Treatment Options for Trigger Finger: Recovery and Risks

Q: Treatment Options for Trigger Finger: Recovery and Risks

Hello： The symptoms you described do indeed resemble trigger finger. <br>The surgery for trigger finger involves cutting the affected pulley ligament to allow the flexor tendon to move more freely. <br>The surgical wound typically heals within about two weeks, and some patients r

Treatment options for trigger finger?

Hello, Dr.
Chu! My right thumb is currently unable to bend, and if I accidentally bend it, I have to use my left hand to straighten it out.
It is very painful...
Doctor, if surgery is required, how long will it take to recover? Will there be any long-term effects? Thank you~~

maybl, 40~49 year old female. Ask Date: 2006/05/20

Dr. Chu Baijun reply Orthopedics

Hello: The symptoms you described do indeed resemble trigger finger.
The surgery for trigger finger involves cutting the affected pulley ligament to allow the flexor tendon to move more freely.
The surgical wound typically heals within about two weeks, and some patients report feeling a bit weaker, but overall, there are usually no significant long-term complications.
Sincerely, Dr.
Chou, Orthopedic Surgeon.

Reply Date: 2006/05/20

More Info

Trigger finger, also known as stenosing tenosynovitis, is a condition that affects the tendons in the fingers, leading to pain and difficulty in bending or straightening the affected finger. It occurs when the tendon sheath becomes inflamed, causing the tendon to catch or lock in place. This condition can significantly impact daily activities and overall quality of life, especially for individuals who rely on hand function for work or sports.

When it comes to treatment options for trigger finger, there are several approaches, ranging from conservative management to surgical intervention. Initially, non-surgical treatments are often recommended, including:
1. Rest and Activity Modification: Avoiding activities that exacerbate the symptoms can help reduce inflammation and pain.

2. Splinting: Using a splint to keep the affected finger in a straight position can help alleviate symptoms, especially at night.

3. Ice Therapy: Applying ice to the affected area can reduce swelling and pain.

4. Anti-inflammatory Medications: Over-the-counter medications like ibuprofen or naproxen can help manage pain and inflammation.

5. Corticosteroid Injections: If conservative measures fail, corticosteroid injections into the tendon sheath can provide significant relief by reducing inflammation.

If these non-surgical treatments do not yield satisfactory results, surgical intervention may be necessary. The surgery typically involves releasing the constricted tendon sheath to allow for smoother movement of the tendon.
Regarding your specific questions about recovery time and potential complications:
- Recovery Time: After surgery for trigger finger, most patients can expect to return to normal activities within a few weeks. However, full recovery may take up to 6 weeks or longer, depending on the severity of the condition and the individual's healing process. Physical therapy may be recommended post-surgery to regain strength and flexibility in the finger.

- Risks and Complications: While surgery is generally safe, there are potential risks involved, including infection, nerve damage, stiffness, and recurrence of trigger finger. However, the majority of patients experience significant improvement in their symptoms and regain full function of their finger after surgery.

In conclusion, if you are experiencing severe pain and inability to bend your thumb, it is advisable to consult with a hand specialist or orthopedic surgeon. They can provide a thorough evaluation and discuss the best treatment options tailored to your specific situation. Early intervention can often lead to better outcomes and prevent the condition from worsening. Remember, while surgery is effective, it is essential to follow post-operative care instructions and engage in rehabilitation to ensure a successful recovery.

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