Surgery
Trigger Finger Release
Trigger finger release is a small operation to free a finger or thumb that catches, clicks or locks when bent.
Quick answer
Trigger Finger Release: what it is, why it's done and what happens
Trigger finger release opens the tight tunnel (pulley) at the base of the finger or thumb, so the tendon can glide freely and the finger no longer catches or locks.
- Why it is done: It is used for trigger finger that causes persistent catching, clicking, pain or locking, particularly when the finger locks in a bent position or when splints and steroid injections have not helped.
- What happens: It is usually done under local anaesthetic as a short day case.
What it is
Trigger finger release opens the tight tunnel (pulley) at the base of the finger or thumb, so the tendon can glide freely and the finger no longer catches or locks.
Why it is done
It is used for trigger finger that causes persistent catching, clicking, pain or locking, particularly when the finger locks in a bent position or when splints and steroid injections have not helped.
What happens
It is usually done under local anaesthetic as a short day case. Through a small cut in the palm, the surgeon divides the tight pulley to release the tendon; it typically takes about 15–20 minutes.
Recovery
The finger can usually be moved straight away, which helps prevent stiffness. The wound heals over a couple of weeks, and most people regain smooth, pain-free movement.
Good to know
Risks and things to consider
Risks are small and include scar tenderness, infection, stiffness and, rarely, nerve irritation. The problem rarely returns after a full surgical release.
Education and reference only. This explains the procedure in general terms and is not medical advice. Your own care, risks and recovery will be explained by the team looking after you.
Answers
Trigger Finger Release: frequently asked questions
Is surgery always needed for trigger finger?
No. Many cases improve with rest, splinting or a steroid injection. Surgery is usually offered when these do not work, or when the finger repeatedly locks.
How soon can I use my hand after surgery?
You are encouraged to move the finger straight away to prevent stiffness, though the wound needs a couple of weeks to heal and heavy use should be built up gradually.
Related
Other surgery
Sources
Where this is drawn from
- NHS — Tests and treatments
- NICE — procedure and treatment guidance
- British Orthopaedic Association / relevant professional body
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