Trigger finger release

Category: Bone, Joint & Spine Procedures · All bone, joint & spine procedures

Trigger finger release — Bone, Joint & Spine Procedures

What it is

Trigger finger release is a small operation dividing the tight pulley at the base of a finger that traps the tendon, causing the finger to catch, click or lock in a bent position.

Why it is done

It is offered when splinting and steroid injection have not relieved triggering, or when the finger locks significantly.

How to prepare

It is a day procedure under local anaesthetic with no fasting usually required. Tell the team about blood thinners and allergies.

What happens during the procedure

After numbing the palm, a small cut is made and the tight A1 pulley is divided under direct vision, freeing the tendon; you will be asked to move the finger to confirm smooth gliding. It takes about 10 to 15 minutes.

Afterwards — recovery & results

Keep the hand up and moving from the start to prevent stiffness. The wound heals in about two weeks; scar tenderness settles over weeks. Most people return to light work within days.

Risks & considerations

Risks include infection, bleeding, scar tenderness, stiffness, and rare injury to the small nerve beside the tendon. Recurrence is uncommon.

Watch: Trigger finger release videos

Real procedure videos from the MedicalVideos.com library. Some clinical footage is graphic — that is the nature of a medical video library.

Frequently asked questions

Will the finger move normally straight away?

Triggering usually stops immediately. Some stiffness is normal early — keep the finger moving through its full range from day one.

Could an injection have avoided surgery?

Steroid injection cures many cases, especially early ones, and is usually tried first. Surgery is the backup when injection fails or the finger is locked.

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Please note: This page is educational information about a medical procedure or test. It does not replace the instructions of your own care team, who know your situation and whose preparation, fasting and medication advice you should follow if it differs from anything here. If you have symptoms that worry you, or an appointment you do not understand, contact your clinical team.