The role of physiotherapy in the treatment of chronic trigger fnger—a case report

Abstract

Background Trigger fnger (TF) is a common condition more prevalent in women in their 5th decade of life. This causes pain and stifness which limits daily activities. Corticosteroid injections are the frst line of conservative management failing which surgery is done. Physiotherapy has shown a vital role in the treatment of trigger fnger. Patient and observation We reported a case of chronic trigger fnger in a 75-year-old female with pain and stifness. A 2 week of combined conventional and advanced physiotherapy approach was used. Pre- and post-test scores of pain and activity limitation were taken. Result Pain scores reduced from 6 to 0 measured by the Nottingham Pain Rating Scale (NPRS) scale and activity limitation measured by the patient-rated wrist evaluation (PRWE) scale reduced from 67.5 to 10.5%. Conclusion Two advanced techniques A1 pulley and dry needling along with conventional physiotherapy are better than any technique alone in managing a chronic case of trigger fnger.