Trigger finger, medically known as stenosing tenosynovitis, occurs when a tendon in your finger or thumb becomes irritated, causing it to swell or thicken. This inflammation can make it difficult for the tendon to glide smoothly through its protective sheath, leading to a catching or locking sensation when you try to bend or straighten the affected digit. The purpose of trigger finger surgery, also called trigger finger release, is to create more space for the tendon to move freely by cutting the constricted part of the tendon sheath. This outpatient procedure aims to relieve pain and restore full movement to the affected finger or thumb.
What to Expect Immediately After Surgery
Following trigger finger surgery, expect some immediate effects in the operated hand. Pain is managed with prescribed medication, and applying ice packs for 10-20 minutes every 1-2 hours helps reduce swelling and discomfort. A dressing will cover the small incision at the base of the affected finger on the palm.
Soreness and mild swelling are normal for the first few days. Elevating your hand for 2-3 days helps reduce swelling. Wound care involves keeping the dressing clean and dry; it’s typically removed after 2-3 days, followed by gentle washing. Gentle finger movement is encouraged early to prevent stiffness and promote healing.
Key Recovery Milestones
Recovery from trigger finger surgery progresses through distinct phases, with individual experiences varying. Within the first one to two weeks, stitches are removed, and acute pain subsides. Gentle exercises, such as finger tendon gliding, are recommended to restore range of motion.
From weeks two to four, expect continued improvement in finger movement and reduced swelling. Light, non-straining activities can usually be resumed. The focus then shifts to regaining strength and full function, which can take one to three months.
During this longer period, strengthening exercises, such as hand gripping with a soft ball, are introduced. Tenderness around the scar diminishes as it matures; scar massage, starting one to two days after stitch removal, can help. Hand therapy can accelerate recovery by guiding specific exercises and techniques.
Factors Influencing Your Recovery
Several factors influence recovery duration and smoothness. Individual healing capacity, affected by age and overall health, plays a role; pre-existing conditions like diabetes can prolong recovery.
The severity of the trigger finger before surgery also impacts recovery speed. A significantly stiff or locked finger may need more time to regain mobility. Recovery can also be longer if multiple digits were operated on. Patient compliance with post-operative instructions, including exercises and hand therapy, is important.
While most recoveries are straightforward, minor issues like mild stiffness or persistent swelling can extend the overall period. These factors explain why recovery timelines differ among individuals.
When You Can Return to Normal Activities
Returning to normal activities after trigger finger surgery involves gradual progression. Light daily activities like dressing, eating, and personal hygiene can typically be resumed the same day, depending on comfort and healing.
Driving can usually resume within a few days to a week, once you are off pain medication and confident controlling the vehicle. For work, light desk duties like typing may be possible almost immediately. More strenuous manual labor may require up to six weeks off.
Hobbies and sports involving gripping, repetitive hand movements, or impact should be introduced gradually. Sports can often resume after two to three weeks, once the wound is healed and grip strength improves. Always consult your healthcare provider or hand therapist for personalized guidance.