Trigger finger is a common hand condition that causes pain, stiffness, and the characteristic “catching” or locking sensation when bending or straightening a finger or thumb. While it may start as a mild annoyance, trigger finger can gradually interfere with daily activities such as gripping, typing, lifting, or even getting dressed. Fortunately, most cases respond well to conservative treatment. But when symptoms worsen or persist, surgical intervention may become the best—and sometimes the only—solution for lasting relief.

At Steven Struhl MD – Shoulders & Knees, we provide expert evaluation and treatment for trigger finger. Dr. Steven Struhl is board-certified in both Orthopedic Surgery and Sports Medicine/Arthroscopic Surgery and has been in private practice for over 22 years, offering patients advanced, personalized care.

Understanding Trigger Finger

Trigger finger (stenosing tenosynovitis) occurs when the pulley system that guides the flexor tendons becomes inflamed or thickened. As the tendon swells, it can no longer glide smoothly through the sheath, causing painful clicking or locking.

This condition is especially common in:

  • People with repetitive hand use
  • Individuals with diabetes or rheumatoid arthritis
  • Workers who frequently grip tools
  • Musicians or athletes
  • Adults over age 40

According to the American Academy of Orthopaedic Surgeons, trigger finger affects up to 2% of the general population, and rates are significantly higher among people with diabetes.

Early symptoms often include tenderness at the base of the finger, stiffness in the morning, or a popping sensation when bending the finger.

Conservative Treatments: The First Step

Most cases of trigger finger can be managed without surgery, especially when treated early. Dr. Struhl typically recommends a combination of non-surgical approaches to relieve inflammation and restore smooth tendon motion.

  • Rest and Activity Modification: Avoiding repetitive gripping or strenuous hand use helps reduce irritation. Many patients see improvement simply by resting the affected hand.
  • Ice and NSAIDs: Applying ice and taking anti-inflammatory medications can reduce pain and swelling.
  • Splinting or Immobilization: Wearing a splint keeps the finger in a straight position, allowing the tendon sheath to calm down. This is often useful for nighttime symptoms.
  • Physical Therapy and Stretching: Gentle stretching can improve mobility and reduce stiffness. Hand therapists may also use ultrasound or soft-tissue techniques.
  • Steroid Injections: Corticosteroid injections are one of the most effective conservative treatments. Studies show 50–70% of patients experience symptom relief after a single injection, though effectiveness may be lower in patients with diabetes or longstanding symptoms.

These methods help many patients recover without surgery. However, if symptoms persist, worsen, or interfere with daily function, surgical treatment may be recommended.

When Does Trigger Finger Require Surgery?

Surgery is usually considered when:

  • Symptoms last more than six months despite conservative treatment
  • The finger locks in a bent position
  • Multiple steroid injections fail
  • Pain significantly interferes with work or daily activities
  • There is severe tendon thickening
  • The condition keeps returning

Patients with diabetes often require surgery sooner because injections may be less effective for them.

Persistent locking or catching indicates a mechanical obstruction that conservative therapy cannot reverse. Surgery provides a more permanent solution by releasing the tight pulley that restricts tendon movement.

Trigger Finger Release Surgery

Trigger finger release is a straightforward procedure performed under local anesthesia. Dr. Struhl creates a small incision at the base of the affected finger and gently releases the A1 pulley, allowing the tendon to glide freely.

Benefits of surgical release include:

  • Immediate improvement in tendon motion
  • High success rate (over 90–95% according to clinical studies)
  • Minimal downtime
  • Long-term symptom relief

Most patients return to normal activities within days, with full recovery expected over several weeks.

Why Choose Dr. Steven Struhl?

With over two decades of surgical experience and dual board certification in Orthopedic Surgery and Sports Medicine/Arthroscopic Surgery, Dr. Struhl provides thorough evaluation and tailored treatment for each patient. His expertise in precision tendon procedures ensures safe, effective, and lasting outcomes.

Whether you’re managing early symptoms of trigger finger or seeking relief after conservative treatments have failed, Dr. Struhl offers a clear path forward.

Get Relief from Trigger Finger Today

Trigger finger can make even simple tasks painful and frustrating, but effective treatment is available. If conservative care hasn’t helped or your symptoms are getting worse, surgery may offer the lasting relief you need.

Contact Steven Struhl, MD – Shoulders & Knees in NYC or Westchester to schedule a consultation and explore the best treatment option for your condition.