Dr. Bert Perey
VIDEO : Trigger Finger and Surgery
Surgery for trigger finger involves an incision in the palm, and any time that an incision is carried out in the palm, you get a scar reaction because of the type of the skin in the palm, which is similar to the sin in the foot, called glabrous skin.
And that scar reaction can be quite significant in many patients. In fact, it can get worse for three to six weeks after surgery, so most patients – although their symptoms of tendon catching and locking and triggering that they had prior to surgery are immediately gone, they often experience tenderness over the incisional site for many weeks.
It completely resolves over a period of many months, to a point that you can barely even see the incision where the surgery was done. But sometimes patients have an abnormal reaction, abnormal scarring and they should seek attention from a therapist, to see if they can provide them with scar massage, scar improving tool through pressure devices, that can help that go away faster.
The general results from surgery are outstanding, with the majority of patients never having a recurrence. The problem is we do have 10 digits and trigger finger can happen in multiple fingers.
Most patients in a lifetime will not get more than two trigger fingers; some patients have multiple digits that occur sequentially, until ultimately they’re all surgically fixed. The recurrence rate after surgery is extremely low.
If your doctor believes that you may have trigger finger and that you’re referred to a surgeon who specializes in this, it will likely be your hand surgeon, who may have even orthopedic or plastic surgery.
But most of these sub-specialists only do hand surgery for a living, so ask your doctor for further information about that.