Quick help for fast fingers

Fast fingers are good. Whether on the job, typing, knitting or playing the piano. Fast Fingers, on the other hand, becomes an obstacle in all activities that require a purposeful and harmonious flow of movement. We will give you some initial tips to help with speeding fingers.

If you feel that one or more fingers need an extra prompt to stretch or bend, and then move into the desired position with a sudden and sometimes painful snapping motion, then you should take a look at the following causes and treatment options:

Symptoms and first signs

As with most pathological changes in the body, an announcement of a fasting finger or also Snap finger, or also Trigger finger called, with mild to moderate pain. These not only localize to the outer limbs of your gripping organ, but extend into the palm of your hand. A pulling sensation on the outer or inner side of a finger can also be interpreted as an initial sign and should be discussed with the doctor at an early stage. Subsequently, the finger is difficult to move, and the movement is anything but fluent.

In the course of an untreated disease, the finger eventually cannot be bent or extended at all by itself and hurts severely even when the movement is actively induced from the outside.

The reason for the malfunction is a mechanical obstacle in the interaction of the finger motor system.

Cause: Stress

Especially in people who often put their fingers through a lot, such as craftsmen or passionate pianists, excessive strain on the flexor tendons lead to minute injuries of the same.

These tendons, which can be thought of as the ropes of a drawbridge, are connected by so-called annular ligaments held to the bone. Many small injuries lead to a slight inflammation, which may be accompanied by swelling. If this does not subside quickly enough, a nodule forms on the tendon. And this ultimately means that it no longer fits properly through the annular ligament. The friction created by further forced movements aggravates the inflammation until the damaged part of the tendon can only pass through the annular ligament with great force.

Cause: predisposition

It doesn’t always have to be occupation or hobby that is to blame for a fast finger. Often the flexor tendons or even the annular ligaments are thickened from birth, which is due to a genetic disposition.

Even with this in mind, the scenario remains the same: the excessive friction causes inflammation, which in turn leads to the formation of nodules and thus immensely impeded mobility.


The diagnosis Tendovaginosis stenosans is clear on the basis of the characteristic mobility deficits in the advanced stage. To be on the safe side, your trusted physician will palpate the corresponding area of the finger during movement; the nodule can often be felt ready through the skin. The disturbing nodule on the tendon follows the movement of the finger simultaneously.

If you come to Dr. Bernard’s practice on an initial suspicion – that is, before the finger finally “jumps” – the diagnosis can be supplemented by X-ray and ultrasound examinations.

Help with jumping fingers

If the condition is just in its early stages, it may be possible to treat it conservatively. Rest, special massage techniques and pain-relieving creams should support the self-healing of the thickened tendon-ring ligament complex.

In the case of a single Flexor tendonitis, which is not due to permanent overuse or genetics but is the result of an injury, for example, a targeted cortisone injection can help to reduce the inflammation and thus allow the tendon to glide easily through the annular ligament.

If you have a predisposition, however, or if you have repeated symptoms, Dr. Bernard advises a simple surgery. Under local anesthesia, a small incision is made in the palm of the hand to split the annular ligament that impedes movement. The function of this ligament is then resumed without damage by the other ligaments along the phalanges. Immediately after the anesthesia wears off, the finger can be bent and stretched again free of snapping movements.

After two weeks, the stitches are removed. To allow the surgical procedure and the preceding inflammation of the flexor tendon to subside, the finger in question should be rested for about a week afterwards.

Then a painless procession or a successful performance of Bach’s Prelude in C minor nothing more stands in the way!