Trigger finger AKA Stenosing tenosynovitis caused by inflammation of the flexor tendon sheath.

It a very common condition that is more common in diabetics but can affect anyone that is active with their hands.

Caused by entrapment of the flexor tendons at the level of the A1 pulley which causes catching of the tendons.

  • Finger clicking
  • Pain at palm near where the fingers flex
  • Finger becoming ‘locked’ in a flexed position
  • Night splinting
  • Activity modification
  • NSAIDs
  • Steroid injections
  • Surgery to release the tendon

Ultrasound Guided Trigger Finger Release

One of the newest and cutting edge procedures in recent years has been Ultrasound Guided Trigger Finger release, which is an alternative treatment to conventional open surgery.

Ultrasound Guided Trigger Finger procedure involves using the sonographic waves of the Ultrasound to directly visualize the compression of the tendon and with a small needle to release the problem.

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  • If you suffer from painful or catching finger and have not responded to conservative treatment, the Ultrasound-Guided Trigger Finger procedure might be an option for you.
  • The Ultrasound guided procedure is less invasive than tradition surgery. It is done in the office under local anesthesia.
  • The procedure is done with a small needle and a puncture incision at the level of the finger crease.
    • The incision is small enough that doesn’t require stitches.
    • Most patients return to work and daily activity within 3-5 days.
  • Once the tendon is released, the problem should never come back.
  • Some swelling or bruising can develop within 24 hours after the procedure, which is managed with ICE and over the counter Advil or Ibuprofen.

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