Trigger Finger Release
Trigger finger release cuts the first annular (A1) pulley — the tight band causing the flexor tendon to catch and lock — so the tendon can glide freely again. It's the go-to surgery when corticosteroid injections haven't solved the problem. The procedure takes under 15 minutes and works in over 95% of cases.
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Who Needs Trigger Finger Release?
Surgery is the right next step when triggering, locking, or pain persists despite one or two injections, when the finger is locked and can't be straightened, or for diabetic patients who respond poorly to injections. It's one of the more straightforward hand procedures with a very low complication rate.
What to Expect
Recovery Timeline
Finger movement encouraged immediately. Light bandage over incision or needle site.
Stitches removed (open technique). Full use of the hand for light activities.
Progressive return to full hand use. Grip strength returns.
Complete recovery for most patients. No restrictions on hand use.
Risks & Complications
- Bowstringing of the flexor tendon (rare — over-release)
- Nerve injury adjacent to the pulley
- Infection (less than 1%)
- Scar tenderness
- Incomplete release or recurrence (uncommon, less than 5%)
Frequently Asked Questions
How long does trigger finger surgery take?
The procedure itself is 10-15 minutes. Plan on about an hour total at the surgery center. It's done under local anesthesia — you're awake, but the hand is completely numb.
Can trigger finger come back after surgery?
Recurrence after surgical release is under 5% — much better than cortisone injections, which come back 30-50% of the time within a year or two. A second injection is still reasonable before going to surgery for mild or moderate cases.
Is trigger finger release done in the office or operating room?
The needle (percutaneous) technique can be done right in an office or clinic. The open technique is done at an outpatient surgery center. Both are same-day, both work immediately. Your surgeon will tell you which approach fits your case.
Find a surgeon for Trigger Finger Release
Compare orthopaedic surgeons who perform this procedure.
Search surgeonsEstimated Cost
$1,500 - $5,000 (before insurance). Widely covered by insurance with documented failed conservative treatment including injections.
Full cost breakdownRelated Specialty
Hand Specialists →Other Procedures
This information is for educational purposes only. Costs are estimates and vary by location, surgeon, and insurance. Always consult a qualified healthcare provider.