Understanding the Condition Called Trigger Finger
Trigger finger is a condition called stenosing tenosynovitis, where an affected finger becomes stuck in a bent position and then straightens with a quick snap. This happens because the tendons that connect muscles to the finger bones cannot glide smoothly through the ligaments called pulleys. Instead, the pulley finger feels stiff and sore, and finger movement is restricted. If untreated trigger finger continues, the condition may worsen and lead to permanent digit swelling.
Causes and Risk Factors
This problem often develops from repetitive motion or prolonged gripping. Over time, reduced friction inside the tendon sheath leads to swelling that makes the tendon catch. Underlying medical conditions such as rheumatoid arthritis, diabetes, or carpal tunnel syndrome can also contribute. Jobs or hobbies with frequent wrist movements may increase the risk as well.
Recognizing Trigger Finger Symptoms
Trigger finger symptoms usually start with mild discomfort but can become more limiting. Signs include:
- A stiff and sore finger in the morning
- Pain near the base of the affected finger or trigger thumb
- Clicking or locking when fingers bend or try to move finger straight
- A quick snap sensation when releasing from the bent position
- Permanent digit swelling if symptoms persist
The ring finger and thumb are most commonly involved, though any finger can be affected.
How Trigger Finger Affects Daily Life
When tendons no longer glide smoothly, finger release becomes difficult. Patients find that sore fingers and restricted finger movement make typing, gripping, or holding objects more challenging. Everyday activities are adversely affected, and untreated trigger finger may limit independence.
Physical Examination and Diagnosis
Orthopedic hand surgeons can diagnose this condition with a detailed medical history and physical examination. During the exam, the surgeon may feel the pulley finger as it locks and releases. This helps distinguish it from carpal tunnel, which causes numbness rather than catching. In most cases, no imaging is required to confirm the diagnosis.
Conservative Treatment Options
Doctors often recommend conservative treatment options first to treat trigger finger symptoms. These may include:
- Resting the hand and avoiding repetitive motion
- Splinting the affected finger to keep it straight
- Steroid injections to relieve pain and reduce swelling
- Anti-inflammatory medications for sore finger relief
With these treatment options, many patients experience improved finger release and better hand function.
When Surgical Treatment Is Needed
If symptoms persist and finger movement does not improve, surgical treatment may be the best option. Trigger finger release surgery is recommended when the affected finger stays in a bent position or when conservative care fails to relieve pain. Early surgical treatment can prevent long-term problems and restore smooth tendon motion.
Trigger Finger Release Surgery Explained
Trigger finger release surgery is a straightforward surgical procedure performed on an outpatient basis. A small incision is made near the base of the finger. The tight pulley is released so the tendons smoothly glide again. Once the pulley is opened, finger straight motion improves and soreness decreases. This surgical procedure is highly effective at restoring normal hand function.
The Healing Process After Surgery
The healing process is usually quick. Patients are encouraged to move their fingers soon after surgery so tendons continue to glide smoothly. Some soreness may last a few days, but finger release typically brings immediate improvement. A short rehabilitation program may be recommended to restore grip strength and finger movement.
Everyday Life After Finger Release
After recovery, most patients return to normal activities. Finger straight movement becomes easy, gripping no longer causes pain, and daily tasks are completed without difficulty. Following the treatment plan from your surgeon ensures a full return to function and reduces the risk that symptoms persist.
Other Conditions Treated
Orthopedic hand surgeons in Duluth also treat related hand and wrist conditions. These include trigger thumb, carpal tunnel syndrome, arthritis, and tendon injuries. Addressing underlying medical conditions helps restore full use of the hand.
Why Choose Dr. Neustein in Duluth
Dr. Thomas Neustein is a board-certified orthopedic hand and upper extremity surgeon with advanced fellowship training. He specializes in both surgical and non-surgical treatment options. Patients benefit from his experience creating treatment plans that relieve pain, restore motion, and improve quality of life.
Schedule Your Appointment
If you have a stiff and sore finger that will not move properly, don’t wait until the condition worsens. Schedule a consultation with Dr. Neustein today to learn how trigger finger release surgery in Duluth, GA can treat trigger finger symptoms and restore smooth finger movement.
