Trigger Fingers (stenosing tenosynovitis)

If you have triggering or locking of any fingers, and have tried at least one cortisone injection, I also offer percutaneous trigger release as an office procedure. This is fairly similar, but simpler, than the needle fasciotomy procedure described in this web site. This can be performed simultaneously with other procedures at the same sitting.

Since most trigger fingers can be treated effectively with simple cortisone injection, I do recommend attempting an injection in each finger at least once before proceeding to percutaneous release. If you have not had an injection performed, I can do this during your visit for needle fasciotomy for an additional charge.

Percutaneous trigger release

This procedure can be safely performed in   my office similar to needle fasciotomy. I currently do not perform this procedure on the index finger due to the risk of injury to the index digital nerve. This procedure does have a higher success rate than simple injection, but is not as effective as open release performed in the operating room.

The advantage of  percutaneous release is convenience and simplicity, no facility or anesthesia fees, and quick recovery time with no stitches. The major disadvantage is a lower success rate than open release.