Trigger Finger (Tenolysis) - Frequently Asked Questions

Question 1

What causes trigger finger?

Accepted Answer

Trigger finger is caused by inflammation and thickening of the tendon sheath, often due to repetitive gripping activities, certain medical conditions like diabetes or rheumatoid arthritis, age-related changes, or previous hand injuries. It's more common in women and people aged **40-60**.

Question 2

Can trigger finger be treated without surgery?

Accepted Answer

Yes, mild cases may respond to conservative treatments including rest, splinting, anti-inflammatory medications, steroid injections, or hand therapy. Surgery is recommended when conservative treatments fail or symptoms are severe.

Question 3

How long does trigger finger surgery take?

Accepted Answer

The procedure typically takes **10-15 minutes** per finger and is performed as an outpatient procedure under local anesthesia. Multiple fingers can be treated during the same session if needed.

Question 4

Will I be awake during trigger finger surgery?

Accepted Answer

Yes, trigger finger surgery is typically performed under local anesthesia, so you'll be awake but the area will be completely numb. This allows for immediate testing of finger movement during the procedure.

Question 5

When can I return to work after trigger finger surgery?

Accepted Answer

Most patients can return to desk work within **2-3 days**. Those with manual jobs may need **2-3 weeks** off work. **Dr Maresky** will provide specific guidance based on your occupation and healing progress.

Question 6

Will I have a scar after trigger finger surgery?

Accepted Answer

Yes, there will be a small scar (about **1cm**) in your palm at the base of the affected finger. The scar typically fades significantly over time and rarely causes functional problems.

Question 7

Can trigger finger come back after surgery?

Accepted Answer

Recurrence is very rare after trigger finger release surgery, occurring in less than **2%** of cases. The procedure provides a permanent solution by completely releasing the constricted tendon sheath.

Question 8

How successful is trigger finger surgery?

Accepted Answer

Trigger finger surgery has an excellent success rate of over **95%**. Most patients experience immediate relief from catching and locking, with full function typically restored within **2-4 weeks**.

Question 9

Will I need hand therapy after trigger finger surgery?

Accepted Answer

Hand therapy is often recommended to optimize recovery, restore full range of motion, and prevent stiffness. Most patients benefit from a few therapy sessions, though some may recover fully without formal therapy.

Question 10

How much does trigger finger surgery cost?

Accepted Answer

The cost ranges from **R8000-R12000** depending on the complexity and number of fingers treated. This includes the surgical fee, facility costs, and follow-up care. Medical aid coverage may apply - our team will help verify your benefits.

Question 11

Can multiple trigger fingers be treated at once?

Accepted Answer

Yes, multiple trigger fingers can often be treated during the same surgical session. This reduces overall recovery time and the need for multiple procedures. **Dr Maresky** will assess your specific situation during consultation.

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