Effectiveness of Conservative Interventions in the Treatment of Trigger Finger
1 other identifier
interventional
54
1 country
1
Brief Summary
There is no study in the literature comparing the effectiveness of ESWT and splint therapy, which are the most commonly used approaches in the treatment of Trigger Finger (TF). The aim in this study is to investigate the effectiveness of ESWT and splint therapy used in the treatment of TF.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Oct 2023
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 2, 2023
CompletedFirst Submitted
Initial submission to the registry
February 14, 2024
CompletedFirst Posted
Study publicly available on registry
March 6, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2026
CompletedSeptember 9, 2025
September 1, 2025
2.3 years
February 14, 2024
September 2, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Visual analog scale
The severity of pain felt by individuals at rest and during challenging activities will be evaluated using the Visual Analog Scale (VAS). The VAS consists of a 10cm line, with two end points representing 0 ('no pain') and 10 ('pain as bad as it could possibly be').
pre-treatment and post-treatment at 8 week
Secondary Outcomes (5)
Grip and pinch strength
pre-treatment and post-treatment at 8 weeks
Number of trigger
pre-treatment and post-treatment at 8 weeks
Functional assessment
pre-treatment and post-treatment at 8 weeks
Treatment satisfaction
pre-treatment and post-treatment at 8 weeks
Functional assessment
pre-treatment and post-treatment at 8 weeks
Study Arms (3)
Extracorporeal Shock Wave Therapy
EXPERIMENTALExtracorporeal Shock Wave Therapy (ESWT for short) application will be performed on A1 pulley at 15 Hz, 1000 shock wave impulses, and 2.0 bar level, for a total of 5 sessions, one week apart.
Trigger Finger Splint
EXPERIMENTALA trigger finger splint that immobilizes the MCF joint will be recommended for the splint treatment group. The patient will be asked to use this splint throughout the day for 8 weeks.
Extracorporeal Shock Wave Therapy+Trigger Finger Splint
EXPERIMENTALSplint treatment will be applied together with ESWT. ESWT application will be performed on A1 pulley at 15 Hz, 1000 shock wave impulses, and 2.0 bar level, in a total of 5 sessions, one week apart. A trigger finger splint that immobilizes the MCF joint will be recommended for the splint treatment group. The patient will be asked to use this splint throughout the day for 8 weeks.
Interventions
Extracorporeal Shock Wave Therapy (ESWT for short) application will be performed on A1 pulley at 15 Hz, 1000 shock wave impulses, and 2.0 bar level, for a total of 5 sessions, one week apart.
A trigger finger splint that immobilizes the MCF joint will be recommended for the splint treatment group. The patient will be asked to use this splint throughout the day for 8 weeks.
Extracorporeal Shock Wave Therapy (ESWT for short) application will be performed on A1 pulley at 15 Hz, 1000 shock wave impulses, and 2.0 bar level, for a total of 5 sessions, one week apart. Also, A trigger finger splint that immobilizes the MCF joint will be recommended.
Eligibility Criteria
You may qualify if:
- Volunteering
- Being between the ages of 18-65
- Being diagnosed with stage 1 or stage 2 (according to the Froimson classification) trigger finger
- Having the language and cognitive skills to answer the questionnaires used in the evaluation
You may not qualify if:
- Being pregnant
- Having an inflammatory disorder
- Having had surgery on the hand/wrist
- Having a neurological disease
- NSAIDs, painkillers, etc. being on medication
- De Quervain's tenosynovitis, carpal tunnel syndrome
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Feray Karademir
Ankara, Ankara, 06100, Turkey (Türkiye)
Related Publications (7)
Bonnici AV, Spencer JD. A survey of 'trigger finger' in adults. J Hand Surg Br. 1988 May;13(2):202-3. doi: 10.1016/0266-7681_88_90139-8.
PMID: 3385301BACKGROUNDSampson SP, Badalamente MA, Hurst LC, Seidman J. Pathobiology of the human A1 pulley in trigger finger. J Hand Surg Am. 1991 Jul;16(4):714-21. doi: 10.1016/0363-5023(91)90200-u.
PMID: 1880372BACKGROUNDMakkouk AH, Oetgen ME, Swigart CR, Dodds SD. Trigger finger: etiology, evaluation, and treatment. Curr Rev Musculoskelet Med. 2008 Jun;1(2):92-6. doi: 10.1007/s12178-007-9012-1.
PMID: 19468879BACKGROUNDFlatt AE. Notta's nodules and trigger digits. Proc (Bayl Univ Med Cent). 2007 Apr;20(2):143-5. doi: 10.1080/08998280.2007.11928272. No abstract available.
PMID: 17431449BACKGROUNDFroimson A. Tenosynovitis and tennis elbow. Operative hand surgery. 1993:1989-2006.
BACKGROUNDAlsancak S, Güner S, Bilgin S. Efficacy of splinting variations in two different treatment protocols in trigger thumb. JPO: Journal of Prosthetics and Orthotics. 2015;27(1):17-22.
BACKGROUNDYildirim P, Gultekin A, Yildirim A, Karahan AY, Tok F. Extracorporeal shock wave therapy versus corticosteroid injection in the treatment of trigger finger: a randomized controlled study. J Hand Surg Eur Vol. 2016 Nov;41(9):977-983. doi: 10.1177/1753193415622733. Epub 2016 Sep 28.
PMID: 26763271BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Kadir ÇEVİK
Etlik Şehir Hastanesi
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
February 14, 2024
First Posted
March 6, 2024
Study Start
October 2, 2023
Primary Completion
January 1, 2026
Study Completion
February 1, 2026
Last Updated
September 9, 2025
Record last verified: 2025-09
Data Sharing
- IPD Sharing
- Will not share