Do you have a question about Trigger Finger Surgery?
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For trigger finger release one of the pulleys in the palm is partially cut but apart from the skin no structures are usually repaired. Too early mobilisation can cause pain or bleeding. For many of my patients I recommend gentle mobilisation after two days. In my view early mobilisation is very important to avoid stiffness and also to help with desensitisation during the healing period
After surgery, healing can take a long time and after about 6-9 months things don't change a lot anymore. Early corrective surgery can be considered after 3 months. For that reason I would try non-surgical measures such as physiotherapy first for 6-9 months before considering corrective surgery. For high-demand patients such as musicians treatment should be more intense with closer physiotherapy follow up and a lower threshold to operate to correct extensor lag. However, it is important to understand that operations can have complications which can make things worse. For flexor tendon freeing procedures (=adhesiolysis) this includes stiffness, pain, nerve injury. Patients should balance pros and cons of their current situation with the expected benefits and complication risks of surgery.
The flexor tendon are running alongside the median nerve through the carpal tunnel. It is therefore possible on flexor tendon movements to irritate this nerve which can cause tingling. Sometimes the tissues surrounding the tendons (=synovium) can be inflamed. This is often the case in patients with rheumatoid arthritis and can cause pain and resistance on tendon movements.
This is very minor surgery and can be done under local anaesthetic. It usually involves a short cut (=incision) in the palm and then cutting of the pulley which holds your tendon close to the bone. The aim is to release the tissue which restricts tendon movement. Outcome is usually good with immediate improvement. Risks are nerve or tendon injury, infection, bleeding, scar problems and uncommonly stiffness or pain syndrome.
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