Treatment for trigger finger
Depending on the severity of your case, we may first recommend a non-surgical approach to see if your condition improves.
There are several conservative, non-surgical methods that may be recommended to treat your trigger finger, including:
- Anti-inflammatory medications
- Physical therapy
- Splinting or immobilization
- Steroid injections
If you do not find relief from non-surgical methods and your pain begins to affect your daily activities and quality of life, we may recommend surgery.
Whenever possible, our hand and wrist surgeons use minimally-invasive surgical techniques to treat trigger finger. Surgery for trigger finger is usually a same-day procedure, lasting approximately 20 minutes. It requires only local anesthesia or twilight sedation (a minor dose of general anesthesia that sedates the patient but doesn’t cause any loss of consciousness).
Because surgery is performed while the patient is awake with only local anesthesia, individuals experience a quicker recovery time, have a lower risk of side effects and complications and do not require an IV.
During the procedure, we perform a “surgical release” which gives the tendon more room to move by opening the pulley at the base of the finger. To access the pulley, we make a small incision in the palm of your hand and dissect the nerves that surround the tendon. Then we cut the pulley to free up the tendon.
During recovery, you may be asked to refrain from any forceful activity with your hand for a few weeks. You should be able to use the finger immediately following surgery, but it may take up to six months for all swelling and stiffness to go away.