What is trigger thumb surgery?

The surgical procedure for trigger finger is called “tenolysis” or “trigger finger release.” The goal of the procedure is to release the A1 pulley that is blocking tendon movement so the flexor tendon can glide more easily through the tendon sheath.

How painful is trigger thumb surgery?

Surgery may initially cause some pain or soreness. Doctors may recommend over-the-counter painkillers for relief. Immediately after surgery, a person should be able to move their finger or thumb. Be gentle with movements at first, full movement can be expected to return in 1 to 2 weeks.

How long does it take to recover from trigger thumb surgery?

Your doctor will take out your stitches 1 to 2 weeks after surgery. It will probably take about 6 weeks for your finger to heal completely. After it heals, your finger may move easily without pain. How soon you can return to work depends on your job.

When is surgery needed for trigger thumb?

Your doctor may recommend surgery if you’re healthy and have tried other treatments without success, or if your symptoms are severe. Nonsurgical treatments include: resting the hand for three to four weeks by not doing activities that require repetitive motion.

Are you awake during trigger thumb surgery?

This surgery will probably be done while you are awake. The doctor will give you a shot (injection) to numb your hand and prevent pain. You also may get medicine to help you relax. During the surgery, the doctor will make an incision in the skin of your finger or palm.

Can trigger thumb come back after surgery?

Surgery for trigger finger is effective and it’s rare for the problem to return in the treated finger or thumb. However, you may need to take some time off work and there’s a risk of complications (see below).

What happens if trigger thumb goes untreated?

If left untreated, trigger finger can rapidly progress to where your thumb and another finger are locked in a bent or straight position. In the most severe cases, you may have trouble uncurling your finger without using the other hand.

Is trigger finger a form of arthritis?

If your thumb or finger gets stuck in a bent position, you probably have a condition called trigger finger. While it can be preceded by a hand injury or strain, trigger finger is most commonly associated with arthritis.

How did I get trigger thumb?

Most of the time, it comes from a repeated movement or forceful use of your finger or thumb. It can also happen when tendons — tough bands of tissue that connect muscles and bones in your finger or thumb — get inflamed. Together, they and the muscles in your hands and arms bend and straighten your fingers and thumbs.

Will trigger finger ever go away?

Trigger finger can recur but the condition generally corrects itself after a short while. More severe cases may become locked in the bent position and require surgery to correct it.

How do you fix a trigger finger without surgery?

Trigger finger treatment can range from rest to surgery, depending on the severity of your condition. Resting your hands if possible, wearing a splint at night, stretching exercises and a steroid injection all can alleviate trigger finger without surgery.

Does trigger finger surgery require general anesthesia?

Anesthesia Options

Trigger finger release surgery can be performed with or without sedation: Wide awake straight local (no sedation): About 20-30 minutes prior to the procedure, local anesthesia will be injected into the affected hand.

How do you fix a trigger thumb?


  1. Rest. Avoid activities that require repetitive gripping, repeated grasping or the prolonged use of vibrating hand-held machinery until your symptoms improve. …
  2. A splint. Your doctor may have you wear a splint at night to keep the affected finger in an extended position for up to six weeks. …
  3. Stretching exercises.

How successful is thumb joint surgery?

Pros: Removing the entire trapezium eliminates the possibility of arthritis returning and, according to Dr. Ruch, LRTI has a 96 percent success rate. “Most patients achieve complete pain relief and mobility equal to that of a healthy thumb, with results lasting at least 15 to 20 years,” he says.

When is hand surgery necessary?

Hand reconstructive surgery may be done for many reasons, including: Hand injuries. Rheumatic diseases, such as osteoarthritis and rheumatoid arthritis, that change and damage the structures in the hand. Degenerative changes to the structures in the hand.

Can you eat before trigger finger surgery?

Quicker recovery time — You do not have to wake up or have the groggy feeling after surgery that can occur with sedation or general anesthesia. Sooner return to normal activities — With no sedation, you can get back to your normal routine faster. No fasting before the procedure — You can eat and drink as usual.

