Hand Surgery

Trigger Finger (Tenolysis)

US-Trained Surgeon15+ Years ExperiencePatient-Centred Care

Consultations are based at Christiaan Barnard Memorial Hospital in Cape Town, with patients visiting from the Western Cape and across South Africa.

Book Consultation

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 assesses each case individually and discusses conservative and surgical options where appropriate.

How Much Does It Cost?

Trigger Finger (Tenolysis) at Dr. Maresky's practice typically ranges from R15,000 to R30,000, depending on your specific needs and goals. Final pricing is always confirmed during your consultation, once Dr. Maresky has assessed your individual case.

Factors that influence the cost:

  • Number of fingers affected
  • Open vs percutaneous
  • Anesthesia type

The consultation is an independent clinical assessment. Final costs are confirmed before any treatment is scheduled.

Prices are indicative and quoted at Christiaan Barnard Memorial Hospital. Subject to change. Medical aid contributions may apply for reconstructive or medically indicated cases.

Book Consultation for Personalised Quote

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
Many patients experience improvement in catching, locking, pain, and function after trigger finger release. Recovery timing and long-term outcomes vary according to the severity of the condition, general health, aftercare, and individual healing.

Ready to Get Started?

Schedule your consultation with Dr. Maresky today

Book Consultation

Why Choose Dr. Maresky

Safety First
Personalized Planning
Personalized Care
Trigger Finger (Tenolysis) - Image 1 of 5
Trigger Finger (Tenolysis) - Image 2 of 5
Trigger Finger (Tenolysis) - Image 3 of 5
Trigger Finger (Tenolysis) - Image 4 of 5
Trigger Finger (Tenolysis) - Image 5 of 5
1 / 5

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.
Book a Consultation
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.
Book a Consultation
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.
Book a Consultation
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.
Book a Consultation
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.
Book a Consultation
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.
Book a Consultation
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.
Book a Consultation
How successful is trigger finger surgery?
Many patients experience relief from catching and locking after trigger finger release. Recovery timing varies, and your consultation will cover expected healing, risks, and return to activity.
Book a Consultation
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.
Book a Consultation
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.
Book a Consultation
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.
Book a Consultation

Related Procedures

Carpal Tunnel Surgery (Carpal Tunnel Release)

Surgical procedure to relieve pressure on the median nerve in the carpal tunnel

Dupuytren's Contracture (Fasciectomy)

Surgical treatment for abnormal thickening and tightening of connective tissue in the palm and fingers

Trauma Surgery (Reconstructive Surgery)

Comprehensive surgical treatment for hand injuries including tendon, nerve, and fracture repair

Explore Further

Are You a Candidate?

Find out if Trigger Finger (Tenolysis) is right for you

Recovery Timeline

What to expect after Trigger Finger (Tenolysis)

Cost & Pricing

Trigger Finger (Tenolysis) price range and cost factors

Trigger Finger (Tenolysis) vs Carpal Tunnel Surgery (Carpal Tunnel Release)

Both hand conditions — nerve compression vs tendon entrapment