What a Trigger Finger Release Can Achieve
Each flexor tendon passes through a tendon sheath, a tunnel that allows it to glide as the finger bends. Along the sheath is a series of pulleys that hold the tendons close to the bones. Trigger finger occurs when a flexor tendon becomes restricted as it passes through a tight pulley, usually at the base of the finger. This can cause pain and a catching or locking sensation when bending and straightening the finger.
A trigger finger release divides the tight pulley, allowing the tendon to move freely. This relieves pain and improves function.
Your Surgical Journey
Your surgical journey begins with a comprehensive consultation with Dr Collins at The Surgery. This provides time to assess your symptoms, examine your hand and discuss your goals and expectations in detail.
A trigger finger release is typically performed as a day procedure under local anaesthetic. A small incision is made in the palm and the tight pulley is divided to restore smooth tendon movement.
Recovery and Aftercare
Some swelling, stiffness and tenderness are expected after surgery. Early movement is encouraged to restore function. Hand therapy is not always required but may be recommended where needed.
Driving is usually possible after one to two weeks, once you can safely control the vehicle and perform emergency manoeuvres comfortably. Return to work depends on the nature of your role. Desk-based work is often possible within one to two weeks, while more physically demanding roles may require a longer recovery period.
Is a Trigger Finger Release Right for You?
You may be suitable for a trigger finger release if you experience persistent pain, stiffness or locking, or if your finger locks in a bent position.
A consultation with Dr Collins allows for a personalised assessment of your symptoms and function, and an opportunity to discuss whether surgical release may be the most appropriate management option for you.
Trigger Finger Release in Dunedin with Dr Anne Collins
Frequently Asked Questions
Trigger finger occurs when a flexor tendon becomes restricted as it passes through a tight pulley at the base of the finger. This is due to a mismatch between the size of the tendon and the surrounding pulley, often caused by thickening of one or both structures, and may result in pain, stiffness and a catching or locking sensation.
A trigger finger release is usually performed under local anaesthetic as a day procedure. A small incision is made in the palm and the tight pulley is divided, allowing the tendon to glide freely.
Patients commonly consider surgery when symptoms persist despite non-surgical treatment such as activity modification, splinting, hand therapy or steroid injection, when symptoms interfere with daily activities or when the finger locks in a bent position.
No. Trigger finger release is performed as a day procedure.
Some discomfort, stiffness and swelling are expected after surgery. Early mobilisation is encouraged. A sling may be provided to support the hand in the early post-operative period. Keeping the hand elevated, particularly during the first few days after surgery, helps reduce swelling and improve comfort. When resting, the hand should be kept above the level of the heart where possible. Hand therapy may be recommended where required.
Return to work depends on the nature of your role. Desk-based work is often possible within one to two weeks, while more physically demanding roles may require a longer recovery period.
Driving is usually possible after one to two weeks, once you can safely control the vehicle and perform emergency manoeuvres comfortably.
All surgery carries some degree of risk. Potential risks include pain, bleeding, infection, adverse scarring, stiffness, nerve or vessel injury, incomplete correction of a flexion contracture, complex regional pain syndrome, recurrence or the need for further surgery.
Yes. Outcomes vary depending on the severity and duration of symptoms, individual healing and adherence to post-operative care. Expected outcomes, risks and limitations are discussed in detail during your consultation.
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