Do I have trigger finger or just stiff joints if I experience stiff fingers every morning?

Doctor's Answer

Photo of Dr Jonathan Lee
Dr Jonathan Lee

Aesthetic, Hand Surgeon

Given your short account of the problem, it would appear that your stiffness is caused by a tendon inflammation (tenosynovitis) - swelling and irritation of the flexor tendons that bend the fingers. At one end of the spectrum (in the acute or active phases) there is pain, swelling and stiffness of the fingers, while on the other end of the spectrum 'Triggering', locking or clicking occurs as the inflamed tendons have difficult passing through tunnel sheaths (called pulleys) that keep them in place. The pain is most tender in the palm around the first knuckle. In severe cases, you may have difficulty fully straightening the finger due to pain and tightness.

Trigger Finger is increasingly common with age, and with specific occupations and activities requiring repetitive hand use and prolonged gripping. People who have diabetes or rheumatoid arthritis are also at higher risk of developing trigger finger.

In your case, it is very likely due to overuse or over-exertion, and a review of your activities might reveal the cause of your tendon inflammation and finger stiffness. Heavy gripping activity is a likely cause, as your little and ring fingers are affected. A common clue that tendon inflammation is due to your occupation for example, is when the stiffness and swelling gets progressively worse from monday to friday, and then subsides over the weekend.

But as you pointed out, differentiating between small joint stiffness of the fingers and tendon inflammation can sometimes be difficult. In addition, there are many causes of inflammation or 'arthritis' of the small joints of the fingers, and these need to be considered and excluded; a visit to the doctor for a thorough examination and consultation is advised.

Best Regards,

Dr Jonathan Lee

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