Trigger finger release TFR
Trigger Finger Release (TFR)
Trigger Finger Release

To schedule an appointment or learn more about the latest advancements in trigger finger treatment, click here or call (603) 924-2144.

W. Bradley White, M.D., FAAOS leads an expert team at Monadnock Orthopaedic Associates providing patients with innovative, minimally-invasive care for trigger finger.

Each year, more than 200,000 people in the US are diagnosed with trigger finger. Whatever the cause, a new surgical solution is here, thanks to the skill of Dr. White and his team using a new minimally invasive technique with ultrasound guidance.

Learn how to alleviate Trigger Finger pain and regain hand health at our in-person seminar on January 11, 2024, at 5:30 pm. Space is limited – register now on EventBrite or call (603) 924-4699 x1110.

What is trigger finger?

Trigger finger, or TF, is a common condition in the United States with 800k people diagnosed annually. 1 The condition is characterized by catching, snapping or locking as you flex or extend your fingers, causing pain, swelling and popping. Trigger finger occurs when inflammation or swelling creates a nodule within the tendon sheath and prohibits the flexor tendons from gliding smoothly underneath the pulley(s). In severe cases, the finger may become locked in a bent position.

What are common symptoms of trigger finger?

  • Pain at the base of the affected finger, where the finger joins with the palm

  • Swelling within the affected tendon or development of a cyst

  • Stiffness or loss of motion: difficulty in bending the finger

  • Mechanical symptoms – popping, catching or locking

Treatment Options

Non-Surgical Treatments

With the consultation of a physician, less severe symptoms of trigger finger can be treated in various ways without surgery. Splinting of the affected finger, NSAIDs to reduce inflammation, corticosteroid injection, hand therapy and exercises, or change in activity to reduce forceful or repetitive motions are common non-surgical alternatives for mild cases.

Surgical Treatments

Trigger finger can also be treated surgically with a procedure called trigger finger release (TFR). This procedure involves releasing the pulley of the affected finger to allow the tendon to glide more freely and may be recommended if non-surgical treatment options do not offer improvement. With the help of real-time ultrasound guidance, physicians can perform TFR through a minimally invasive approach to provide full mobility of your finger, with less scarring and a shorter recovery than open trigger finger release surgeries. 2

Trigger Finger Release with Real-Time Ultrasound Guidance

Say goodbye to pain and discomfort

TFR with real-time ultrasound guidance can alleviate the pain and inconvenience of trigger finger and quickly have you back doing the day-to-day activities you love. Minimal scarring and immediate motion of the finger are some of the notable benefits. 2-4
If you are ready for long-term relief then trigger finger release with UltraGuideTFR and real-time ultrasound guidance may be right for you. You don’t have to wait any longer to start enjoying the little things in life again. Regain mobility and say goodbye to pain and discomfort.

Schedule Now

To schedule an appointment or learn more about the latest advancements in trigger finger treatment, click here or call (603) 924-2144.


1. Sears ED et al: National utilization patterns of steroid injection and operative intervention for treatment of common hand conditions, J Hand Surg Am 2016; 4: 367-373 — Diagnosed incidence estimated based on assumption that 43% of TF patients have TFR within one year of diagnosis (Sears 2016), i.e., back-calculated from TFR rate.
2. Nikolaou, V.S., Malahias, M.A., Kaseta, M.K., Sourlas, I., & Babis, G.C. (2017). Comparative clinical study of ultrasound-guided A1 pulley release vs open surgical intervention in the treatment of trigger finger. World Journal of Orthopedics, 8(2), 163-169. doi:10.5312/wjo.v8.i2.163.
3. Colberg, R.E., Pantuosco, J., Flesig, G., & Drogosz, M. (2020). Ultrasound-guided microinvasive trigger finger release technique combined with three tests to confirm a complete release. American Journal of Physical Medicine & Rehabilitation, 99(12), 1150-1156. doi:10.1097/ PHM.0000000000001510.
4. Colberg, R.E., Juardo, Velez J.A., Garrett, W.H., Hart, K., & Fleisig, G.S. (2021). Ultrasound-guided microinvasive trigger finger release technique using an 18-gauge needle with a blade at the tip: A prospective study. PM&R: The Journal of Injury, Function and Rehabilitation, 1-8. doi:10.1002/pmrj.12665.

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