Inflammation of the tendons in the fingers or thumb causes trigger finger, also known as stenosing tenosynovitis. It causes difficulty bending or straightening the affected digit. By widening the affected tendon sheath and allowing for smoother tendon movement, trigger finger release is a surgical procedure that relieves the symptoms of trigger finger. Trigger finger is treated with this procedure in order to restore normal finger movement and relieve pain.
A hand surgeon or orthopedic surgeon who specializes in hand surgery is usually recommended for trigger finger release. A surgeon may order imaging studies such as X-rays or ultrasound during the consultation to assess the severity of the condition by reviewing the individual's medical history, performing a physical examination, and assessing the severity of the condition. Following this evaluation, the surgeon will determine whether trigger finger release is a suitable treatment option and discuss the potential risks and benefits with the patient. Prior to surgery, patients may have to fast, discontinue certain medications that can cause bleeding, and arrange for transportation and postoperative care.
Trigger finger release is usually performed as an outpatient procedure under local anesthesia, where the patient remains awake but the affected hand is numb to prevent discomfort. General anesthesia may be used in some cases, particularly if multiple fingers are being treated simultaneously or if the patient wishes to sleep during the procedure. In order to improve tendon gliding, the surgeon makes a small incision near the base of the affected finger or thumb, and carefully divides the tight tendon sheath. After releasing the tendon sheath, the incision is closed with sutures and a sterile dressing is applied.
It is relatively easy to recover from trigger finger release, and individuals can usually return home the same day. After surgery, individuals may experience some discomfort, swelling, or stiffness in the affected hand, which can typically be managed with over-the-counter pain medication and rest. Following all postoperative instructions provided by the surgeon and keeping the surgical site clean and dry are essential. In the recovery period, physical therapy or hand exercises may be recommended to improve hand strength and range of motion.
The trigger finger release procedure is generally safe and effective, but it does carry some risks and potential complications, as does any surgical procedure. Infection, bleeding, nerve injury, tendon damage, scarring, and recurrence of trigger finger symptoms are common risks. To minimize complications, individuals undergoing trigger finger release must discuss the potential risks and benefits with their surgeon and follow all preoperative and postoperative instructions carefully.
It is imperative that patients follow all postoperative instructions provided by the surgeon following trigger finger release to prevent infection or other complications. In order to reduce swelling and promote healing, individuals may be advised to elevate the hand, apply ice packs, and perform gentle exercises. A few days after surgery, most people are able to resume light activities and gradually increase their activity levels. To ensure proper healing and address any concerns or questions that may arise during the recovery process, it is essential to attend all scheduled follow-up appointments with the surgeon. It is usually possible to resume normal activities without limitations after receiving proper aftercare and rehabilitation, leading to significant improvement in trigger finger symptoms and function.
