What is Trigger Finger Release (Tendon Sheath Incision)?
Summary:
Trigger Finger Release, also known as Tendon Sheath Incision, is a medical procedure used to treat a condition called trigger finger. This condition causes one or more fingers to become stuck in a bent position, causing pain and limited movement. The procedure involves making a small incision in the tendon sheath, which allows the tendon to move freely again.
Who needs it:
Trigger Finger Release is typically recommended for individuals who are experiencing symptoms of trigger finger, such as pain, stiffness, or difficulty straightening a finger. This condition commonly affects people who engage in repetitive hand movements or those with certain medical conditions, such as arthritis or diabetes.
What happens during the procedure:
During the procedure, the patient will receive local anesthesia to numb the hand and forearm. The surgeon will then make a small incision near the base of the affected finger. The tendon sheath, which is like a tunnel that the tendon passes through, is then carefully opened by the surgeon to alleviate the constriction and allow the tendon to glide smoothly. Once the incision is closed with stitches, a small bandage is placed over it.
How long the procedure takes:
The Trigger Finger Release procedure usually takes approximately 10 to 20 minutes. It can be performed on an outpatient basis, meaning the patient can usually return home shortly after the procedure.
Benefits:
The main benefit of Trigger Finger Release is that it alleviates the symptoms associated with trigger finger. By releasing the constricted tendon sheath, the procedure allows the affected finger to regain its full range of motion, reducing pain and stiffness. This can greatly improve the patient's ability to perform everyday tasks and return to normal activities.
Risks or complications:
As with any surgical procedure, Trigger Finger Release does carry some risks. These can include infection, bleeding, damage to surrounding nerves or blood vessels, stiffness or scar tissue formation, and a recurrence of trigger finger symptoms. However, these complications are relatively rare.
Recovery:
Recovery from Trigger Finger Release is typically straightforward and relatively quick. Patients can usually begin using their hand immediately after the procedure, although it may feel sore or tender. The hand may be bandaged or splinted for a short period to provide support. Physical therapy exercises and stretching may be recommended to improve finger strength and mobility. Most individuals can expect a significant improvement in symptoms within a few weeks, with complete recovery usually achieved within several months. If necessary, over-the-counter pain medications may be recommended to manage any discomfort during this recovery period.
Symptoms for Trigger Finger Release (Tendon Sheath Incision)
Trigger finger release, also known as tendon sheath incision, is a surgical procedure performed to alleviate the symptoms of a condition called trigger finger or stenosing tenosynovitis. This condition causes the affected finger or thumb to get stuck in a bent position and suddenly release, or "trigger," when trying to straighten it. It occurs due to inflammation and narrowing of the tendon sheath, a protective tunnel that surrounds the flexor tendons in the fingers.
During the trigger finger release procedure, the patient is typically placed under local anesthesia. The surgeon makes a small incision near the base of the affected finger or thumb. The incision allows the surgeon to access the affected tendon sheath and release any constrictions or adhesions causing the triggering effect.
Symptoms of trigger finger that may necessitate trigger finger release include:
1. Finger stiffness: A sensation of stiffness or a noticeable limitation in the ability to fully straighten or flex the finger.
2. Pain or discomfort: Pain at the base of the finger or thumb, particularly when pressing on the affected area or while moving the finger.
3. Palpable lump or nodule: A small, tender nodule or bump can be felt on the palm side of the finger, around the area where the finger flexes.
4. Catching or locking sensation: The finger gets stuck in a bent position and requires effort or a snap to forcefully straighten it.
5. Popping sound or sensation: An audible or tactile sensation of the finger suddenly releasing or "popping" into a straight position.
6. Finger mobility issues: Difficulty gripping objects, performing certain activities, or extending the finger fully.
If non-surgical treatments like rest, activity modification, splinting, or corticosteroid injections fail to provide relief, trigger finger release may be recommended. The procedure aims to alleviate the constriction of the flexor tendon sheath and restore normal finger movement, reducing pain, and resolving the triggering sensation. Recovery typically involves wearing a splint or bandage for a short period and undergoing hand therapy to regain finger strength and flexibility.
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Hand/Wrist like Trigger Finger Release (Tendon Sheath Incision) can be very costly procedures. Our members can save up to 90% on outpatient elective procedures.