Shockwave Therapy & Trigger Finger | ESWT for TENOSYNOVITIS RESEARCH

Dr Fields shows what trigger finger is and how Extracorporeal Shockwave Therapy (ESWT) is a good option to decrease pain and catching of the finger. He explains the anatomy of what is also called Stenosing Tenosynovitis, Locking Finger, Flexor Tendonitis or even Trigger Thumb. Research on the effectiveness of ESWT is discussed and why the Piezowave low energy focused shockwaves are preferred over radial shockwave.

ESWT is a non-invasive solution to alleviate pain and restore hand function. With trigger finger there is inflammation and narrowing of the sheath surrounding the tendons in the fingers or thumb. It is like a tunnel that the tendon goes through. This narrowing can cause the affected finger to become locked in a bent position, making it difficult to straighten. ESWT from the Piezowave delivers low-energy focused shockwaves to the affected area, promoting tissue regeneration, reducing inflammation, and improving the gliding function of the tendons, ultimately alleviating the symptoms of trigger finger.

We, also, give rehab exercises and encourage them to be done along with the care in the office.

ESWT addresses the underlying pathology of trigger finger by promoting tissue healing and remodeling. The shockwaves generated during treatment stimulate the production of collagen, a key component of tendon and sheath tissue, leading to improved structural integrity and function. By strengthening the affected structures and reducing inflammation, ESWT helps alleviate the constriction of the tendon sheath and restore normal finger movement. This results in improved range of motion and reduced pain, allowing individuals with trigger finger to regain functionality and resume their daily activities with greater ease.

ESWT offers a conservative treatment option for individuals with trigger finger who may not be candidates for surgery or prefer to avoid invasive procedures. By delivering targeted shockwaves to the site of inflammation, ESWT minimizes the risk of complications associated with surgical interventions while still achieving meaningful improvements in symptoms and function. This makes ESWT particularly suitable for individuals with mild to moderate trigger finger who are looking for a safe and effective alternative to surgery.

ESWT represents a valuable treatment option for individuals suffering from trigger finger. By promoting tissue healing, reducing inflammation, and improving tendon gliding function.

Dr Adam Fields is a practicing chiropractor in the Bay Area in Northern California and helps people daily in his office with many challenges that can be helped by shockwave therapy from tendinopathies, arthritis, cartilage regeneration, post surgical scar tissue, pelvic pain, altered biomechanics and more. He uses Endonasal Cranial Adjusting, the Muncie Technique, Extracorporeal Shockwave Therapy (ESWT), Class IV Laser Therapy, posture correction, lifestyle modification, muscle work, and other techniques to help his patients.

You can reach him for in-person (California) or telehealth appointments at https://fieldsfamilychiro.com/ and click "book online"

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RESEARCH
*Outcomes of the treatment of trigger digits by extracorporeal shock wave therapy (ESWT) https://pubmed.ncbi.nlm.nih.gov/32135...
ESWT is an effective therapy for trigger digits in II° i III° severity grade and may be an alternative for other, noninvasive measures such as physiotherapy or steroid injection.
*The Effect of Extracorporeal Shock Wave Therapy in the Treatment of Patients with Trigger Finger https://www.ncbi.nlm.nih.gov/pmc/arti...
Extracorporeal shock wave therapy leads to a reduction in pain severity, severity of triggering, and functional impact of triggering.
*Extracorporeal Shockwave Therapy in the Treatment of Trigger Finger: A Randomized Controlled Study https://pubmed.ncbi.nlm.nih.gov/34029...
Conclusions: ESWT is a safe and effective alternative facilitating pain relief and functional improvement in the treatment of grade II TF
*Extracorporeal shock wave therapy versus corticosteroid injection in the treatment of trigger finger: a randomized controlled study https://pubmed.ncbi.nlm.nih.gov/26763...

00:00
0:01 Trigger Finger: From Painful Pops to Full Recovery
0:19 Extracorporeal Shockwave Therapy is the solution for Trigger Finger
0:41 Understanding Trigger Finger: Causes and Symptoms
1:17 Rest, ice, splinting, and exercises - traditional treatment methods for Trigger Finger
1:31 Shockwave Therapy (ESWT): A Breakthrough in Trigger Finger Treatment
2:37 Research on Shockwave Therapy for Trigger Finger
4:01 Extracorporeal Shockwave Therapy versus Corticosteroid Injections for Trigger Finger Treatment
5:50 Shockwave Therapy as a non-invasive option promoting regeneration for Trigger Finger
6:16 Connection between Trigger Finger and Carpal Tunnel Syndrome