Trigger Finger Surgery

Carpal tunnel syndrome

What is Trigger Finger?

Trigger finger is a condition where one of your fingers becomes painful, stiff, or even “locks” when you try to move it. Normally, the flexor tendons that bend the fingers glide smoothly within a protective sheath. When this tendon becomes thickened or develops a nodule, it may catch on the sheath, resulting in pain and difficulty straightening the finger.

In many cases, trigger finger surgery may be recommended if non-surgical options are not effective.

Signs and Symptoms of Trigger Finger

The signs of trigger finger can range from mild stiffness to significant pain and finger locking. Recognising these symptoms early helps in seeking appropriate care.

Common symptoms include;

  • Tenderness or pain at the base of the finger or thumb.
  • A clicking or popping sound when moving the finger.
  • Stiffness, especially in the morning.
  • Finger locking in a bent position, sometimes requiring the other hand to straighten it.
  • A small bump or swelling at the base of the finger.

If these symptoms persist or worsen, your doctor may recommend trigger finger surgery to restore smooth finger movement.

This can lead to symptoms of pain on moving the affected finger and in severe cases can cause clicking or locking of the finger leading to an inability to straighten the finger.

Diagnosis of Trigger Finger

Trigger finger can often be diagnosed during a physical examination. Your surgeon will check for pain, swelling, and locking in the finger.

In some cases, an ultrasound scan may be used to:

  • Pinpoint the location of thickening or a nodule in the tendon.
  • Rule out other causes of finger pain or stiffness.

Early diagnosis ensures timely treatment and helps prevent worsening of symptoms. If the problem persists despite conservative treatments, trigger finger surgery is usually considered.

Trigger finger can usually be diagnosed on clinical assessment, however in some cases an ultrasound may help in locating the site of the thickening or nodule in the tendon.

Treatment Options (Non-Surgical and Surgical)

Treatment depends on the severity of symptoms and how long you have had the condition.

Non-Surgical Treatments:

  • Splinting: Wearing a splint to keep the finger straight and reduce strain on the tendon.
  • Steroid Injections: Help reduce swelling and improve tendon movement in many patients.
  • Activity Modification: Avoiding repetitive gripping or straining activities that make symptoms worse.

Surgical Treatment:

If non-surgical treatments fail, trigger finger surgery is recommended. The surgery releases part of the tight tendon sheath, allowing the tendon to glide more freely. It is a straightforward procedure with a high success rate and is often done as day surgery.

Trigger Finger Surgery Procedure

This procedure is a simple day surgery designed to relieve symptoms and restore smooth finger movement.

What happens during surgery?

  • A small incision is made in the palm at the base of the affected finger.
  • The tight portion of the tendon sheath is carefully released.
  • This creates more space, allowing the tendon to glide smoothly.

Day Surgery Explanation:

  • Usually performed under local anaesthetic, sometimes with light sedation.
  • No overnight stay is required.
  • Patients go home the same day with their hand in a light bandage.

Risks and Complications

While trigger finger surgery is generally safe, all procedures carry some risks. Complications are rare, but may include;

  • Minor bleeding, infection, or slow healing.
  • Sensitive or thickened scars.
  • Rare injury to nearby digital nerves that supply sensation to the finger.
  • Rare chance of incomplete release, resulting in ongoing symptoms.

Your surgeon will only recommend surgery if the benefits clearly outweigh these risks. Most patients recover well with significant improvement in hand function.

Recovery and Aftercare

After trigger finger surgery, proper care and a gradual return to activity are important for smooth healing and optimal outcomes.

Typical recovery process:

  • First few days: Hand wrapped in a bandage for comfort.
  • After 2–3 days: Bandage can usually be removed, and gentle finger movement encouraged.
  • 1–2 weeks: Follow-up appointment for wound check and suture removal.
  • 2 weeks: Driving is usually not recommended until cleared by your surgeon.
  • 2–4 weeks: Time off work depending on your job (office vs manual work).

Most patients regain normal hand use gradually, with pain and stiffness improving as healing progresses.

If you have trigger finger surgery, the majority of the cost is rebatable through Medicare and standard private health insurance. This does require a referral from your family doctor.
After your consultation, a detailed quote will be provided to you including the surgeon fee, anaesthetic fee and hospital fee.

No. Trigger finger surgery is considered a minor day procedure, usually done under local anaesthetic, with most patients going home the same day.

The surgery itself is not painful as anaesthetic is used. Some soreness or swelling may occur afterwards, but this usually improves within days.

Our Trigger Finger Surgeons

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