Dr. Ram Paltisenior physician of the hand surgery department
Specialists at the Hand Surgery Center of the Top Ichilov clinic have extensive experience in treating trigger finger syndrome and use only the most effective methods.
- In 50% of cases, cortisone injection (a strong anti-inflammatory agent) is effective. However, its use is limited to three injections.
- In 50% of cases, surgery is required. This is one of the simplest surgeries, lasting only a few minutes and performed on an outpatient basis (without hospitalization) under local anesthesia. The surgeon makes a small incision on the swollen finger and removes the A1 pulley, which provides more space for tendon movement. Stitches are removed after 5-7 days, and the patient can use the operated hand for light work the very next day after the surgery.
The Hand Surgery Center at the Israeli Top Ichilov clinic easily handles the treatment of "trigger finger syndrome": qualified surgeons at the clinic quickly perform the straightforward surgery without complications or side effects, annually restoring the ability of thousands of patients to fully use their hands and relieving them of painful sensations.
What is "trigger finger syndrome"?
The image shows the structure of the hand: the tendons, colored white, pass into the fingers inside the tendon (synovial) sheaths, where synovial fluid is produced to reduce friction between the tendon and the surrounding environment. The bases of the synovial sheaths are called "A1 pulleys", which secure the synovial sheaths to the bone, with veins and nerves running in close proximity.
As a result of swelling, the tendon gets stuck, and when it is released during further movement, a click occurs, accompanied by painful sensations – this is "trigger finger syndrome".
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Diagnosis of Trigger Finger Syndrome
"Trigger finger syndrome" is one of the most common problems encountered in hand surgery, caused by tendon swelling at the base of the finger. The syndrome manifests as pain and clicking during finger extension or flexion. It initially appears in the morning and then occurs more frequently throughout the day, eventually leading to the finger being unable to fully straighten or bend.
Diagnosis of "trigger finger syndrome" is very simple and does not require complex examinations: it is based on the patient's complaints and examination of the swelling at the base of the finger. Treating trigger finger syndrome with anti-inflammatory medications, massages, acupuncture, splints, etc., is completely ineffective.