Trigger Finger

The treatment of trigger finger by a hand surgeon of the Eisenhower Clinic can involve both non-surgical and surgical interventions, depending on the severity and duration of symptoms. Here is an overview of the treatment options commonly employed by hand surgeons for trigger finger:

1. Non-Surgical Treatments:
   • Non-surgical treatments are often the first line of approach for trigger finger, particularly in milder cases.
   • Splinting: A hand surgeon may recommend wearing a splint or finger brace to immobilize the affected finger, allowing the inflamed tendon to rest and heal.
   • Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) or oral corticosteroids may be prescribed to reduce inflammation and alleviate symptoms.
   • Activity Modification: Modifying activities that aggravate symptoms, such as gripping or repetitive finger movements, can help relieve pain and reduce tendon irritation.
2. Corticosteroid Injections:
   • Corticosteroid injections are commonly used by hand surgeons to reduce inflammation and alleviate symptoms of trigger finger.
   • The surgeon administers a corticosteroid medication, often combined with a local anesthetic, into the tendon sheath near the base of the affected finger.
   • The injection helps to decrease inflammation and allows the tendon to glide more smoothly within the sheath.
3. Surgical Intervention (Trigger Finger Release):
   • If non-surgical treatments do not provide sufficient relief or if the symptoms of trigger finger are severe or persistent, a hand surgeon may recommend surgical intervention.
   • The surgical procedure for trigger finger is known as trigger finger release or trigger finger surgery.
   • In this procedure, the hand surgeon makes a small incision at the base of the affected finger and carefully divides the constricted portion of the tendon sheath, allowing the tendon to move freely.
   • The goal of trigger finger release surgery is to create more space within the tendon sheath, relieving the obstruction and facilitating smooth movement of the tendon.
   • Trigger finger release surgery is typically performed on an outpatient basis, and recovery time is generally quick, with most individuals experiencing significant improvement soon after the procedure.

Following either non-surgical or surgical treatment, our hand surgeons may recommend a period of hand therapy or rehabilitation to help restore strength, flexibility, and function of the finger. Hand therapy may involve exercises, finger and hand exercises, and range of motion activities.

It’s important for individuals with trigger finger to consult with a hand surgeon to receive a thorough evaluation and appropriate treatment plan tailored to their specific needs. Our hand surgeon will consider factors such as the severity of symptoms, duration of symptoms, hand dominance, and functional requirements in determining the most suitable treatment approach.