Trigger Finger Treatment with Dr. Andrew Yang

Finger clicking, locking, or getting stuck? Dr. Andrew Yang is a hand surgeon, board-certified in Orthopaedic Surgery by ABOS, and provides diagnosis and treatment options at OrthoMD in Fort Lee, NJ and Bayside, NY.

PRP is not a standard first-line treatment; read when it may be discussed after evaluation.

Understanding Trigger Finger with Dr. Andrew Yang

Trigger finger (medically known as stenosing tenosynovitis) is a common hand condition that causes a finger or thumb to catch, click, or lock when you bend it. It is one of the most frequent reasons patients visit an orthopedic hand specialist.

Inside each finger, a flexor tendon glides through a series of tunnels called pulleys. The first pulley at the base of the finger — called the A1 pulley — is the most common site of the problem. When the tendon becomes irritated or develops a small nodule, it can no longer glide smoothly through this narrow tunnel.

As the thickened tendon tries to pass through the tight A1 pulley, it catches or snaps — producing the characteristic clicking, popping, or locking sensation. Trigger finger can affect any digit, including the thumb, and may involve more than one finger at a time.

Common Symptoms

Trigger finger symptoms often develop gradually and may be worse in the morning or after prolonged gripping. If you notice any of the following, consider an evaluation with a hand surgeon.

Clicking or snapping sensation when bending or straightening the finger
Pain or tenderness at the base of the affected finger or thumb
Morning stiffness that loosens during the day
Finger locking in a bent position and suddenly popping straight
Needing to use the other hand to manually straighten the finger

Causes & Risk Factors

Trigger finger can develop in anyone, but certain factors increase the likelihood. Andrew Yang, MD considers your risk factors when discussing treatment options.

Repetitive gripping or prolonged hand use (tools, instruments, gardening)
Diabetes — significantly increases the risk of developing trigger finger
Rheumatoid arthritis or other inflammatory conditions
Forceful hand use or occupations requiring heavy gripping
Recent increase in hand activity or a change in routine
Age — more common in adults between 40 and 60

Diagnosis

Trigger finger is typically diagnosed during an in-office examination. In most cases, Andrew Yang, MD can provide a diagnosis and discuss treatment options during your first visit.

Physical examination — palpation of the A1 pulley area at the base of the finger to check for tenderness or a nodule
Observation of catching or locking during active finger flexion and extension
Assessment of stiffness, range of motion, and involvement of other digits
No imaging is typically needed — trigger finger is a clinical diagnosis based on the tendon and pulley, not the bone
Same-day clarity — most patients leave with a diagnosis and treatment plan in one visit

Treatment Options

Non-Surgical Treatments

Many patients with trigger finger improve without surgery. Andrew Yang, MD discusses conservative options based on the severity and duration of your symptoms.

Activity modification — reducing or adjusting repetitive gripping and forceful hand use
Splinting — night splints keep the finger extended, reducing tendon irritation while you sleep
Anti-inflammatory medications — short-term NSAIDs to help reduce pain and swelling

Corticosteroid Injection

A cortisone injection around the A1 pulley is one of the most effective non-surgical treatments for trigger finger:

Reduces inflammation in and around the tendon sheath
Allows the tendon to glide smoothly through the pulley
Often provides significant relief within days to weeks
High success rate, especially for early or moderate cases
Many patients experience lasting improvement with one or two injections

Surgical Options — Trigger Finger Release

When symptoms are severe, persistent, or do not respond to conservative treatment, trigger finger release surgery may be recommended. This is a minimally invasive outpatient procedure performed by our hand surgeon.

Benefits of trigger finger release:

Very high success rate — over 95% in most studies
Immediate improvement in locking and catching after surgery
Quick return to light hand use within days
Minimally invasive — small incision at the base of the finger
Outpatient procedure with local anesthesia — no hospital stay required

Get answers and a clear plan — usually same day.

Andrew Yang, MD can evaluate trigger finger symptoms and discuss treatment options.

Why Choose OrthoMD for Trigger Finger Treatment

Physician-Led, Focused Care

Dr. Andrew Yang is a hand surgeon, board-certified in Orthopaedic Surgery by ABOS, with hand and upper extremity fellowship training. Your care begins with an evaluation and treatment plan.

Hand & Wrist Focus

Our practice focuses on conditions of the hand, wrist, and upper extremity, including trigger finger.

Conservative First Approach

We always explore non-surgical treatments before recommending surgery. If surgery is needed, we'll explain why and walk you through the process step by step.

Two Convenient Locations

With offices in Fort Lee, NJ (Bergen County) and Bayside, NY (Queens), hand care is close to home — with same-day evaluations often available.

Related Conditions

Hand and wrist conditions can share overlapping symptoms. If you're experiencing discomfort beyond trigger finger, these related conditions may also be worth exploring:

Learn more about our full range of orthopedic services.

Procedure options, recovery and coverage

Wide-awake surgery option (WALANT)

For selected hand procedures, WALANT uses local anesthesia without general anesthesia or sedation. In many cases, pre-operative fasting or a ride may not be needed; follow the instructions for your specific procedure. Learn about wide-awake hand surgery.

Who may be a candidate

A procedure may be discussed when catching or locking continues after non-surgical care, or when finger motion is substantially limited. An evaluation helps compare splinting, injection, and release options.

Recovery timeline: general guide

  • First days: keep the dressing in place as directed and move the finger as instructed.
  • 1–2 weeks: wound review and gradual use depend on the procedure and healing.
  • 2–6 weeks: activity and hand exercises progress according to comfort and follow-up.
  • Beyond: stiffness or tenderness may take additional time to change; results vary.

This is general information; results and recovery vary.

Cost and insurance

OrthoMD accepts Medicare, workers' compensation, auto insurance, and most major plans. Coverage varies by plan and service. Call (917) 242-4585 with questions about coverage.

Languages: English and Korean; Spanish interpreter available.

Frequently Asked Questions

Ready for Relief?

Schedule an evaluation with Andrew Yang, MD — get a clear diagnosis and treatment plan, usually same day.

You can also visit our contact page for directions and office hours.

OrthoMD — Fort Lee, NJ

2175 Lemoine Ave, Ste 401A, Fort Lee, NJ 07024

Office hours: Monday, Wednesday, Friday 9:00 AM – 5:00 PM

Closed: Tuesday, Thursday, Saturday, Sunday

Phone: (917) 242-4585

Fax: (917) 993-6284

Email: contact@handorthomd.com

OrthoMD — Bayside, NY

42-21 Francis Lewis Blvd #107, Bayside, NY 11361

Office hours: Tuesday 9:00 AM – 5:00 PM

Closed: Monday, Wednesday, Thursday, Friday, Saturday, Sunday

Phone: (917) 242-4585

Fax: (917) 993-6284

Email: contact@handorthomd.com

Andrew Yang, MD · OrthoMD

English and Korean; Spanish interpreter available

Insurance

We participate with Medicare, Work Injury Insurance, Auto Insurance, and most major insurance plans.

For insurance verification or appointments, please call:

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This website is for informational purposes and does not replace professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.