Trigger Fingers

Trigger finger (stenosing tenosynovitis) is a condition which involves the locking or clicking of a nodule on your tendon when you try to bend your finger or thumb. One of the first symptoms of trigger finger is a tender spot on the palm of the hand. It often feels like the source of the pain is in one of the joints. The tenderness is often accompanied by a snapping or "triggering" of the finger when it is pulled down into a fist and when the digits are opened again. Sometimes the digit will get stuck (locked) in the bent (flexed) position. It can then be difficult to open the hand or “release” the trigger finger.

 

What Causes Trigger Finger?

Trigger fingers are caused by inflammation and swelling of the flexor tendon. We often don't know the cause of the inflammation but it may be related to chronic repetitive movement.

Trigger Finger Release Surgery

If steroids do not resolve the clicking completely, you may need trigger finger release surgery to correct the problem. During the procedure, the surgeon makes a 2 cm incision in your palm and releases the band (the A1 pulley) that covers the tendons in the middle of the hand. This then releases the constriction around the tendon. The procedure takes 10 minutes or so and is typically done with local anesthesia, so you remain awake.

Recovery

Most people can use their hand quite well after 10-14 days. However, each person recovers at their own rate. It usually takes about 6-8 weeks for the hand to become "normal." Physiotherapy is sometimes required afterwards.

Possible Complications

As with any surgical procedure, there is a risk of infection. Problems with the skin pulling open after surgery can be seen but usually heal without further surgery. There is a rare chance of longstanding numbness. Your surgeon will discuss other possible complications at the time of your consultation.

Contact Us

To learn more about how you may benefit from burn treatment or to schedule a consultation with one of our board-certified plastic surgeons, please contact our Surrey office today.

A Message from PSG

As COVID-19 spreads across the country, our patients’ and our staffs’ health and welfare are our primary concern. To reduce the risk of spreading the virus we are implementing changes to reduce person to person contact. We may only be able to see urgent consults and follow ups. This applies to our offices as well as our clinics at the hospital. If appropriate, our staff may contact you to arrange a telephone appointment. As our senior population are at greatest risk, we will endeavour to reduce their exposure by deferring in person appointments unless absolutely necessary. Regrettably, there is a high likelihood your upcoming procedure or surgery may be deferred. If so, we will make every effort to rebook you as soon as the COVID-19 crisis resolves. We are closely following the guidance of the Ministry of Health and the Fraser Health Authority. We appreciate your patience and understanding.

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