Frequently Asked Questions about Trigger Tome

Although trigger finger is not a medical emergency, in some cases, as the painful trigger finger worsens, and you restrict your range of motion to avoid the painful locking, a contracture or bend in the middle joint (or PIP joint) of the involved finger can develop. This bend can be difficult or impossible to correct (even after the trigger finger is fixed). The longer the trigger finger is left alone the worse this can get and the harder it can be to straighten the finger completely at the middle joint even after the triggering is relieved with surgery. Mild cases of contracture can respond to hand therapy (after your trigger finger release) but in some severe cases the patient can have a permanent deformity.

You are first given a local anesthetic injection at the base of your affected finger. Then, a small puncture is made at the base of the finger on the fat pad. Through this puncture we are able to go in with a specialized instrument, called a Trigger Tome, and release the tightness in the sheath, where the tendon is being restricted. Relief is immediate.

The actual procedure itself only takes about 10 minutes, but you will want to allow extra time for the anesthetic, prep and some insurance paperwork.

Depending on the surgeon, he may or may not use stitches. If he does, typically only one is required because the incision is so small. If he doesn't use stitches, he may opt for a type of band-aid. Your hand will be bandaged. You will normally regain full use of your hand within 5-7 days.

Post Op instructions for exercises, and any necessary medications for pain will be provided.

Some local soreness in the palm of the hand is to be expected and there may be some swelling. You will be given exercise instructions to break up the scar tissue which will alleviate the soreness and fade over time. Most patients do well with Ibuprofen and antibiotics are usually prescribed. Also pain medications may be recommended as needed.

Complications with this procedure are very rare. Occasionally, you may experience fever, chills, or some bleeding through the bandage. Please call your physician if any of these occur.

Post Op Care: there is no need to come back to our office unless complications arise.

To perform the procedure on a single finger, costs often range from approximately $1,000 to $1,500 and can vary by location and physician. If the procedure will be performed on more than one finger at the same time, there are usually cost benefits.

Most physicians' offices work with the major insurance companies. However, it is advisable to contact your individual physician's office to confirm coverage.

The procedure can typically be done in one appointment. Contact your individual physician for details.