Due to ongoing problems of trigger finger, my doctor has recommended surgery. I’ve been given the option of having an “open” surgery or a new way known as a “percutaneous” technique. What are the differences?

The traditional surgery for trigger digits is the “open” method. This involves making an incision through the skin over the swollen nodule. By opening the skin, the doctor is able to see inside and cut the tendon pulley.

A newer way to release the tendon pulley is to use a percutaneous (across the skin) method. The doctor simply inserts a needle through the skin, just under the tendon pulley. By twisting the needle, the tendon pulley is cut, and the nodule is free to move. The challenge with this surgery is the surgeon is unable to see the tendon pulley.

Patients seem to do well with both types of surgery. However, the open method takes longer, and people have less pain and get back to activities faster after the percutaneous method. Your doctor will know which method is best for your particular condition.