Lifestyle changes and activity avoidance are often effective treatments for trigger finger. Corticosteroid treatment may also be effective, but the symptoms may return after this treatment. According to a study published in the Journal of Bone and Joint Surgery , researchers found that symptoms had returned in 56 percent of patients by one year after receiving corticosteroid injection treatments. These symptoms typically came back several months after receiving the shot. However, the injection is quick and simple, and it can allow you to put off having surgery until a time that’s more convenient.
If conservative treatment options fail to resolve the condition and symptoms persist for 6 months or more and your quality of life is adversely affected, your surgeon may recommend you undergo a percutaneous trigger finger release surgical procedure to release the tendon. This surgery is usually performed in an operating room under local or regional anaesthesia on an outpatient basis as day surgery. Your surgeon makes one small incision, about inch long, to the affected finger area. The surgeon then releases the tight portion of the flexor tendon sheath. The incision is then closed with a couple sutures and covered with a sterile dressing.
Trigger finger is one of the most common causes of hand pain in adults. The reported prevalence is roughly 2 percent in the general population, and is more common among women than men in the fifth or sixth decade of life [ 1 ]. It can occur in one or many fingers in each hand and can be bilateral. The prevalence of trigger finger is also higher among patients with diabetes mellitus, rheumatoid arthritis, or conditions that cause systemic deposition of protein such as amyloidosis [ 1,2 ]. Trigger finger is occasionally observed in children [ 1 ]. (See "Mucopolysaccharidoses: Complications", section on 'Carpal tunnel syndrome' .)