Trigger finger is a condition where the tendon sheath becomes thickened and inflamed. As you put your finger down, it will catch the bottom of the tendon, not allowing it to release on its own.
Most trigger fingers, if they’re left untreated, they’ll still continue to trigger, and most of them will trigger more often during the day, causing more hand pain and irritation.
Nonsurgical treatments for trigger finger: one is a very conservative treatment—we can do a brace, especially at night if that’s the only time it is triggering. Another one, if there is pain in the area as well as triggering, we can do an injection. Usually we do two injections within about six months. Anything more than that, or if the trigger finger returns, then we have to go to less conservative measures.
The surgical treatment for trigger finger is where we make a small incision in the palm of your hand, and we actually remove the tendon sheath that is becoming inflamed and thickened, which is keeping the tendon from being able to fully extend and fully flex.
It’s a fairly easy procedure to recover from. There are stitches in the palm of your hand and a slight ACE wrap around the hand to keep it clean and dry. Most patients are able to do any normal activities of daily living like getting dressed and showering. We usually have them not lift anything heavy for at least a couple of weeks to protect the stitches.