unnecessary contact to reduce the spread of the virus, this has meant that some non-urgent appointments may have been postponed, and others delivered differently using technology.
 
We are now preparing to gradually increase some important face-to-face services, but only where this can be done safely - the virus is still circulating and we don’t want to put our patients, the public or our staff at greater risk.  Thank you for your patience and understanding during these difficult times.

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YOUR PHYSIO

Condition directory

Trigger Finger

This condition affects the synovium of the tendons that bend your fingers. This usually occurs at the base of the fingers on the palm side of the hand. As the tendon glides through its sheath, it passes under a structure called a pulley. The role of the pulley is to keep the tendon close to the surface of the bone. If the tendon sheath has become thickened the tendon will not glide very well under the pulley.

There is usually pain at the base of the finger in the palm or over the front of the thumb as it joins the palm. The finger or thumb can click or catch as it moves and can become ‘stuck’ in a bent position. The joints further down the finger or thumb can become stiff if the symptoms go on for some time.

The most commonly affected digits are the ring finger and thumb.

Factors that may make this tenosynovitis more likely are outlined above. Unaccustomed loading of the tendon with tasks that involve repeated gripping or bending of the fingers is also a major cause.

tendons2

tendons3

The images above show some splints which may be used to help settle symptoms. Essentially wearing a splint which holds the digit straight can help to reduce pain levels. With any splint it is particularly important that you remove it regularly and do not become overly reliant upon it.

Using the treatment principles for tenosynovitis (detailed above) plus a splint which can hold the finger straight overnight may see symptoms settle after a period of weeks.

Exercises that encourage tendon gliding are shown below; only perform these within a comfortable range. Where possible perform the exercises with both hands at the same time.

Once your pain has settled you can progress your exercises and work on building up your grip strength.

Should symptoms fail to settle, a corticosteroid injection may be considered to help reduce any inflammation in the area. This would be discussed with you in more detail if required. Your physiotherapist could arrange this if necessary.

If you need additional advice and guidance please complete an MSK self-referral.