Hand Surgeon Questions Trigger Finger Syndrome

Trigger finger therapies?

Are there other therapies for trigger finger other than surgery? I'd really like to try other treatments before surgery.

6 Answers

yes there are several options
It sounds like you should be evaluated by a Board-Certified Fellowship-Trained Hand surgeon.
I'd be happy to see you.
please call 413-582-2600 to make an appointment.
Trigger finger can often respond to conservative care. Sometimes time passes and goes away. Sometimes anti-inflammatories, splinting or activity modification works. A Cortizone injection is a viable alternative when it does not.get better. Much of our litters are states that if you’ve had two injections, the likelihood of getting better with the third is low. Some people preferred not to try and injection go right to surgery but many surgeons will at least try a Cortizone injection prior to recommending surgery there is information that if you have had an injection do you have to have a quiet period before you have surgery
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Splinting (especially at night) and anti-inflammatory medications are often successful. Injections of steroid if the splinting is unsuccessful.
Yes - cortisone injections are the recommended initial treatment for trigger fingers. Anywhere from 50-75% of patients with a trigger finger can be cured by cortisone injections. The injections are more effective if you have not had long-standing symptoms. You may need anywhere from 1-3 injections. I would recommend you discuss this with your hand surgeon.
Good question! A cortisone injection can help or even cure the problem. Also, splinting the finger at night can help in some cases or even lead to a cure as well.

Harrison Solomon, M.D.
Most definitely. There is literature to support the role of splinting and injections. I tell my patients that for a routine trigger finger, approximately half of the patients will get better (resolution) with one injections and of those that fail the first injection (meaning it got better, but returned at some time frame later) another half will get better with a second injections. If patients do not want to try an injections, I have them purchase a 15 $ trigger splint on amazon. Many triggers can resolve spontaneously as well. I would always suggest trying other options before surgery. This is the link for the trigger splint on amazon:

https://www.amazon.com/Original-Handfix-Patented-Trigger-Natural/dp/B00K1MQXKS