painful trigger finger

Trigger Finger (or Thumb)

The medical term for this is stenosing tenosynovitis, but patients more commonly refer to it as trigger finger. 

Triggering is when a finger 'pops' back and forth when opening/closing a fist. The finger can sometimes become 'stuck' temporarily as well.

Treatment depends on duration and severity, but includes medications, activity modification, injections, and surgical treatment.

painful trigger finger

What's really going on?

The tendon to the finger becomes inflamed and swollen (labeled nodule) and 'catches' at the entrance to the tendon sheath, labeled A1 pulley.

Anesthesia Options

Surgery can be done with or without sedation, and even under just local medication, which avoids the grogginess of anesthesia or the need for a driver to and from the procedure. 

Surgery Details

Surgery involves releasing a pulley overlying the inflamed tendon. This frees the finger to glide smoothly when making a fist or opening your hand.

Once released ...

After the pulley is released, we verify to ensure that the tendon nodule no longer 'catches' or triggers. The procedure is only done when this is confirmed. 

Finishing Touches

The incisions are cleaned, sutured, and dressed with sterile bandages. 

The Hand to Shoulder Center

At The Hand to Shoulder Center in Fort Worth, TX, our team of fellowship-trained hand, elbow, and shoulder surgeons treat any and all conditions from the shoulder to the fingertip. Our surgeons perform both elective and reconstructive procedures, including:

  • Joint Replacement
  • Traumatic Injury Surgery
  • Arthroscopic Surgery
  • Microsurgery
  • Minimally Invasive Surgery
  • Wide Awake Local Anesthesia Only Surgery

Our physicians are associated with the American Society for Surgery of the Hand and the American Board of Orthopaedic Surgery. For more information or to schedule an appointment, please contact us online or call (817) 420-9238.

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5612 Edwards Ranch Rd.
Ste 200
Fort Worth, TX 76109

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