Treatment FAQ

what kind of treatment is release of a trigger finger

by Jennyfer Bechtelar Published 3 years ago Updated 2 years ago
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Trigger finger release is surgery to make it easier to bend and straighten your finger. Your doctor will make a cut (incision) in the tissue over the tendon that helps bend your finger. This will allow the tendon to move freely without pain. This surgery will probably be done while you are awake.

What can physical therapy do for trigger finger?

To do this: You can massage or rub in a gentle circular motion. Apply firm but gentle pressure. You can massage the joint and entire area that’s affected by trigger finger or focus on specific...

How long does trigger finger release surgery take to heal?

The surgery releases the sheath that is preventing the tendon in your finger from moving easily. Although it’s a simple procedure, trigger finger surgery recovery time is several weeks, with more time for finger exercises and a full recovery. Hand surgeons only perform trigger finger surgery after noninvasive treatments have not worked.

What is a natural treatment for trigger finger?

  • Cut a few slices of fresh ginger.
  • Rub them on the affected finger for a few minutes.
  • Allow the juice to be absorbed by your skin and you will get relief in no time.
  • Also, sip a cup of ginger tea throughout the day to treat the condition from within.

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What are some remedies for trigger finger?

  • Eat pineapple every day.
  • You can also make fresh pineapple juice and drink it daily.
  • Do this for a few weeks to get rid of trigger finger and give your immunity a boost at the same time.

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How long does it take for trigger finger release to heal?

It will probably take about 6 weeks for your finger to heal completely. After it heals, your finger may move easily without pain.

What kind of surgery is done for trigger finger?

The surgical procedure for trigger finger is called “tenolysis” or “trigger finger release.” The goal of the procedure is to release the A1 pulley that is blocking tendon movement so the flexor tendon can glide more easily through the tendon sheath.

Is trigger finger release surgery painful?

After trigger finger surgery, you might experience minor swelling and soreness for several days. You might also have difficulty moving the finger initially, but this will improve in a few weeks. You might experience slight numbness or tingling near the incision site — this sensation will improve over time as well.

How do you release trigger finger without surgery?

Resting your hands if possible, wearing a splint at night, stretching exercises and a steroid injection all can alleviate trigger finger without surgery. Severity of trigger finger can be as simple as an annoying pop or sensation of the joint being stuck when you extend the finger.

What happens during trigger finger release surgery?

Trigger finger release is surgery to make it easier to bend and straighten your finger. Your doctor will make a cut (incision) in the tissue over the tendon that helps bend your finger. This will allow the tendon to move freely without pain. This surgery will probably be done while you are awake.

What can go wrong with trigger finger surgery?

Open release is generally considered a simple low-risk procedure, although may result in complications such as persistence, recurrence, prolonged pain, infection, stiffness, flexion contracture, bowstringing, and digital nerve injury [7]. Incidence of such complications varies widely from 1 to 43 % [1–5, 8–11].

Do they put you to sleep for finger surgery?

In most hospitals, surgery on the hand and wrist is usually performed using regional anesthesia and intravenous sedation, or general anesthesia. Patients must undergo preoperative tests, fast starting the night before, and spend an hour or more in a recovery room.

How long after trigger finger surgery can I use my hand?

It will probably take about 6 weeks for your finger to heal completely. After it heals, your finger may move easily without pain. How soon you can return to work depends on your job. If you can do your job without using the hand, you may be able to go back 1 or 2 days after surgery.

Is physical therapy necessary after trigger finger surgery?

It is important to begin finger exercises after surgery to avoid finger stiffness. Exercises should be started the day of surgery and be done throughout the day, and are especially important during the first 4 weeks after surgery. Do the exercises 3-4 times a day, for 5-10 repetitions each, for 3-4 weeks after surgery.

Is trigger finger a form of arthritis?

While it can be preceded by a hand injury or strain, trigger finger is most commonly associated with arthritis.

What is the best anti inflammatory for trigger finger?

Topical NSAIDs such as ketoprofen and oral NSAIDs such as ibuprofen are commonly given to relieve the pain from trigger finger.

Why do you have to have a trigger finger surgery?

Surgery for trigger finger is done to increase the space for your flexor tendon to move. Your flexor tendon is a tendon in your fingers that is activated by your muscles to pull on the finger bones. That allows your finger to bend and flex. After surgery, the finger can bend and straighten without pain.

What is the procedure to release a tendon in the middle of the finger?

Percutaneous release. This procedure is most commonly done for the middle and ring fingers. You may have this procedure done in your doctor’s office. Your doctor numbs your palm, then inserts a sturdy needle into the skin around your affected tendon.

What are the complications of trigger finger surgery?

They move and test your finger during surgery. If complications occur, they may include: nerve damage. bowstringing, when too much of the sheath is cut.

How does an IV work?

An IV consists of a bag of liquid medicine that flows into a tube and through a needle into your arm. Your surgeon numbs the area by injecting a local anesthetic into your hand. Then they cut about a 1/2-inch incision in your palm, in line with the affected finger or thumb. Next, the surgeon cuts the tendon sheath.

