Trigger Finger is a mechanical syndrome caused by irritation of the flexor tendon responsible for bending the fingers becomes inflamed and gets stuck under the pulleys that normally prevent the tendons from “bow-stringing”.
Conservative treatment of trigger finger includes relative rest, splinting, stretching exercises and occasional a corticosteroid injection in the A1 pulley.
When these fail, traditional surgery requires making an incision over the area, releasing the A1 pulley to allow the tendon to glide when the finger bends and extends, and suturing the skin back together.
Newer minimally invasive ultrasound-guided techniques have arisen which can release the A1 pulley in the office setting using local anesthetic with an entry point too small to be sutured and patients usually return back to activities in less than a week.
Dr. Thomas trained under orthopedic interventionalists at Boston Sport and Biologics, Dr. Sussman and Dr. Latzka, and performs minimally-invasive trigger finger releases when conservative management has failed.
Trigger Finger of the A1 Pulley