Trigger Finger Release

Download this rehabilitation protocol (PDF)

For patients and physiotherapists.

Day 3-5 Post Op

Aims:

  • Wound/oedema management
  • Commence range of motion exercises
  • Splinting

Suggested treatment:

  • Remove post op bulky dressings
  • Wound care as needed
  • Oedema reduction – elevation and active ROM
  • Gentle active and passive ROM
    • Hold and place in flexion and extension
    • Intrinsic stretching
  • Splinting:
    • Should not be required

Restrictions:

  • No resistive activities or activities that apply shear forces till wound healed

Day 7-10 Post Op

Aims:

  • Wound management
  • Continued oedema and ROM maintenance

Suggested treatment:

  • Removal of sutures
  • Continue ROM, oedema control, wound care
  • Scar mobilisation once wounds well healed

Restrictions:

  • None

2 Weeks and beyond

  • Can commence strengthening if needed

Some General Questions

What to expect after surgery:

  • Most patients will be discharged on the same day as surgery, although if your pain is severe you can always have an overnight stay in hospital
  • After surgery, you might notice some numbness to fingers of the operated hand. This may be secondary to local anaesthetic and will wear off over 48-72 hours.
  • You will be sent home with medications or a script to help with pain relief
  • You will be reviewed very early post op (within 3 days or so) by a hand therapist who will commence mobilisation and wound care management with you.
  • Mr Lau will see you in the rooms at around 6-8 weeks post op, but the hand therapy team will be in contact with him to update him on your progress

Time in Sling:

  • Generally your sling is only required for comfort

Return to Activity

  • Work: Depends what you do. Desk based work can be done from ~10 days post operatively, if you can do these tasks single handedly.
  • Drive: In Australia, you can’t drive unless you are in full control of both your arms. Therefore, whilst your hand is bandaged you cannot drive.
  • Sports/Hobbies: No restrictions after 10 days if the wound has healed

Concerns or questions?

If you have any concerns post operatively, or you would like further information, please contact Mr Lau through the VBJS on 03 5752 5020 or via email at admin@vbjs.com.au

If you need urgent medical help, call 000 or go to your nearest emergency department.

Patient information

These notes have been prepared by Mr Simon Lau. They are general overviews and information aimed for use by his patients. They reflect Mr Lau’s views, opinions and recommendations. They do not constitute medical advice. The contents are provided for information and education purposes only. Please seek Mr Lau’s specific advice with any questions regarding medical conditions and treatment.

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Trapeziectomy + Suspensionplasty

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Ulnar Shortening Osteotomy