Stenosing Flexor Tenosynovitis

Ms S was presented to the clinic with right ring finger pain especially during gripping activity. She reported feeling locked after her fingers were bent and had difficulty straightening them. A “popping” or “clicking” sensation would sometimes be heard if they are passively pulled out straight. Education, hand rehabilitation exercises and ultrasound were used to improve her situation. The patient is encouraged to modify her activity by reducing the frequency of carrying/gripping heavy objects to avoid overusing the tendon that bends the finger. Ultrasound was used to reduce her pain and swelling. Rehabilitation exercises such as passive finger stretching and tendon gliding were also introduced. The patient is showing gradual improvement and is able to move her finger more freely now.