5 doctors weighed in:

Months after carpel tunnel surgery having trigger finger swelling pain, is it normal?

5 doctors weighed in
Dr. Andrew Bronstein
Surgery - Hand Surgery
2 doctors agree

In brief: Common

Since the flexor tendons to the fingers co-habitate with the median nerve in the carpal tunnel, it is not rare for patients with carpal tunnel to eventually get trigger finger.
Swelling post carpal tunnel release can lead to changes in the flexor tendon sheath that eventually leads to triggering. Early nsaids or steroid injection may prevent the need for surgery, but surgery is a common option.

In brief: Common

Since the flexor tendons to the fingers co-habitate with the median nerve in the carpal tunnel, it is not rare for patients with carpal tunnel to eventually get trigger finger.
Swelling post carpal tunnel release can lead to changes in the flexor tendon sheath that eventually leads to triggering. Early nsaids or steroid injection may prevent the need for surgery, but surgery is a common option.
Dr. Andrew Bronstein
Dr. Andrew Bronstein
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Dr. Ronald Krauser
Internal Medicine - Rheumatology

In brief: No

These are unrelated issues.
It is not a complication of carpal tunnel surgery.

In brief: No

These are unrelated issues.
It is not a complication of carpal tunnel surgery.
Dr. Ronald Krauser
Dr. Ronald Krauser
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2 comments
Dr. Alvin Stein
trigger fingers are a sequel to the carpal tunnel surgery. Release of the transverse carpal ligament , although needed, caused a realignment of the tendon trajectory through the palmer area and results in trigger fingers in enough patients to make it a definitive related issue. I may resolve with injection into the tendon sheath. Or prolotherapy to the tendon sheath of it may need a pulley release at the a1 pulley in the palmer area of the involved digit. See ahand surgeon or a prolotherapist a www.getprolo.com or aaomed.org for infomation and help finding a doctor.
Dr. Michael Fitzmaurice
Agree with the comment. A recent study just confirmed this and demonstrated increased risk of trigger finger after having carpal tunnel surgery. These are easily treated with a simple steroid injection as a first line treatment and if no relief do very well after surgical release of the A1 pulley.
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