Trigger finger
Trigger finger is a common and very treatable problem in which a finger or thumb catches, clicks, or locks as it bends and straightens. It can be uncomfortable and frustrating, but most people do well.
What it is
A tendon glides through a snug tunnel of tissue as the finger moves. When the tendon or its tunnel becomes irritated and swollen, the smooth glide is lost, so the finger catches, clicks, or sticks in a bent position, often most noticeable first thing in the morning. {{CONFIRM with Holly}}
What you might notice
- A click or catch as the finger bends or straightens.
- A finger that locks down and has to be eased straight.
- Tenderness or a small lump at the base of the finger in the palm.
How it is treated
We start with the simplest measures and keep surgery as a last resort.
- A steroid injection settles many trigger fingers, sometimes for good. {{CONFIRM with Holly}}
- Splinting can help in milder or early cases. {{CONFIRM with Holly}}
- Release of the tight part of the tunnel, when symptoms persist. This can be done as a small open procedure or, where suitable, with ultrasound-guided release (Spirecut™) through a tiny opening. It is a quick day case. {{CONFIRM with Holly}}
Recovery & what to expect
- A careful assessment and an honest discussion of the options.
- A gentle first step, usually an injection or splint where appropriate.
- A small release if needed, often with a fast return to everyday use. {{CONFIRM with Holly}}
- Simple aftercare, with hand therapy if it helps.
Questions patients ask
Will the injection cure it? Often, yes, many trigger fingers settle with one or two injections. If it returns, a small release is very effective. {{CONFIRM with Holly}}
What is Spirecut™? A minimally-invasive, ultrasound-guided release through a tiny opening, with no large incision. We will discuss whether it suits you. Read more about Spirecut™.