Trigger finger is a common hand condition that can cause pain, stiffness, and difficulty moving the affected finger or thumb. For many patients in Northeast Georgia, this condition interferes with everyday activities like gripping, writing, or using tools. Dr. Thomas Neustein, a board-certified and fellowship-trained orthopedic hand surgeon, provides advanced diagnosis and treatment for trigger finger and other hand and wrist injuries across convenient locations in Dawsonville, Duluth, Braselton, and Gainesville.
Understanding Trigger Finger
Trigger finger happens when the flexor tendons that bend the fingers become irritated or inflamed inside the flexor tendon sheath. This inflammation causes the tendon to catch, leading to the finger becoming stuck in a bent position. Patients may notice snapping, popping, or locking of the finger, especially in the morning or when gripping objects. In severe cases, the finger may lock completely and require the other hand to straighten it.
The symptoms of this condition may vary depending on how long the tendon has been inflamed and whether scar tissue has formed. Some patients only notice mild stiffness, while others experience significant discomfort and a finger that will not straighten at all without assistance.
Common Trigger Finger Symptoms
Patients developing trigger finger may experience pain at the base of the finger or thumb, swelling, stiffness, or a clicking sensation. Numbness is less common but may occur if swelling affects nearby nerves. Discomfort often worsens with movement, and many patients describe their finger as stuck or locked after periods of rest.
Stiffness is especially noticeable in the morning when the finger has been bent for hours during sleep. Patients often report difficulty making a full fist or fully extending the finger. As inflammation progresses, the affected finger may take on a bent form that limits daily function.
Causes and Risk Factors
Several factors can lead to trigger finger. Repetitive gripping or movement can irritate the flexor tendon sheath. Rheumatoid arthritis, diabetes, and other inflammatory conditions may increase the risk. Injuries to the hand and wrist can also contribute. While anyone can develop this condition, it is more common in women and people over the age of 40.
Repetitive stress that involves both the fingers and the elbow can increase the likelihood of tendon problems. Because the tendons that bend the fingers travel through the wrist, forearm, and connect to bones near the elbow, overuse in one area can contribute to irritation in another. Understanding how the upper extremity works together is an important part of treating trigger finger effectively.
Diagnosis and When to Seek Treatment
If you are experiencing pain, stiffness, or difficulty straightening your finger, it is important to seek treatment from a hand doctor. Early diagnosis allows for more effective treatment options and helps restore function before permanent stiffness develops. Dr. Neustein personally examines each patient and uses imaging if needed to rule out fractures, wrist injuries, or nerve injuries that may mimic similar symptoms.
Trigger finger can often be diagnosed with a simple clinical exam. Imaging may be ordered if the physician suspects arthritis, bone spurs, or injuries to surrounding structures. Treatment recommendations may vary depending on whether the patient has additional conditions such as carpal tunnel syndrome or cubital tunnel syndrome.
Non-Surgical Treatment Options
Most patients begin with non-surgical treatment for trigger finger. Rest, activity modification, and stretching exercises may provide relief. Anti-inflammatory medications and splinting the affected finger can reduce swelling and inflammation. Steroid injections into the flexor tendon sheath are often effective, reducing pain and restoring mobility. Many patients improve after one or two injections, allowing them to avoid surgery.
Treating trigger finger without surgery is often the first step, especially when symptoms are mild. However, if the condition persists despite conservative care, surgery may provide more reliable results.
Surgical Procedures for Trigger Finger
When conservative measures fail, surgery may be the best course of action. Dr. Neustein performs trigger finger release as an outpatient procedure using local anesthesia. During surgery, the tight portion of the flexor tendon sheath is carefully released, allowing the tendon to glide smoothly. This quick surgical procedure often provides immediate improvement in movement. Patients typically resume light activities soon after surgery and regain full hand function with time.
While the procedure itself is straightforward, recovery may vary depending on the patient’s overall health, presence of arthritis, or additional hand and elbow conditions. Most patients notice improved mobility within days, though full recovery can take a few weeks.
Life After Trigger Finger Surgery
After treatment, most patients experience restored mobility, less discomfort, and improved function. With proper stretching exercises and gradual return to activity, stiffness decreases, and patients regain confidence in their hand movement. Whether treated conservatively or surgically, the goal is always to provide relief, restore function, and help patients return to everyday life without limitations.
Patients often find that they are able to grip tools, type, and perform household tasks more comfortably after surgery. Addressing trigger finger early also helps protect the surrounding tendons, joints, and bones from developing secondary issues caused by chronic stiffness.
Related Hand and Wrist Conditions
Trigger finger often occurs alongside other hand and upper extremity conditions. Dr. Neustein also treats carpal tunnel syndrome, cubital tunnel syndrome, arthritis of the thumb, fractures, sports injuries, and traumatic injuries affecting the hand and wrist. His comprehensive approach to orthopedic surgery ensures that each patient receives individualized treatment options tailored to their needs.
Why Choose Dr. Neustein for Trigger Finger Treatment in Northeast Georgia
Patients across North Georgia trust Dr. Thomas Neustein for his expertise in hand surgery and upper extremity surgery. He is fellowship trained at the prestigious Philadelphia Hand and Shoulder Center and board certified in orthopedic surgery. His compassionate care and commitment to providing the best possible care make him one of the leading hand specialists in the region. With convenient locations in Dawsonville, Duluth, Braselton, and Gainesville, patients can access advanced treatment close to home.
Take the Next Step Toward Relief
If you are experiencing trigger finger symptoms such as pain, stiffness, or difficulty bending your finger, do not wait until the condition worsens. Early treatment can prevent long-term dysfunction and provide lasting relief. Schedule an appointment with Dr. Neustein today to determine the best course of care for your affected finger and restore your hand function.
