Trigger Finger (also known as stenosing tenosynovitis) is a condition where one of the fingers becomes locked in a bent position and then suddenly "snaps" straight, often causing pain and discomfort. Trigger Finger Release surgery is performed to relieve this condition by releasing the tendon sheath, allowing smooth movement of the affected finger.

This guide outlines the procedure, recovery timeline, rehabilitation requirements, and how Palms Physiotherapy & Allied Health can assist with both pre- and post-operative care.

Trigger Finger Release: Surgery, Recovery, and Rehabilitation

What is Trigger Finger Release?

Trigger Finger Release surgery is performed to treat the narrowing of the tendon sheath that surrounds the tendons responsible for finger movement. This narrowing causes friction, leading to the "triggering" effect.

Conditions Treated by Trigger Finger Release Surgery:

• Persistent pain and stiffness in the finger.

• Inability to fully extend the affected finger, leading to functional difficulties.

• Conservative treatments such as splinting, anti-inflammatory medications, and steroid injections are ineffective.

The Trigger Finger Release Procedure

1. Pre-Surgical Preparation

• Diagnostic Evaluation: A clinical assessment to confirm diagnosis, often supplemented by imaging tests such as ultrasound.

• Pre-Hab Program: Strengthening exercises to prepare the surrounding muscles and tendons for surgery.

2. Surgical Techniques

• Minimally Invasive Surgery: Involves a small incision and release of the constricted tendon sheath.

• Open Surgery: A small incision is made to access the tendon sheath, which is then divided to allow smoother tendon movement.

Procedure Overview

• Duration: 20–30 minutes, usually performed on an outpatient basis.

• Anesthesia: Local anesthesia is commonly used.

• Steps:

  1. A small incision is made near the affected finger.

  2. The tendon sheath is carefully released, freeing the tendon.

  3. The incision is closed with stitches, and a dressing is applied.

Recovery Timeline After Trigger Finger Release

Short-Term Recovery

• Hospital Stay: Outpatient; no overnight stay required.

• Splinting: A splint may be worn for a few days to stabilize the finger and reduce the risk of re-injury.

• Pain Management: Mild discomfort is managed with over-the-counter pain relievers.

Long-Term Recovery

• 1–2 Weeks: Initial healing, reduced pain, and swelling.

• 4–6 Weeks: Gradual return to daily activities with improved finger mobility.

• 12 Weeks+: Full recovery and return to more strenuous activities, including work and sports.

Rehabilitation After Trigger Finger Release

Phase 1: Early Healing (Weeks 1–2)

• Focus: Minimize swelling and protect the surgical site.

• Therapeutic Goals: Initiate gentle finger movement and prevent stiffness.

• Exercises:

  • Gentle finger stretches.

  • Passive range of motion exercises.

Phase 2: Strengthening and Mobility (Weeks 3–6)

• Focus: Regain full finger range of motion and strength.

• Therapeutic Goals: Build strength in the hand and fingers while avoiding re-injury.

• Exercises:

  • Active finger flexion and extension exercises.

  • Grip strengthening exercises.

Phase 3: Functional Training (Months 2–3)

• Focus: Restore full hand function for tasks like writing, gripping, and typing.

• Therapeutic Goals: Enhance finger coordination and fine motor skills.

• Exercises:

  • Dexterity drills.

  • Functional activities, such as gripping and pinching.

How Palms Physiotherapy & Allied Health Can Help

Pre-Habilitation Services

• Finger and hand strengthening exercises to prepare for surgery.

• Education on post-operative care, including early hand movements.

Post-Operative Rehabilitation

• Custom Rehabilitation Plan: Tailored exercises to regain full range of motion and prevent complications.

• Scar Tissue Management: Techniques like massage and stretching to promote flexibility.

• Functional Rehabilitation: Gradual return to activities and tasks requiring fine motor skills.

Frequently Asked Questions

1. How long does it take to fully recover from trigger finger surgery?

Most people resume normal activities within 4–6 weeks, but full recovery can take up to 12 weeks.

2. Is trigger finger surgery successful?

Yes, surgery is highly effective in relieving the symptoms of trigger finger, with a high success rate.

3. Can trigger finger come back after surgery?

While recurrence is rare, it is possible. Post-operative care and rehabilitation significantly reduce the chances of recurrence.

Book Your Pre-Hab or Rehab Program Today!

At Palms Physiotherapy & Allied Health, we specialise in supporting patients before and after Trigger Finger Release surgery to ensure the best recovery possible.

Reputable Australian Resources

• Better Health Channel – Trigger Finger: https://www.betterhealth.vic.gov.au/trigger-finger

• Health Direct Australia: https://www.healthdirect.gov.au/trigger-finger

• Australian Hand Surgery Society: https://www.ahss.org.au