Percutaneous Surgery for Trigger Finger: Public Hospital Options in Taiwan

Trigger finger

Are public hospitals currently performing percutaneous puncture surgeries? Are these procedures covered by health insurance or are they out-of-pocket expenses?

Ms. Lin, 50~59 year old female. Ask Date: 2017/05/07

Dr. Shi Guozheng reply Orthopedics

Only hospitals that are part of the National Health Insurance system perform percutaneous punctures, and sometimes these procedures may not be fully completed.

Reply Date: 2017/05/07

More Info

Percutaneous surgery for trigger finger, also known as percutaneous release, is a minimally invasive procedure used to treat trigger finger, a condition where a finger gets stuck in a bent position due to inflammation of the tendons. This procedure involves making a small incision or using a needle to release the constricted tendon sheath, allowing the finger to move freely again.
In Taiwan, public hospitals do offer percutaneous surgery for trigger finger. The availability of this procedure may vary depending on the specific hospital and the orthopedic or hand surgery department. Generally, larger public hospitals in urban areas, such as Taipei Medical University Hospital or National Taiwan University Hospital, are more likely to have the necessary expertise and facilities to perform this type of surgery.

Regarding insurance coverage, the National Health Insurance (NHI) in Taiwan typically covers surgical procedures deemed medically necessary, including percutaneous release for trigger finger. However, there may be specific criteria that need to be met for the procedure to be covered. For instance, conservative treatments such as physical therapy or corticosteroid injections are usually attempted first before surgery is considered. If these treatments fail to alleviate symptoms, then surgery may be warranted.

Patients should consult with their orthopedic surgeon to discuss the details of the procedure, including the expected outcomes, potential risks, and the recovery process. It is also advisable to inquire about the costs involved and whether the procedure will be covered by NHI. If the surgery is not covered, patients may need to pay out-of-pocket, which can vary significantly depending on the hospital and the complexity of the case.

In addition to discussing the financial aspects, it is essential to understand the benefits and risks associated with percutaneous surgery for trigger finger. The procedure is generally safe and effective, with a high success rate in relieving symptoms and restoring finger function. However, as with any surgical intervention, there are potential risks, including infection, nerve damage, or incomplete resolution of symptoms.

If you are considering this procedure, it is crucial to have an open dialogue with your healthcare provider. They can provide personalized advice based on your specific condition and medical history. Additionally, if you have concerns about the costs or insurance coverage, the hospital's billing department can assist you in understanding your options and any financial assistance programs that may be available.

In summary, percutaneous surgery for trigger finger is available in public hospitals in Taiwan, and it is generally covered by National Health Insurance if deemed medically necessary. Patients should consult with their orthopedic surgeon to explore their options and understand the financial implications of the procedure.

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