Minimally Invasive Trigger Finger Surgery: Benefits and What to Expect

Minimally Invasive Trigger Finger Surgery: Benefits and What to Expect

It’s hard to confuse trigger finger with other conditions since it causes a distinct bend in the finger or thumb, like you’re perpetually pulling a trigger. This common problem can affect any digit. It can also develop in more than one finger at once and cause issues in both hands. Fortunately, it’s also very treatable.

Dr. Edward R. Dupay, Jr. strives to take a conservative approach while treating musculoskeletal conditions at Orthopedic Associates of Southwest Florida, P.A. in Fort Myers, Florida. And, when surgery offers the best solution, he opts for minimally invasive arthroscopic techniques whenever possible. 

If you have trigger finger that doesn’t respond to conservative treatments like rest, splinting, and stretching, here’s how minimally invasive hand surgery could help.

The anatomy of the problem

Your hands contain a delicate network of tendons that connect muscles in your forearm to the bones in your fingers and thumb. Each time the muscles contract, the tendons make your digits bend. But that’s not the only piece of the puzzle that keeps your fingers bending and straightening.

Each of your tendons has a protective sheath. When it functions properly, the tendon glides smoothly through, and your finger responds seamlessly to each action. However, if the sheath becomes inflamed, the space where the tendon passes can become tight or irregular.

These changes in the tendon sheath are responsible for the hallmark signs of trigger finger, such as:

Sometimes these symptoms can improve from conservative treatments and medications, like nonsteroidal anti-inflammatory drugs and steroid injections. However, minimally invasive trigger finger surgery usually provides dramatic results and only takes about 20 minutes.

What to expect from trigger finger surgery

Dr. Dupay could recommend two minimally invasive approaches to treat your trigger finger: percutaneous release and minimally invasive endoscopic surgery.

Percutaneous release

During this procedure, Dr. Dupay numbs your palm and inserts a needle into the area to break up the tissue constricting your tendon. This approach doesn’t leave a wound or scar.

Minimally invasive endoscopic surgery

This trigger finger treatment involves a tiny incision so Dr. Dupay can insert a small camera and special instruments through your wrist or the base of your finger to release — or cut — the problem sheath, freeing up the constricted tendon.

In most cases, minimally invasive surgeries for trigger finger only require local anesthesia or “twilight sedation.” Since you don’t need a full dose of general anesthetic, the treatment comes with fewer risks of side effects, complications, faster recovery times, and you can go home the same day.

Minimally invasive trigger finger surgery also provides immediate results, and you can use your finger right away. However, it can take 4-6 months for all of the stiffness and swelling in the finger to fade completely.

Do you have trigger finger? Find the best treatment option by scheduling a consultation with Dr. Dupay in Fort Myers, Florida, by calling 239-768-2272 today. 

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