Is trigger thumb a disability?

A majority of these injuries are treatable, either through splinting or surgery, and should not produce any lasting problems. When left untreated, however, trigger finger may become permanent. In these cases, if all qualifications are met, you may qualify for ongoing disability insurance.

How long after hand surgery can I drive?

In general, most people are able to: resume light activities, such as using a keyboard or writing with a pen, after 6 to 8 weeks. drive a car, motorcycle or heavy goods vehicle (HGV) after 8 to 10 weeks.

How long does pain last after trigger thumb surgery?

Everyone heals at a different rate, but generally, recovery from trigger finger surgery takes a few weeks, although there could be some swelling and stiffness in the finger for up to six months after the procedure. You may also feel some numbness or tingling for a while.

Can trigger finger get worse if not treated?

Trigger finger isn’t usually anything serious, but it can cause pain and limited mobility and be a major nuisance. Trigger finger can also get worse over time if left untreated, and it may become permanently stuck in a bent or straight position. If your finger stays locked, your doctor may recommend surgery.

Does trigger finger spread to other fingers?

Trigger finger is a condition that causes pain, stiffness, and a sensation of locking or catching when you bend and straighten your finger. The condition is also known as “stenosing tenosynovitis.” The ring finger and thumb are most often affected by trigger finger, but it can occur in the other fingers, as well.

What is the best brace for trigger thumb?

Healthline’s picks for finger splints

  • Soles Neoprene Boxer Break Metacarpal Splint.
  • Copper Compression Finger Splint.
  • Neo G Easy-Fit Finger Splint.
  • Dr. Frederick’s Trigger Finger Splint.
  • 3-Point Oval-8 Finger Splints Graduated Set.
  • Mueller Reversible Thumb Stabilizer.
  • BodyMoves 5 Finger Splints.
  • Dr. Arthritis Finger Splint.

Is trigger finger carpal tunnel?

While both conditions affect your hands, carpal tunnel also affects the wrist, forearm, and selected fingers. This extends your pain, numbness, and weakness. Trigger finger targets a sole finger or thumb, locking the joint uncomfortably into place and making even simple movements difficult.

Does Voltaren Gel work for trigger finger?

What are trigger finger treatment options? Stretching, ice, and anti-inflammation treatments can be helpful. Oral anti-inflammatory medications that may be helpful include naproxen (Aleve), ibuprofen (Motrin, Advil), diclofenac (Voltaren, Cataflam, Cambia), and others.

How do you crack a thumb joint?

EASIEST Ways to Self Crack Your Thumb and Hands – YouTube

What foods are good for trigger finger?

Here are 10 foods to include in your diet every week to help relieve joint pain, including some you may choose to have every day.

  • Fatty fish. …
  • Cherries. …
  • Green tea. …
  • Avocados. …
  • Dark leafy greens. …
  • Orange root vegetables. …
  • Flaxseed. …
  • Walnuts.

Why is trigger finger worse in the morning?

Yes, it’s true. The clicking is worse in the morning when you initially start moving your fingers. In the early stages of trigger finger, you can just shake your hands and the clicking should go away. Over time, the triggering can become more frequent and more painful.

How do you release trigger finger at home?

1. Finger extensor stretch

  1. Lay your hand out flat on a table or solid surface.
  2. Use your other hand to hold the affected finger.
  3. Slowly lift up the finger and keep the rest of your fingers flat.
  4. Lift and stretch the finger as high as it will go without straining.
  5. Hold it here for a few seconds and release it back down.

Why does trigger finger get worse at night?

It is common for catching or locking of the digit to be worse at night or in the morning while the tendon is more swollen. This is because when you sleep at night, tendons tend to swell a little bit more, and the swelling may resolve throughout the day, causing less catching or locking of your fingers.

Which finger is the trigger finger?

