This protocol applies to patients with trigger finger whose finger triggering and clicking has persisted despite an initial trial of conservative management, and who require a structured next-line approach.
The first-line approach of activity modification — avoiding the activities that provoke triggering of the affected finger or thumb — did not achieve resolution of finger triggering and clicking. Failure to reach those goals is the clinical basis for escalating to the next treatment step.
After activity modification proves insufficient, an injection-based intervention directed at the base of the affected finger or thumb represents the next clinical step. If the first injection does not provide adequate relief, a further injection may be considered. The complete decision pathway and all associated clinical detail are available via the full protocol below.
The clinical objective is relief of finger pain and triggering. Improvement may take several weeks to become fully apparent.