Trigger finger release surgery London

Trigger Finger surgery is a procedure in which a surgeon releases your locked finger by reducing the pressure around the affected tendon, allowing it to slide freely. It consists of one incision (under anaesthetic) made at the base of your finger, where the surgeon widens your tendon sheath. After which, the surgeon tests the finger for mobility, then stitches and bandages the wound up. The procedure completes in just twenty to forty-five minutes (depending on the number of digits that need an operation). Trigger surgery is the most effective way to cure a jammed finger, as it provides the slightest chance of the condition recurring compared with any other treatment.

What is a trigger finger?

Trigger finger symptoms develop after repeated and forceful movements of the affected finger, which irritates the tendon or its sheath, causing inflammation and swelling. If the tendon can no longer slide easily through the sheath, it can bunch up to form a small lump (nodule). Nodules make bending the affecting digit difficult if the tendon gets caught in the sheath before suddenly releasing at a different time, similar to a trigger.

What are the most common trigger finger causes?

Women are at more risk of developing a tendon lock than men.

In addition, adults aged forty to sixty are also at more risk of forming a trigger finger.

You will have an increased chance of being diagnosed with stenosing tenosynovitis if you have other underlying health conditions like arthritis, carpal tunnel syndrome, diabetes, etc.

What is finger release surgery?

Trigger finger treatment involves an incision made near the base of your affected fingers tendon. After that, the surgeon then widens the tendon sheath to relieve pressure on your tendon. After the surgeon tests the mobility of your affected digit, your wound is then stitched back up and bandaged.

Recovering from a trigger finger operation

After the procedure, you usually will be able to move your finger immediately, but you will not be able to restore your full mobility until two weeks after surgery.

In addition, much of the recovery will be tending to the incision made on the affected thumb or finger base. It is common for your palm to feel pain immediately following the procedure.  

You may be able to drive again after a few days (3-5) or when you feel it is safe to do so.

If you are working an office job, you may not need any time off work. However, labour-intensive jobs could have you out of work for up to four weeks. 

If you need surgery for several fingers, your recovery period may be longer.

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Trigger Finger Release Surgery FAQs

Is trigger release surgery painful?

We will administer an anaesthetic, which means your procedure will be pain-free. However, there might be some minor palm and finger pain post-procedure that you could choose to suppress using over-the-counter painkillers.

Is surgery the only cure for trigger fingers?

Though surgery is not the only option to treat finger joint locking, it has unique benefits that other treatments do not. For example, open trigger release surgery has the lowest recurrence of stenosing tenosynovitis compared with other medications.

Does trigger release surgery require general anaesthesia?

Local anaesthetic is the default anaesthetic used for tendon finger surgery at Pulse Light Clinic.

Can trigger finger come back after surgery?

It is rare for stenosing tenosynovitis to return to the treated thumb or finger tendons

Is trigger finger a form of arthritis?

Trigger fingers are commonly associated with arthritis as arthritis can significantly increase your chances of developing stenosing tenosynovitis symptoms. However, locked fingers do not increase your chances of developing arthritis.

Is trigger release surgery successful?

Surgery for trigger digits is incredibly effective with only minor risks. The procedure is swift, and you can usually return home within the same day. In addition, aftercare is included in your treatment package, meaning follow-up appointments are common to track your progression. Our surgeons can treat any immediate complications with no additional charge. In other words, trigger surgery is simply the most reliable treatment if you are looking for a permanent solution.

When do you need surgery for your trigger finger?

Trigger surgery is the most common treatment for stenosing tenosynovitis. In addition, if you are healthy and have tried other treatments without success, or if your symptoms are severe.

Is a massage good for a trigger finger?

Self-massages or massages, in general, can help reduce the pain from a locked finger. However, it will not act as any treatment, and the symptoms will likely persist.

How can you combat a trigger finger at home?

The best thing to do is rest, avoiding any movement tension or grip on the affected hand. Start doing stenosing tenosynovitis exercises to relieve some pain away from your tendons. After which, you should set up a consultation with a professional to discuss treatments.

Can all your tendons lock simultaneously?

It is possible to germinate a trigger finger (or trigger thumb) on multiple fingers and even between your two hands. However, it is unlikely for all digits to be locked simultaneously.

Can trigger thumb be cured?

Yes, you can cure trigger thumbs using various treatments. However, the cure is not permanent in many cases due to the reasonable chance that your trigger thumb reappears (like wearing a trigger finger splint). In other words, the most common trigger thumb treatment is trigger thumb surgery since recurrence of the condition is extremely low post-surgery.

What are the most common trigger thumb causes?

Though the exact reason is unknown, like trigger fingers, locked thumbs mature through the repeated or forceful movement of your thumb, which would irritate said thumbs tendon sheath and result in the inflammation of your tendon. This inflammation can create a nodule. After that, the nodule traps your tendon, preventing it from sliding freely, which may cause your finger to be permanently bent (commonly known as finger locking) until it suddenly releases your likely bruised finger at random, similar to a trigger.

On which finger is a tendon lock the most common?

The ring finger and thumb are the two most common digits which can develop a nodule, forcing the finger to remain bent. However, the condition can appear on any finger or thumb, such as the pinky or index finger.

Who typically carries out trigger release operations?

An Orthopaedic surgeon (sometimes called a finger doctor) usually treats trigger fingers and other issues related to bones, muscles, or tendons.

How long does it take to recover from finger release surgery?

In general, it takes two to three weeks for a full recovery. However, if you have an office job, it may be feasible to return to work immediately.

However, If you work a labour-intensive job, you may need to take four weeks off.

What are the side effects of excision for trigger finger release surgery?

All surgical procedures, trigger finger release included, bear the risk of side effects such as infection, bleeding/bruising, anaesthetic reaction, scarring and nerve damage.

Fortunately, infection is an unlikely symptom of trigger finger release surgery. However, if you are susceptible to infections or have a weakened immune system, you should raise your concerns with your physician as you may need additional care.

Bleeding and bruising are pervasive but typically minor side effects of trigger finger release surgery. If your wound opens after surgery but fails to close, you should contact your physician for medical help.

In some cases, trigger finger release surgery may cause damage to a nerve. A damaged nerve may result in numbness for several weeks or months but often make a full recovery. In sporadic cases, a nerve may be compromised after a trigger finger release surgery, causing mobility issues in the area around the wound.

Scarring is common in any surgical procedure. Though there are measures to avoid or minimise scarring during and after your surgery, some scarring is unavoidable for trigger finger release surgery. In addition, the amount of scarring will depend on the skill of your surgeon. Thankfully, our expert surgeons' focal point is to keep scarring to a minimum.

Reactions are certainly the most dangerous of all immediate side effects with surgical procedures in general. The symptoms following a reaction vary between patients but include a rash, hives, severe itchiness, swelling, drop in blood pressure, shortness of breath, coughing, etc. Fortunately, reacting to anaesthesia is extremely rare and largely preventable.

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Eliminate Trigger Finger pain at our UK Clinic.

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