Surgical treatment involves cutting through the affected part of the tendon sheath that joins the tendon to the finger bone to allow the tendon to move without difficulty.
The intensity of your pain will help to decide if you should have surgery or not, or if it is associated with other medical issues like rheumatoid arthritis.
Trigger finger is an irritation at first, but if left untreated, the affected finger or thumb may remain stuck in a bent or straightened position. This may make it hard to perform everyday tasks. Surgery is extremely effective, and the problem hardly ever recurs in the treated finger or thumb, though you will have to rest your hand for a while and may need to be off work.
Outpatient surgery is short, and patients generally do not have to stay in the hospital for more than a day. The treatment is generally done under local anesthesia, so you will not feel any pain in your hand, even though you will be awake.
There are two kinds of surgeries to correct trigger finger:
- Percutaneous trigger finger release surgery
- Open trigger finger release surgery
If you have rheumatoid arthritis, you will not have to go through these treatments, as they may cause your finger to point sideways. In its place, a distinct procedure, a tenosynovectomy, may be recommended, which involves removing part of the tendon sheath to enable the tendon to move once more.