Trigger finger or trigger thumb is when your fingers or thumb get stuck in a bent position – as if squeezing a “trigger.” Trigger finger can occur in one or more fingers. The ring finger is often one of the fingers affected. The condition is also known as stenosing tenosynovitis.

Does squeezing a ball help trigger finger?

The ball squeeze

The ball squeeze exercise can help alleviate tendonitis of the thumb. To perform the exercise, hold a small ball in the palm and gently apply pressure to the ball with the fingertips. A person can strengthen the thumb muscle further by applying extra force.

Is ice or heat better for trigger finger?

Heat or ice: Heat or ice can be applied to reduce swelling. Placing your hand in warm water several times throughout the day can also relax the tendons and muscles in your fingers and hand. Exercise: Gentle exercises may help decrease stiffness and improve range of motion.

How is trigger finger surgery performed?

Trigger finger surgery is an outpatient procedure that does not require general anesthesia. You will likely be given a local anesthetic to numb the area. Through a small incision in the palm, an orthopedic surgeon will release the tendon sheath by cutting it. The goal is for the tendon to be able to move more easily.

Are you awake during hand surgery?

You remain awake and alert during the procedure, but we do use local anesthesia to keep you comfortable. In most cases, wide-awake surgery involves a combination of lidocaine and epinephrine. Lidocaine numbs the treatment area and blocks pain, while epinephrine prevents bleeding.

How long does a hand surgery take?

Some hand surgery can take as little as 20 minutes, on the other hand some intricate surgery can take much longer – it will depend on what needs to be done. Many of the operations can be performed as day-cases, though this will depend on each individual patient’s requirements and the complexity of the case.

What is a pediatric trigger thumb?

Pediatric trigger thumb (PTT) is also called a flexion contracture of the IP joint (Picture 1). It is a condition that affects the movement of the thumb in children. The thumb gets stuck in a bent (flexed) position. A contracture means that the thumb can no longer stretch or straighten.

How painful is thumb arthritis surgery?

Because of the smaller incisions, there is only mild surgical pain, and many patients only require oral pain medicine for the first few days after surgery. Because the procedure is minimally invasive, stability of the thumb base is maintained and additional incisions for using your own tendon are not needed.

What is the cost of thumb surgery?

National Data

Individual Procedure Cost
Procedure 2016 Average
THDA $3974.45 $4157.30
LRTI $4481.34 $4446.13

How painful is a Trapeziectomy?

Trapeziectomy improves how your thumb functions. Added benefits of the procedure include: More space for thumb movement and thus less or no pain.

What is a micro surgeon?

Microsurgery is a surgical discipline that combines magnification with advanced diploscopes, specialized precision tools and various operating techniques. These techniques are primarily used to anastomose small blood vessels (arteries and veins) and to coapt nerves.

What type of anesthesia is used for hand surgery?

Intravenous regional anesthesia is commonly preferred for routine hand and wrist surgeries because it is well tolerated, safe, reliable, and has a rapid onset. Axillary block anesthesia is a technique which can also provide anesthesia to the whole arm.

Can I get thumb surgery?

There are a few different types of thumb joint surgery available, but the Arthritis Foundation reports that a procedure called ligament reconstruction and tendon interposition arthroplasty has been around for more than 40 years and “is the most commonly performed surgery for thumb arthritis.”

What type of anesthesia is used for trigger thumb surgery?

Trigger Finger Surgery Prep

The doctor uses local anesthesia to numb the affected area and a mild IV sedative to help you relax and remain comfortable during surgery.

Is local anesthesia a shot?

Local anesthesia, also called local anesthetic, is usually a one-time injection of medicine that numbs a small area of the body. It is used for procedures such as performing a skin biopsy or breast biopsy, repairing a broken bone, or stitching a deep cut.

How long does local anesthesia last hand surgery?

Local Anesthesia

Some may last for only 1 or 2 hours and others may last for 8 or more. When local anesthesia is used alone, the patient is wide-awake during the surgery. The patient can cooperate with instructions from the surgeon.