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Non-operative Trigger Finger

The initial treatment method for trigger finger injuries is non-operative, and there are a variety of methods available. If non-operative treatments do not relieve your symptoms, your doctor may recommend a surgery called tenolysis” or “trigger finger release.” The purpose of a trigger finger release is to open the tendon sheath to allow more space for the tendon.

Non-operative

  • If your symptoms are mild:
    • Rest
    • Non-steroidal anti-inflammatory drugs (NSAIDs)
    • Splinting
    • Rehabilitation exercises
    • If this does not reduce the swelling, your doctor may give you injections of an anti-inflammatory, such as cortisone, in the base of the finger or thumb.
      • Before an injection, the area with be sterilized and numbed.

Goal

  • Improve the patient’s symptoms and provide a better quality of life

Benefits

  • Symptoms may be eliminated with no surgical procedure necessary
  • If injections are chosen as a method of treatment, they are very quick and minimally invasive. They can also help prolong surgery.

Recovery

  • Recovery time will vary depending on the severity of the condition and the treatment options chosen.

Complications

  • The patients symptoms do not improve
  • The finger remains fixed in a bent position
  •  The patient must then resort to surgical methods.

Outcomes

  • Most patients find that a combination of rest and NSAIDs allows them to heal within a few weeks.
  • People who choose to treat the condition with injections alone may have a recurrence of symptoms.