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This video serves as an educational resource for patients with Early Onset Trigger Thumb. Let's start with our home exercise program! Locate the painful nodule at the base of the affected thumb, apply a firm pressure to massage the nodule in a transverse left and right direction. Only mild pain should be felt. Do 3 to 4 times daily. 3 to 5 min each time. Alternatively, you can try doing the massage with the back of a pen! Locate the painful nodule at the base of the affected thumb. Use the back of a pen, apply a firm pressure to massage the nodule in a left and right direction. Only mild pain should be felt. Do 3 to 4 times daily. 3 to 5 min each time. Next, Passive thumb extension exercise. Keep your affected thumb relaxed, use the other hand to straighten the affected thumb and pull it backwards. Stop when a stretch is felt. Hold for 10 seconds at the point of mild stretching pain. Do 10 repetitions, 3 to 4 times daily. Next. Passive thumb flexion exercises. Keep your affected thumb relaxed, use the other hand to bend the affected thumb tip as shown. Hold for 10 seconds at the point of mild stretching pain. Ensure that there's no active triggering! Do 10 repetitions, 3 to 4 times daily. Next, keep your affected thumb relaxed, use the other hand to bend the affected thumb into the palm as shown. Hold for 10 seconds at the point of mild stretching pain. Ensure that there's no active triggering! Do 10 repetitions, 3 to 4 times daily. As your pain subsides to a mild intensity, you can gradually start the tendon gliding exercises. Using the other hand, support the affected thumb beneath the 1st joint as shown. Slowly bend and straighten the 1st joint. Do 10 repetitions, 3 to 4 times daily. Exercise within a pain free range. Ensure that there's no active triggering! Next, support the thumb beneath the base joint. Keep the 1st joint relaxed. Slowly bend and straighten the base joint. Do 10 repetitions, 3 to 4 times daily. Exercise within a pain free range. Ensure that there's no active triggering! With your palm facing upwards, 2 bars of the splint should block the affected thumb from bending. Ensure the 3rd bar is directly over the small joint of the affected thumb. Why do I need to do exercises for my injured thumb? As your thumb injury heals with time and rest, your Occupational Therapist will start you on some simple thumb ranging exercises. These exercises will allow you to slowly regain thumb motion, increasing the strength and joint flexibility, which are important for you to regain functional use of your affected hand. Why do I need to do exercises for my injured finger? As your finger injury heals with time and rest, your Occupational Therapist will start you on some simple finger ranging exercises. These exercises will allow you to slowly regain finger motion, increasing the strength and joint flexibility, which are important for you to regain functional use of your affected hand. Do this exercise 5 to 6 times a day, for 10 to 20 repetitions. Make a loose fist with your injured hand. Use your uninjured hand to stabilize your injured hand’s forearm. Make circles with your wrist. Do 10 to 20 repetitions in the clockwise direction first. Then, do another 10 to 20 repetitions in the anti-clockwise direction. You can do this exercise 5 to 6 times a day.