What is the best medicine for tendonitis?

taking over-the-counter nonsteroidal anti-inflammatory medicines, including ibuprofen (Advil, Motrin IB) or naproxen (Aleve), to ease pain (though they won’t likely decrease swelling) one or two steroid (glucocorticoid) injections near or into the tendon sheath to reduce inflammation.

How long does it take for a finger to heal after a percutaneous release?

It may take up to three to six months for the last bit of swelling and stiffness to disappear. Recovery may be shorter if you had a percutaneous release. Recovery may be longer if you had surgery on more than one finger.

What is trigger finger?

painful fingers, thumbs, hands, or forearms. the inability to do daily tasks without them being awkward or painful, including work, hobbies, or activities you enjoy. feeling embarrassed or nervous about having trigger finger.

How to treat trigger finger?

When nonsurgical treatment doesn't work, surgery is offered. There are two types of surgeries for trigger finger release: 1 Open release surgery —A small incision is made to widen the tendon sheath. Open release is the preferred surgical treatment, as it is quick and virtually painless, and patients can use their hands right away. This procedure is done on an outpatient basis either in the hospital or the doctor’s office under local anesthesia. 2 Percutaneous trigger finger release surgery —A needle is used to open the tendon sheath to provide passage of the tendon. In some cases, this procedure can be done in the doctor’s office. Results are similar to open release, but there can be some scuffing of the tendon by the needle that the doctor uses, so this procedure is generally reserved for patients who cannot have open surgery.

How long does it take for a trigger finger to heal after a cortisone injection?

The vast majority of patients with trigger finger will get a least a few weeks or months relief after a cortisone injection.

What are the complications of trigger finger surgery?

Complications from trigger finger release surgery are minimal and include incomplete release of the sheath and injury to the tendons or nerves that sit next to it. While rare, both complications are more common after percutaneous surgery than open release surgery.

Why do women have trigger fingers?

Trigger finger is more common among women than men and symptoms include popping, catching, pain and limited movement in the finger. Trigger finger occurs when tendons of the finger or thumb become inflamed. As the flexor tendon becomes irritated, it can become thicker and develop a nodule, making it difficult to move the tendon through its ...

What is the best treatment for a swollen wrist?

These may include: Medication —Medication such as anti-inflammatory medication is often helpful in treating hand and wrist problems. Therapy —Hand therapy can help a wide range of hand and wrist conditions, although trigger finger is one condition that therapy is less effective treating. Splinting —Splinting allows the inflammation to resolve ...

What age does a finger get stuck?

It is most commonly found in people between the ages of 40 and 60 who participate in behaviors that involve repeated grasping of an object, ...

What to expect when you have a hand exam?

What to expect. During the consultation with your physician, your hand will be examined and may require additional studies, such as: X-ray —This usually will be the first test done to try to locate any abnormalities. Electromagnetic radiation is used to produce images of your hand and wrist to check for any breakages.

How to treat trigger finger?

The most common treatment of trigger finger is with an injection of steroids (cortisone) into the tendon sheath. The cortisone often decreases swelling sufficiently to restore normal mechanics. Usually, a single cortisone injection will resolve the problem at least temporarily. The chance of the cortisone providing a lasting solution is about 50%.

How long does it take for a trigger finger to heal?

Patients are advised to avoid pressure on the healing incision for a few weeks. Full recovery is expected.

Why does my trigger finger come back?

The most common problem is that the trigger finger can come back if the tendon sheath is not adequately released. Other possible problems include infection, stiffness, and damage to the nerves of the finger. The likelihood of these problems is small, and surgery has a very high success rate.​ 2 .

Why does my finger snap?

A trigger finger is a common condition that causes fingers to snap and get stuck in the palm. Often worse in the morning, patients complain that they awaken with their finger stuck in the palm of the hand. Straightening the finger can be painful and can cause a snapping sensation that is the source of the name "trigger finger.".

Can trigger finger be treated?

There is not necessarily the best option for treatment of a trigger finger. There has been some evidence that early treatment with a surgical release can speed overall recovery, as patients tend to have less stiffness and inflammation in the finger.

Can you splint your trigger finger?

2 . Since other treatments are successful for trigger finger, splinting is seldom used anymore.

Can straightening your finger cause a snapping sensation?

Straightening the finger can be painful and can cause a snapping sensation that is the source of the name "trigger finger.". Each of the fingers and thumbs can be affected by triggering, and all treatments discussed are useful for any digit. Trigger fingers occur more commonly in women (about 75%) and can occur in any of the fingers or the thumb.

How long does it take for a trigger finger to heal?

For open surgery, it usually takes four to six weeks to get back to unrestricted motion, while those who have had percutaneous trigger finger release will have a shorter recovery time, as there will be no wound in the palm to heal.

What is trigger finger?

Trigger finger is a common problem that can cause a locking sensation and pain in one or more fingers. This condition tends to be more frequent in the thumb, middle, and ring finger. This disorder is usually linked to repeatedly grasping or gripping a certain object (steering wheel while driving, a racket while playing tennis or badminton, ...

