Hand Surgery
Trigger Finger (Tenolysis)
US Board Certified15+ Years Experience2200+ Happy Patients
What is Trigger Finger (Tenolysis)?
Trigger finger, also known as stenosing tenosynovitis, is a condition that causes pain, stiffness, and a sensation of locking or catching when you bend and straighten your finger. It occurs when the tendon sheath becomes inflamed and narrows, restricting the tendon's movement. Dr Maresky specializes in minimally invasive trigger finger release surgery, providing quick relief and excellent functional outcomes.
How Much Does It Cost?
Every patient is unique, and Dr. Maresky believes in creating personalized treatment plans tailored to your specific needs and goals. During your consultation, he will assess your individual case and provide you with a detailed cost estimate.
The consultation fee is R1,495, which is fully credited toward your scheduled procedure or in-practice treatment. This ensures you receive expert guidance while making progress toward your aesthetic goals.
Book your consultation today to discuss your personalized plan and receive an accurate cost estimate for Trigger Finger (Tenolysis).
Book Consultation The Procedure
Trigger finger release surgery is a minimally invasive outpatient procedure performed under local anesthesia. A small incision (approximately 1cm) is made in the palm at the base of the affected finger. The constricted portion of the tendon sheath (A1 pulley) is carefully divided to allow the tendon to move freely again. The procedure typically takes 10-15 minutes per finger and can be performed on multiple fingers simultaneously if needed.
Recovery & Aftercare
Most patients can return to light activities within a few days. The small incision heals quickly, and stitches are typically removed after 10-14 days. Full recovery typically takes 2-4 weeks, with hand therapy recommended to restore full range of motion and strength. Patients can usually return to desk work within a few days and manual work within 2-3 weeks.
Expected Results
Surgery is highly successful, with over 95% of patients experiencing immediate relief from catching and locking. Normal finger function is typically restored within a few weeks. The procedure provides long-term relief, with recurrence being very rare. Most patients report significant improvement in pain and function.
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Frequently Asked Questions
What causes trigger finger?
Trigger finger is caused by inflammation and thickening of the tendon sheath, often due to repetitive gripping activities, certain medical conditions like diabetes or rheumatoid arthritis, age-related changes, or previous hand injuries. It's more common in women and people aged 40-60.
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Can trigger finger be treated without surgery?
Yes, mild cases may respond to conservative treatments including rest, splinting, anti-inflammatory medications, steroid injections, or hand therapy. Surgery is recommended when conservative treatments fail or symptoms are severe.
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How long does trigger finger surgery take?
The procedure typically takes 10-15 minutes per finger and is performed as an outpatient procedure under local anesthesia. Multiple fingers can be treated during the same session if needed.
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Will I be awake during trigger finger surgery?
Yes, trigger finger surgery is typically performed under local anesthesia, so you'll be awake but the area will be completely numb. This allows for immediate testing of finger movement during the procedure.
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When can I return to work after trigger finger surgery?
Most patients can return to desk work within 2-3 days. Those with manual jobs may need 2-3 weeks off work. Dr Maresky will provide specific guidance based on your occupation and healing progress.
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Will I have a scar after trigger finger surgery?
Yes, there will be a small scar (about 1cm) in your palm at the base of the affected finger. The scar typically fades significantly over time and rarely causes functional problems.
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Can trigger finger come back after surgery?
Recurrence is very rare after trigger finger release surgery, occurring in less than 2% of cases. The procedure provides a permanent solution by completely releasing the constricted tendon sheath.
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How successful is trigger finger surgery?
Trigger finger surgery has an excellent success rate of over 95%. Most patients experience immediate relief from catching and locking, with full function typically restored within 2-4 weeks.
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Will I need hand therapy after trigger finger surgery?
Hand therapy is often recommended to optimize recovery, restore full range of motion, and prevent stiffness. Most patients benefit from a few therapy sessions, though some may recover fully without formal therapy.
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How much does trigger finger surgery cost?
The cost ranges from R8000-R12000 depending on the complexity and number of fingers treated. This includes the surgical fee, facility costs, and follow-up care. Medical aid coverage may apply - our team will help verify your benefits.
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Can multiple trigger fingers be treated at once?
Yes, multiple trigger fingers can often be treated during the same surgical session. This reduces overall recovery time and the need for multiple procedures. Dr Maresky will assess your specific situation during consultation.
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