Whenever I watch movies like John Wick or Robocop, it always makes me wonder there's so many shooting scenes with guns.

Don't their index fingers hurt after a while of pulling the trigger?

As you can imagine, these are the kinds of thoughts. hurt after a while of pulling the trigger?

As you can imagine, these are the kinds of thoughts I have while watching movies.

And I recently watched John Wick4, which was just one endless non-stop shooting action film.

And sure, what else did I expect from the franchise, but I also began to wonder, what

is Trigger Finger like?

And so I decided that this week we're going to be discussing Trigger Finger, which is also known as Stinosing flexor tenosinovitis.

See we discussed what happens to your thumbs from too much texting, scoping, and or from being

on your phone.

But now we're going to be discussing Trigger Finger,

which can happen for a lot of other reasons

and you don't need to be John Wick.

I'm Dr. Niket Son Paul,

your friendly neighborhood internist and gas

restaurantrologist, so let's jump right in to this week's topic. So what exactly is trigger finger? Well the names de noxing flexor tenosinovitis basically implies that it's a mechanical problem.

And essentially what's happening is there's a size mismatch.

The size mismatch is between the flexor tendons and the surrounding pulley system known as the

retinacular pulley system at the first finger.

And this overlies the metacarpalphalangeal joint.

And so basically, it's like having a bad lever system. What's happening is that

flexor tendon actually ends up catching in a mechanical groove as it tries to glide through the

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