When Is Surgery Needed for Trigger Finger?

When trigger finger doesn’t respond to splinting, activity modification, or corticosteroid injection, or when it recurs after injection, trigger finger release surgery offers a reliable, permanent solution. It’s one of the most common and successful hand procedures performed.

What the Procedure Involves

Trigger finger release surgery involves dividing the narrowed portion of the tendon sheath (the A1 pulley) that’s catching the tendon, allowing it to glide smoothly again. The procedure is typically quick, performed on an outpatient basis, and often does not require general anesthesia.

Wide Awake Technique

Many patients are excellent candidates for wide awake local anesthesia for trigger finger release, meaning you remain awake and can actively move your finger during the procedure, helping confirm the tendon glides freely before you leave the operating room.

Recovery

Most patients experience immediate relief from the catching or locking sensation. A short course of hand therapy may be recommended to restore full motion, reduce stiffness, and support scar management.

Why Choose Hand & Upper Extremity Center of New England

Dr. Kadzielski’s fellowship training and extensive experience with hand procedures, combined with in-house hand therapy, mean your trigger finger surgery and recovery are managed by one coordinated team from start to finish.

Considering trigger finger surgery?

Call (617) 773-2200 to discuss your options.