If you’ve ever experienced a finger that locks or catches when you try to bend or straighten it, you may be dealing with trigger finger (stenosing tenosynovitis). This condition can make everyday activities like gripping objects, typing, or even shaking hands difficult and painful. Fortunately, a variety of treatment options are available to relieve symptoms and restore normal hand function.
At The Orthopedic Partners, our expert hand specialists are here to guide you through the best treatment solutions for trigger finger — whether you’re seeking conservative options or considering surgical intervention.
What Is Trigger Finger?
Trigger finger occurs when inflammation or irritation affects the tendon sheath in the finger or thumb, causing the tendon to become stuck as it moves through the sheath. This results in a catching or locking sensation when bending or extending the finger, often accompanied by pain, stiffness, and tenderness at the base of the affected finger.
Common risk factors for trigger finger include:
- Repetitive hand movements (e.g., typing, gripping tools)
- Underlying conditions, such as diabetes or rheumatoid arthritis
- Prolonged gripping activities, like playing an instrument or gardening
Non-surgical Trigger Finger Treatment Options
In many cases, trigger finger can be managed effectively with non-surgical treatments. Our specialists focus on providing conservative care first to relieve discomfort and restore finger movement.
Rest and Activity Modification
Reducing or avoiding repetitive hand movements that worsen symptoms can help the tendon heal naturally. Using padded gloves or modifying how you grip objects may prevent further irritation.
Splinting
A finger splint can help keep the affected finger in a straightened position to limit movement and reduce inflammation. Splinting is often recommended at night to prevent the finger from locking during sleep.
Anti-inflammatory Medications
Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen can help reduce pain and swelling associated with trigger finger. These medications provide temporary relief while allowing other treatments to take effect.
Stretching and Physical Therapy
Gentle hand and finger stretches, guided by a therapist or healthcare provider, can help improve flexibility and reduce stiffness. Exercises that focus on strengthening the surrounding muscles can also support better tendon movement.
Corticosteroid Injections
A steroid injection into the affected tendon sheath can provide significant relief by reducing inflammation and allowing the tendon to move more freely. Many patients experience long-lasting relief after a single injection but it typically isn’t a permanent solution to this problem.
When Surgery Becomes an Option
If conservative treatments don’t provide sufficient relief, surgical intervention may be recommended to restore full hand function. At The Orthopedic Partners, we offer a minor procedure that is typically performed wide awake under local anesthetic only in the office setting.
Open Trigger Finger Release Surgery Wide Awake
During this procedure, local anesthetic is injected and a small incision is made in the palm, allowing the surgeon to carefully release the constricted tendon sheath. Patients are wide awake (similar to a dental procedure), lying down and comfortable. No need for anesthesia or the risks associated with anesthesia. This approach provides a long-term solution for chronic trigger finger cases.
Surgery typically has high long term success rates, and patients can expect significant symptom relief with a relatively short recovery period.
Post-treatment Recovery and Prevention Tips
Whether you choose non-surgical or surgical treatment for trigger finger, following a proper recovery plan is key to preventing recurrence and maintaining healthy hand function. Here are a few tips to aid in your recovery:
- Gradual return to activity: Ease back into activities that involve gripping or repetitive motion to avoid re-injury.
- Hand exercises: Regular stretching and strengthening exercises can help maintain flexibility and prevent stiffness.
- Follow-up care: Stay in touch with your orthopedic specialist to monitor progress and address any lingering symptoms.
Why Choose The Orthopedic Partners for Trigger Finger Treatment?
At The Orthopedic Partners, our experienced hand specialists are dedicated to providing personalized care for trigger finger and other hand conditions. We take a comprehensive approach, offering the latest in conservative and surgical treatments to help you achieve the best possible outcome. Our goal is to get you back to doing what you love — without pain.
Take the Next Step Toward Relief
If you’re struggling with symptoms of trigger finger, don’t wait for the condition to worsen. Contact The Orthopedic Partners today to schedule a consultation with our hand specialists. We’ll work with you to create a customized treatment plan that fits your lifestyle and goals.
