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About the procedure Trigger Finger Release

Our Philosophy on Trigger Finger Release

At AR Plastic Surgery, trigger finger release is offered to patients who experience painful locking or catching of the fingers due to narrowing of the tendon sheath in the hand. This condition, also known as stenosing tenosynovitis, occurs when the tendon that bends the finger becomes irritated and cannot glide smoothly through its surrounding sheath. The result can be a snapping sensation or difficulty extending or flexing the affected finger.

Surgical release is considered when symptoms are persistent, interfere with daily activities, or do not respond to non-surgical treatment. The procedure involves making a small incision to release the tight portion of the tendon sheath, allowing the tendon to move freely again. Our approach is patient-focused, involving careful assessment of symptoms and function before recommending surgery.

We believe in helping patients gain a clear understanding of their condition and the treatment options available. The decision to proceed with surgery is made after discussing expected outcomes, the recovery process, and any potential risks. Our goal is to support hand function and help patients return to their usual daily activities.

Understanding Trigger Finger

Trigger finger is caused by irritation or thickening of the tendon or its surrounding sheath, which restricts the smooth motion of the tendon as the finger bends and straightens. This irritation may lead to the formation of a nodule on the tendon, which can get stuck at the entrance of the sheath and create a catching or locking sensation.

Common symptoms include finger stiffness, particularly in the morning, a popping or clicking feeling when moving the finger, and tenderness at the base of the affected finger or thumb. In more advanced cases, the finger may become locked in a bent position and require manual effort to straighten. The condition can affect one or multiple fingers and may occur in one or both hands.

Trigger finger is more common in people with certain medical conditions, such as diabetes or rheumatoid arthritis, and it may also be linked to repetitive gripping activities. While it can affect anyone, it is often seen in adults over the age of 40. Diagnosis is usually based on a physical examination, and imaging is rarely needed.

Non-Surgical Management Options

Many cases of trigger finger can be managed without surgery, particularly in the early stages. The goal of non-surgical treatment is to reduce inflammation around the tendon sheath and allow smooth tendon movement. Resting the hand and modifying activities that involve repetitive gripping can help relieve symptoms.

Splinting the affected finger, particularly at night, may reduce morning stiffness and prevent triggering. Anti-inflammatory medications such as oral NSAIDs can help reduce swelling and discomfort. A corticosteroid injection into the tendon sheath may also provide relief by reducing inflammation and allowing the tendon to glide more freely.

Non-surgical treatments are often tried first, especially if symptoms are mild or of recent onset. However, if the finger remains painful or locked despite these efforts, or if the triggering recurs after initial improvement, surgical release may be considered as the next step in treatment.

Who May Consider Surgery

Trigger finger release surgery is typically recommended for patients who have not improved with non-surgical treatment, or for those with more severe symptoms such as fixed finger locking. Patients who experience regular disruption of hand function, difficulty grasping objects, or pain that interferes with daily activities may benefit from surgical treatment.

The decision to proceed with surgery also depends on the duration and severity of symptoms, the number of fingers involved, and whether the condition affects the dominant hand. In some cases, patients who have multiple digits affected or have experienced a recurrence after steroid injections may choose surgery earlier in the course of treatment.

During the consultation, the surgeons who operate at AR Plastic Surgery will examine the affected finger and discuss whether surgery is likely to relieve symptoms. The risks and benefits are outlined clearly to help patients make an informed decision. For suitable candidates, surgery offers a direct solution to the mechanical problem causing the finger to lock.

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What to Expect on the Day of the Procedure

Trigger finger release is performed under local anaesthesia, depending on the patient’s needs and the complexity of the condition. On arrival at the surgical facility, patients are guided through the final steps, including confirming the surgical site and reviewing the planned procedure. The area is then cleaned and numbed to prepare for surgery.

A small incision is made near the base of the affected finger. The tight section of the tendon sheath is carefully released, allowing the tendon to move without obstruction. Care is taken to avoid nearby nerves and other structures. Once the release is complete, the incision is closed with sutures and covered with a dressing.

The duration of the procedure depends on the number of fingers involved and the complexity of the condition. After the procedure, patients spend time in a recovery area before being discharged with instructions for wound care and managing any discomfort. A follow-up appointment is scheduled to check healing, remove sutures if needed, and assess hand function.

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Disclaimer: The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors, including the individual’s genetics, diet and exercise. Some images may have the patient’s tattoos, jewellery or other identifiable items blurred to protect patient identities.

Aftercare and Recovery

Recovery from trigger finger release varies depending on the severity of symptoms before surgery and the number of fingers treated. Patients are encouraged to begin gentle finger movements on the same day to help reduce stiffness and support circulation. The dressing should be kept dry for the first few days, and swelling can often be managed by elevating the hand and limiting activity.

Discomfort is common but generally improves within a few days. Over-the-counter pain relief may be used as needed. Sutures are usually removed within 10 to 14 days, and patients are advised to avoid heavy lifting or forceful gripping until the wound has healed and hand movement feels comfortable.

Patients may notice a reduction in triggering symptoms within days of surgery, although recovery times vary depending on the condition before treatment. Hand therapy is sometimes recommended to support finger movement, particularly if the finger was locked for an extended period before surgery. Patients can return to light activity within one to two weeks, depending on comfort and healing progress.

Potential Risks

As with any surgical procedure, trigger finger release carries some risks. These are discussed during the consultation to help patients understand what to expect. Potential risks include:

  • Infection
  • Bleeding
  • Haematoma
  • Scarring or sensitivity at the incision site
  • Nerve irritation or injury
  • Incomplete resolution of symptoms
  • Finger stiffness
  • Recurrence of triggering

It is important to report any concerns during recovery so they can be assessed promptly. Follow-up appointments allow the clinical team to monitor healing and provide additional care if required. Ongoing support is available throughout the recovery process to help patients feel informed and supported.

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