Trigger Finger Release in Portland, OR
Trigger finger is a condition where a finger catches or locks in a bent position and then suddenly straightens with a snapping sensation. This painful condition results from inflammation of the tendon sheath, causing the tendon to catch as it passes through a narrowed opening. Dr. Sam Bartholomew, MD, FACS specializes in trigger finger release—a minimally invasive procedure that restores normal finger movement and eliminates pain.
What is Trigger Finger?
Trigger finger (stenosing tenosynovitis) occurs when the sheath surrounding the tendon that controls finger movement becomes inflamed and thickened. This narrowed space causes the tendon to catch or snap as your finger moves. The condition most commonly affects the ring finger or thumb but can affect any finger.
Symptoms and When to Consider Surgery
You may experience:
- Snapping or popping sensation when bending or straightening your finger
- Finger stiffness, especially in the morning
- Pain in the palm at the base of the affected finger
- The finger locking in a bent position and requiring manual straightening
- Swelling at the base of the finger
Consider surgery if:
- The triggering interferes with daily activities
- Conservative treatment (rest, splinting, anti-inflammatory medications) has not helped after several weeks
- The finger locks and you cannot straighten it without using your other hand
The Trigger Finger Release Procedure
During your consultation, Dr. Bartholomew will evaluate your finger and discuss your symptoms. He may use ultrasound to confirm the diagnosis.
Trigger finger release is performed as an outpatient procedure under local anesthesia with sedation or general anesthesia. Dr. Bartholomew will:
- Make a small incision in the palm at the base of the affected finger
- Carefully release the tight tendon sheath
- Close the incision with fine sutures
- Apply a protective dressing
The procedure typically takes 15-20 minutes, and you'll return home the same day.
Recovery Timeline
Recovery from trigger finger release is typically faster than other hand procedures:
- Days 1-3: Rest, elevation, and ice for comfort
- Days 3-7: Many patients return to light activities and desk work
- Weeks 3-4: Gradual return to gripping and heavier activities
- 6 weeks: Most patients have returned to all normal activities
Preparing for or recovering from trigger finger surgery? Learn more about post-operative instructions and recovery tips.
Why Choose Dr. Bartholomew for Trigger Finger Release?
As a board-certified plastic surgeon with specialized hand surgery training, Dr. Bartholomew uses meticulous surgical technique to release the constricted tendon sheath while preserving surrounding structures. His precision minimizes scarring and ensures optimal functional recovery.
See Real Patient Results
From restoring normal finger movement to relieving chronic pain, we've helped many patients regain hand function. Explore our gallery to see the results of expert trigger finger release.
Schedule Your Trigger Finger Release Consultation Today!
Is your finger catching or locking? Contact Samuel V. Bartholomew, MD, FACS to discuss trigger finger release options. Dr. Bartholomew will evaluate your condition and recommend the best approach to restore your hand function.
Frequently Asked Questions
How much does trigger finger surgery cost?
The cost of trigger finger release varies based on the complexity of the case and the anesthesia used. Since trigger finger surgery restores hand function, it is typically covered by insurance. During your consultation, we'll provide a cost estimate and help verify your insurance coverage.
Is trigger finger surgery covered by insurance?
Yes, trigger finger release surgery is typically covered by insurance because it restores hand function and relieves pain caused by a medical condition. Insurance companies classify this as reconstructive surgery because it treats a functional problem, not a cosmetic concern.
What is the recovery time?
Most patients experience initial recovery in 1-2 weeks and can return to normal hand use in 4-6 weeks. You'll need to avoid heavy gripping for the first 3-4 weeks while the tendon sheath heals. Many patients can return to work within a few days.
Will trigger finger come back?
Trigger finger very rarely recurs after surgical release if the procedure is performed correctly. The condition is resolved by releasing the tight tendon sheath that was causing the finger to catch. Recurrence is uncommon when performed by an experienced surgeon.