What is the difference between trigger finger surgery and a tenosynovectomy?

Instead, a tenosynovectomy is performed, which removes part of the tendon sheath.

How to exercise your finger after surgery?

You should do trigger finger exercises after surgery with a focus on improving the range of motion of the finger rather than speed. Try avoiding forceful, repetitive motions of the finger. You can engage in light daily activities, lifting, typing, writing, etc. in the first week following surgery so long as this is done in moderate doses. ...

How to treat a swollen thumb?

There are many conservative and at home treatments to help relieve your pain caused by trigger finger or thumb. Some of these remedies include resting, ice and hot therapy, exercises, stretches, anti-inflammatory medications, and immobilizing the finger with a trigger finger splint. Some try a steroid injection (most common treatment method) ...

Can you have a trigger finger without surgery?

Unfortunately, if none of these methods treats or reduces your pain, surgery is pursued. An estimated 85% of instances of trigger finger can be treated without surgery, though the odds of this go down if the condition goes untreated for six months or more.

Can you drive after thumb surgery?

Driving should not be a problem after trigger finger or thumb surgery and over the counter medications should be effective in reducing any pain. In addition, wear a trigger finger splint during the night time to help protect your finger and during the day to help prevent forceful, repetitive movement of the finger.

What is Trigger Finger?

Trigger finger, medically known as stenosing tenosynovitis, causes a finger or thumb to be stuck in a permanently bent position or catches when you bend and straighten your finger – keeping you from being able to do activities you want to do – everything from buttoning up a shirt to playing the guitar.

Causes of Trigger Finger

Trigger finger is most commonly seen in people who have jobs or hobbies that require repetitive hand use and prolonged gripping such as musicians, farmers or industrial workers. People with arthritis or diabetes are also more at risk of having trigger finger.

Trigger Finger Symptoms

Symptoms of trigger finger may follow a period of heavy hand use, particularly gripping or grasping activities.

Treatment for Trigger Finger

Your hand surgeon will recommend conservative treatment options to treat trigger finger symptoms. If conservative treatment options fail to resolve the condition and symptoms persist for 6 to 12 months, your hand surgeon may recommend surgery to release the tendon.

Trust the Hand Surgeons at Newport Orthopedic Institute

Our board-certified, fellowship-trained Orange County hand surgeons are skilled at treating Trigger Finger.

What is a trigger finger?

Share on Pinterest. Trigger finger is a condition characterized by the fingers getting stuck in a particular position, usually a bent or ‘crooked’ position. Trigger finger or stenosing tenosynovitis is when the finger gets stuck in a particular position at one or more of the joints. Trigger finger can make it difficult to move or use the finger;

What percentage of people with diabetes have a trigger finger?

People with diabetes also have a higher risk of developing trigger finger. The condition affects 10 to 20 percent of those with diabetes, but only 2 to 3 percent of the general population. The link between diabetes and trigger finger is unclear.

How long does it take for stitches to dissolve?

Dissolvable stitches will dissolve within 3 weeks. A person should ask their doctor about when they can resume everyday activities, such as driving or using a computer. Recovery time may be longer for someone who has had trigger finger surgery on more than one finger or thumb.

Why is my thumb stuck in crooked position?

Causes. Outlook. Trigger finger can leave the finger or thumb stuck in a crooked position. It causes pain and stiffness and makes it hard to move the affected digit. If other treatments are not successful or the condition is severe, surgery is usually successful in restoring full movement. The recovery time for trigger finger surgery is quick, ...

Why do my fingers and thumbs get swollen?

Trigger finger is linked to certain medical conditions. Rheumatoid arthritis causes swollen joints and joint tissue, and this inflammation can extend to the fingers and thumbs. If the tendons in the digits become inflamed, it may cause trigger finger.

What type of surgery is used to close a tendon?

Types of surgery. Open surgery: A surgeon makes a small incision in the palm of the hand and then cuts the tendon sheath to give the tendon more room to move. The surgeon will use stitches to close the wound. A person will typically be given a local anesthetic so should not feel any pain.

How long does percutaneous release surgery take?

Surgery will take around 20 minutes, and a person should not have to stay in the hospital overnight.

What is trigger finger?

Learn more. Trigger finger is when the finger gets stuck in a bent position and may straighten with a snap. This occurs when inflammation reduces the space in the sheath surrounding the tendon. Diagnosis is simple and requires only a physical examination from your doctor.

What are the risk factors for trigger finger?

Risk Factors. You are at an increased risk of developing trigger finger if you have work or hobbies that require repetitive gripping motions. Women and individuals who have diabetes or rheumatoid arthritis are also at an increased risk.

How to reduce inflammation in tendon sheath?

steroid injection into the tendon sheath to reduce inflammation and allow the tendon to glide freely. surgery- a small incision can be made at the base of the finger through which the surgeon can cut open the constricted section of tendon sheath.

Is it necessary to use your hand after a trigger finger release?

Therapy after trigger finger release is often not necessary, but it is important for you to begin using your hand normally once pain allows in order to prevent any range of motion loss.

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