Post-Surgery Pain and Recovery for Trigger Finger

Trigger finger surgery still results in swelling and pain?

I would like to ask about my left thumb.
The doctor said I have trigger finger.
I underwent traditional surgery last month, and I had my stitches removed at the beginning of this month.
Although the wound has healed, I still feel pain when lightly touching the area, and it feels swollen.
I also have weakness in my grip and difficulty holding things.
Is this normal? Some people say I should massage the area to prevent adhesions, while others say I shouldn't massage it as it could worsen the condition.
How long does it usually take to recover from this?

Yan Yan, 0~9 year old female. Ask Date: 2016/11/21

Dr. Zhou Jianwen reply Rehabilitation

It is recommended to schedule a follow-up appointment to check for any ongoing inflammation.

Reply Date: 2016/11/21

More Info

After undergoing surgery for trigger finger, it is not uncommon to experience pain, swelling, and weakness in the affected area, even after the stitches have been removed and the wound appears to be healing. The discomfort you are feeling when lightly touching the surgical site can be attributed to several factors, including inflammation, nerve irritation, and the healing process itself.
Trigger finger, or stenosing tenosynovitis, occurs when the tendons that flex the fingers become irritated and inflamed, leading to difficulty in movement and pain. Surgical intervention aims to release the constricted tendon sheath, allowing for smoother movement of the tendon. However, post-surgical recovery can be complex and varies from person to person.

Pain and Swelling
It is normal to experience pain and swelling in the initial weeks following surgery. The surgical site may remain tender as the tissues heal, and this tenderness can last for several weeks. Swelling is also a common response to surgery, as the body sends fluids and immune cells to the area to promote healing. Typically, swelling should gradually decrease over the first few weeks, but it can take time for the inflammation to fully resolve.

Weakness and Limited Mobility
The weakness you are experiencing when trying to make a fist or grasp objects is also a common post-operative symptom. After surgery, the muscles and tendons may need time to regain strength and function. Additionally, immobilization during the healing process can lead to stiffness in the joints and surrounding tissues, which may contribute to the difficulty in movement.

Massage and Rehabilitation
Regarding the conflicting advice about massage, it is essential to approach this with caution. Gentle massage around the surgical site can sometimes help reduce scar tissue formation and improve circulation, but it should be done carefully and ideally under the guidance of a physical therapist or healthcare professional. Over-massaging or applying too much pressure can exacerbate inflammation and pain, so it is crucial to listen to your body and avoid any movements that cause significant discomfort.

Recovery Timeline
The recovery timeline for trigger finger surgery can vary widely. Many patients begin to notice improvements within a few weeks, but complete recovery may take several months. Generally, you can expect the following timeline:
- First 1-2 weeks: Pain and swelling are most pronounced. Gentle range-of-motion exercises may be introduced as tolerated.

- Weeks 3-6: Gradual improvement in pain and swelling. Physical therapy may be recommended to help regain strength and mobility.

- 6 weeks and beyond: Continued improvement, with most patients returning to normal function within 3 to 6 months.

When to Seek Further Evaluation
If your pain persists or worsens, or if you notice any signs of infection (such as increased redness, warmth, or discharge from the wound), it is crucial to contact your healthcare provider. Additionally, if you experience significant limitations in movement or persistent weakness beyond the expected recovery period, further evaluation may be necessary to rule out complications such as tendon adhesions or nerve issues.

In summary, while some discomfort and limitations in movement are expected after trigger finger surgery, it is essential to monitor your symptoms and engage in appropriate rehabilitation. Consulting with your surgeon or a physical therapist can provide you with a tailored recovery plan that addresses your specific needs and helps you regain full function of your thumb.

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