NHS Trigger Finger Release | Deeping Surgical

What is Trigger Finger Release?

Trigger finger or thumb occurs when the flexor tendon becomes inflamed and cannot glide smoothly within its sheath. This leads to locking, clicking, or painful finger movement, often after gripping

When Should I Seek Treatment?

Finger or thumb catches or locks when bending

Pain at the base of the digit

Stiffness, especially in the morning

No improvement with rest

What is the NHS Criteria for this procedure?

Trigger Finger/Thumb Release: *For this procedure you should complete a prior approvals request, and once this is granted you should use the acceptance letter and send it with the referral for surgery*

Note: Trigger finger steroid injections can be referred to without prior approval

The ICB will only consider surgery when one of the following criteria are met:

Triggering persists or recurs despite 1 or 2 steroid injections or splinting for 3-12 weeks.

OR

The finger is permanently locked in the palm

OR
The patient has previously had 2 other trigger digits unsuccessfully treated with appropriate non-operative methods

OR
The patient is diabetic

Can Trigger Finger / Thumb Be Treated Without Surgery?

Yes, Non-surgical treatments include:

Splinting

Anti-inflammatory medications.

Corticosteroid injections (may be temporary)

What is the Surgery?

Under local anaesthetic, the surgeon makes a small incision in the palm and releases the tight tendon sheath, allowing the tendon to move freely.

What to Expect Before and After Surgery

Before Surgery:

You will have a consultation with the Surgeon immediately prior to the procedure to discuss risks, and benefits.

You can eat and drink as normal on the day of the procedure.

If you take any blood thinning medication, it is important that you advise the Admin team prior to the appointment.
Please remove rings and jewellery from the hand having the procedure. Furthermore, due to the risk of infection, please remove nail polish from both hands.

After Surgery:

Mild pain and swelling are common but will improve. Over-the-counter painkillers such as paracetamol and ibuprofen are recommended for 24-48 hours.

Light use of the hand is encouraged early.

Full recovery, for the majority of patients, will be within in 2–3 weeks.

What Are the Risks?

Scar sensitivity

Nerve irritation

Incomplete relief (rare)

How Do I Prepare?

Medications: Inform your doctor about all medications and supplements you're taking.

Transportation: Arrange for someone to drive you home post-surgery.
Home Preparation: Set up a comfortable recovery area with necessary supplies within easy reach.

Patients Asking a doctor Questions _edit

Frequently Asked Questions

Q: How long does the surgery take?

A: The procedure lasts typically 30 minutes.

Q: Can I move my finger immediately?
A: Yes, movement is encouraged to avoid stiffness.

Q: When can I return to normal activities?

A: Following the procedure, your finger/thumb may feel sore but you should be able to move them straight away. Full movement should be returned within two weeks.

You will be able to drive as soon as you feel safe to do so. You may be able to write and use a keyboard immediately and, you can play sports after 2-3 weeks once your wound has healed and you can grip.