Trigger finger is a common hand condition where a finger or thumb becomes stuck in a bent position, often accompanied by a popping or clicking sensation. This occurs when the tendon’s protective sheath, known as the A1 pulley, becomes inflamed and narrows, restricting the smooth movement of the tendon. When non-surgical treatments are not successful, trigger finger release surgery is an effective solution. Many people wonder about the pain associated with this surgery.
What to Expect During the Procedure
Trigger finger surgery, also referred to as tenolysis or A1 pulley release, is typically an outpatient procedure. This means patients usually go home the same day. Local anesthesia is commonly used, numbing only the hand or arm being operated on, which allows the patient to remain awake but free of pain during the surgery.
While under local anesthesia, patients generally do not feel sharp pain. They may experience sensations of pressure or pulling as the surgeon works to release the constricted tendon sheath. The procedure itself is often quick.
Managing Pain After Surgery
Immediately after trigger finger surgery, it is common to experience some discomfort, often described as soreness or throbbing in the palm and the treated finger or thumb. This post-operative pain is typically manageable and mild to moderate. Pain levels can vary, but generally, there is significant improvement within the first few days.
To manage this discomfort, over-the-counter pain relievers such as ibuprofen or acetaminophen are often recommended. In some cases, a surgeon might prescribe stronger pain medication for the first few days if needed. Patients should use these medications as directed and avoid combining acetaminophen-containing medications to prevent overdose.
Beyond medication, non-pharmacological methods can also help alleviate post-surgical pain and swelling. Applying ice packs to the hand can reduce swelling and discomfort. Elevating the hand above heart level, especially during the first 2 to 3 days, also helps to minimize swelling and promote healing. Gentle movement of the affected finger, as advised by the surgeon, can further aid in reducing stiffness and improving comfort.
The Recovery Journey
After trigger finger surgery, the initial soreness and swelling in the hand typically begin to subside within several days. While immediate improvement in finger movement is often noted, some tenderness or discomfort at the incision site may persist for several weeks or even months. Numbness or tingling near the incision can also occur, gradually improving over time.
Returning to normal activities is a gradual process. Light activities, such as writing or computer use, may be resumed within days, provided they do not cause significant pain. More strenuous activities, including heavy lifting or repetitive hand movements, should be avoided for several weeks, often until the wound is fully healed.
Full recovery, where the finger moves easily without pain, can take approximately six weeks, although some stiffness may linger for up to six months. Following post-operative instructions, which may include specific finger exercises or physical therapy, is important for optimal healing and to prevent stiffness.