Trigger finger is a common and treatable condition. It occurs when the sheaths covering the tendons in the fingers thicken and restrict movement. This impedes bending and can cause pain and stiffness.
Depending on the severity of your trigger finger, your surgeon will advise whether treatments such as corticosteroid injections may be sufficient to manage the condition or whether surgery will be necessary.
If necessary, surgery releases the tightest part of the tendon sheath to allow immediate free passage of your tendon to restore free finger movement.
Flexor tendons help your fingers and thumbs bend. These tendons have a lining called tenosynovium. The tendon and lining is covered with soft, thick tissue called pulleys, which the tendon and lining glide through without friction.
Each component needs to stay a certain size for the system to operate efficiently, otherwise it can stop the tendon from moving back and forth. When the tendon is tight, it squeezes the lining and creates fluid. This fluid can cause increased pressure.
Trigger finger develops when either:
Thankfully there are several treatments for trigger finger, including reconstructive plastic surgery. The condition can be diagnosed through an appropriate history, hand examination and supportive imaging such as an ultrasound.
Your hand will be in a bulky bandage and you will need to wear a sling and keep your hand elevated for at least two to three days. During this time, it is important to continue with gentle range of motion exercises that keep your tendon moving to maintain its gliding past the operation site.
For the first four to five days you may experience bruising, but this will subside.
Due to the local anaesthetic, you will have pain relief for six to eight hours after the surgery. You may experience some discomfort after this time, which can be remedied with oral analgesics.
Your surgeon will request a follow-up consultation within seven to 10 days of your surgery. They will inspect the wound, check how it is healing and remove any sutures.
After two weeks you can resume light duties and heavier duties within four to six weeks.
Anyone can develop trigger finger, however it is more common with certain medical conditions such as gout, rheumatoid arthritis or diabetes. It may also be more common in certain families and can be associated with carpal tunnel syndrome.
Continued or repeated gripping may also bring on the condition, but in most cases the cause remains unknown.
As with any surgery there are risks involved. The main risks with this type of surgery is infection, excessive bleeding or bruising and nerve damage (less than 1%).
Your RPS surgeon will give you specific advice regarding your individual post-operative recovery. They will advise:
The extensive specialist skills of our surgical team ensure that you are provided with surgical options designed to maximise form and function.
Our surgeons hold an impressive array of academic credentials, extensive professional experience and a personal commitment to patient satisfaction.