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Hand & Wrist · Office-Based

Ultrasound-guided trigger finger release

Trigger finger happens when a tendon catches at the pulley near the base of the finger, causing pain, clicking, or locking. Using high-resolution ultrasound, we release the tight pulley through a tiny incision so the tendon glides smoothly again.

Book an Appointment → Call (808) 439-6201

Many patients notice smoother finger motion after the pulley is released, but pain, swelling, stiffness, and recovery time vary. Candidacy is confirmed at your visit.

Hands holding a finger that is locked in a bent position

Benefits

  • Very small incision when minimally invasive release is appropriate
  • Real-time ultrasound visualization of the tendon, pulley, nerves, and vessels
  • Often performed with local anesthesia in an office-based setting
  • Treatment plan matched to symptoms, prior care, and hand demands

How It Works

How release with ultrasound guidance works

01

Ultrasound mapping

High-resolution ultrasound locates the affected tendon and pulley.

02

Targeted release

Through a small incision, the tight pulley is released while the anatomy is viewed with ultrasound.

03

Progressive recovery

Finger motion and activity are advanced according to symptoms, wound healing, and hand demands.

Labeled diagram of a trigger finger release, showing the pulley opened so the tendon can glide
Illustration of a trigger finger release — the tight pulley is released so the tendon glides smoothly again.
A palm with a small dotted circle marked at the base of a finger
A dotted circle marks the release site — the incision is just a few millimeters wide.

Recovery & Expectations

What recovery depends on

Trigger finger release is intended to relieve the mechanical catching at the A1 pulley. The pace of symptom improvement and return to activity varies, so an evaluation should set expectations for your specific finger, health, and hand demands.

Diagnosis

The examination confirms whether trigger finger or another hand condition is causing the catching or locking.

Prior treatment

The plan accounts for splinting, medication, injections, and whether symptoms returned after earlier care.

Hand demands

Return to gripping, tools, sports, and work is individualized rather than promised on a fixed schedule.

Healing response

Soreness, swelling, stiffness, wound healing, and symptom improvement vary from patient to patient.

For a patient-friendly comparison of nonsurgical and procedural care, read our trigger finger injection-versus-release guide.

2-Minute Check

Am I a candidate for trigger finger release?

Answer a few quick questions. This is educational and is not a diagnosis — only an evaluation can tell for sure.

Do you have pain or a problem limiting your daily activities?

Have basic measures not given you lasting relief?

Would you like an expert opinion on your options?

Answer all 3 questions to see your result.

Patient Reviews

What patients say

“I am absolutely grateful for the care I received from Dr. Morton and his staff! Truly blessed that he was called to perform the surgery on my wrist shortly after my injury.”

— Leona K.· Google review

“Fell and broke my wrist. He came into the emergency department and set it. I’m about 4 months out and it feels like nothing happened. Thank you!”

— Verified patient· RateMDs review

Review excerpts reflect individual patient experiences and may be lightly condensed. Results vary.

Questions, Answered

Frequently asked questions

Do I need surgery for trigger finger?+

Some cases improve with rest, splinting, or a steroid injection. When symptoms persist, ultrasound-guided release is a minimally invasive option.

Is it done awake, in the office?+

Often yes — with local anesthesia and no need for general anesthesia. We'll confirm the plan for you.

How fast is recovery?+

Finger motion is usually encouraged after release, but soreness, swelling, stiffness, wound healing, and return to heavy gripping vary. Your clinician will give activity instructions based on your work and hand demands.

Will it come back?+

Release is intended to address the narrowed A1 pulley, but persistent or recurrent symptoms can occur. We'll review your specific situation and expectations.

Finger catching or locking?

Book an evaluation to see whether ultrasound-guided release can help.

Book an Appointment → Call (808) 439-6201
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