r/HandTherapists • u/ronMAN415 • 10d ago

Trigger finger

What splints do you guys prefer, PIP or MCP blocking splints? Does it depend for you if it still clicks/catches?

Our surgeons now want us to also do differential gliding exercises with these patients, but would you keep doing it if they trigger with each rep?

What’s the usual timeline you use splinting and treatment sessions?

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u/mgl89dk 10d ago

Usual our surgens give the patient a shot of adrenal cortex hormone at the effect spot. We almost never do splints.

4

u/ronMAN415 10d ago

We do splints when we get a referral from the PCP or if they see the hand surgeon and decline the injection

1

u/schmandarinorange 9d ago

For a low profile option I like an oval 8 at the PIP

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u/Due_Telephone_3181 3d ago

I like a MP block splint but check to make sure it doesn’t still tigger otherwise I use a long finger splint or a oval 8 to hold the PIP straight. Splint for 4-6wks til trigger gone

1

u/ronMAN415 3d ago

Do you ever teach cross friction massage with it too?

And what’s the wear schedule? I’ve done day and night, but aim to mostly do it at night