Trigger Finger Treatment in Puyallup | Iyengar Plastic Surgery

Understanding Trigger Finger

Trigger finger, medically known as stenosing tenosynovitis, occurs when the tendon that controls finger movement becomes inflamed or irritated. This swelling can cause the tendon to catch or lock as it moves through its protective sheath, making it difficult to straighten the affected finger.

‍Whether your symptoms are mild or advanced, Dr. Iyengar offers both nonsurgical and surgical treatments to restore smooth movement and relieve pain with compassionate, effective care. Common symptoms include stiffness, clicking, or a popping sensation when moving the finger—especially in the morning. In more severe cases, the finger may become stuck in a bent position and require assistance to straighten.

When should I consider treatment?

Trigger finger can affect one or more fingers and tends to develop gradually. If you're experiencing discomfort when gripping, notice your finger locking in place, or find that symptoms are interfering with daily activities, it's time to consider treatment.

Without proper care, the condition can worsen over time and limit hand function.

What are my treatment options?

Conservative Approaches

Mild to moderate cases can often be managed without surgery. Common non-surgical treatments include:

Splinting: Immobilizing the finger to reduce inflammation.
Anti-inflammatory medications: To relieve swelling and pain.
Needle Aponeurotomy: This is a minimally invasive technique used to treat Dupuytren’s disease, a condition where thickened cords form in the palm, causing the fingers to contract. Using a small needle inserted through the skin, the cord is carefully divided in multiple locations to release tension and improve finger extension. This procedure is performed in the office under local anesthesia and requires no incisions or stitches, offering a quicker recovery and less downtime compared to open surgery. It is an effective option for select patients with palpable cords and flexible contractures.

Surgical Treatment

If symptoms persist or recur, a simple outpatient procedure called trigger finger release may be recommended. During this procedure, Dr. Iyengar makes a small incision to release the tight section of the tendon sheath, allowing the tendon to glide freely again.

The surgery is quick, highly effective, and typically allows for rapid return to normal finger function.

Why choose Dr. Iyengar for hand surgery?

Dr. Iyengar’s advanced fellowship in hand and upper extremity surgery ensures you receive expert care for conditions like trigger finger. He uses precise, minimally invasive techniques whenever possible to minimize recovery time and help you regain full use of your hand quickly and safely.

What does recovery look like?

Most patients experience immediate relief from locking or catching following surgery. Light use of the hand is often encouraged within a few days, and most people return to normal activities shortly after.

Minor soreness or swelling may last for a couple of weeks, but full hand function typically returns quickly with minimal downtime. Dr. Iyengar also works closely with trained hand therapists to provide splinting and guided mobilization protocols to ensure optimal outcomes.

Check out how our patients looked before and after.

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Check out what our patients have to say.

Aimee S.

There isn't a bad thing I can say about Dr. Iyengar or my experience. I found Dr. Iyengar after I had been to a friend's consultation up in Bellevue. I heard her quote and options, and knew I wanted to be closer to home for my procedure. I got in for my consultation the same week as I had inquired about my procedure. Dr. Iyengar won me over with the fact that we both grew up in Puyallup, we share a love for Olive Garden breadsticks, he is friendly, knowledgeable, has an incredible bedside manner, taking time to answer questions and get to know your needs, professional, and funny. From consultation to 3 weeks post op, and everything in between has been an experience that I would recommend to family and friends, and have recommend to anyone that asks. If you're going back and forth, do yourself a favor and stop looking. Dr. Iyengar is your guy!! My BFF and I are proof that this guy is THE. BEST.

Lawrence W.

I was having trouble getting a grip on some hand tools, and at a restaurant that used round table ware rather than flat and edged utensils I notice I couldn't seem to hold them from rolling. My primary physician referred me to Dr. Iyengar. Probably one of the better 20 mile appointments I've had.Dupuytren's contracture, is the culprit the good doctor diagnosed and showed how it prevents my hand from lying flat on a table top because the little, and ring finger were closing on the palm. I mentioned that the middle finger of that hand also locked often with some pain associated with the nuisance. "We can take care of these two procedures today if you'd like" he offered and it made sense if he was willing, I'd travelled 20 miles for the diagnosis, getting the cure at the same time was more than just good sense.

In less than an hour, a pain free hour, the troublesome contracting cord had been freed up and a needle shot of a drug, perhaps cortisone, though I've forgotten, and I was on my way to the physical therapist to learn what I could do following up on the minimal surgery.

From the time I entered the office until I left was a pleasant and friendly exchange of information and personal stories. I didn't wait long, so short I could not get through reading the diplomas and advanced training and education certificates hanging on the walls that Dr. Iyengar has garnered from his studies and surgical skills.

The good doctor keeps a friendly atmosphere for staff and patients, for me 20 miles no longer seemed inconvenient. I'll see him for the followup and look forward to that. You'll be in good hands with Dr. Iyengar and staff.

Lisa R.

I have lived my entire adult life self conscious of my neck sagging and double chin. Dr. Iyengar took such good care and gave me a tight neck and for once in my life I have a jawline! I had a neck and lower face lift with lipo in my chin.

Liza C.

From my very first consultation, I was blown away by the level of care and professionalism at this practice. Every single team member, from the front desk to the medical coordinators and assistants, was friendly, attentive, and truly made me feel at ease. The customer service is top-notch!

Dr. Iyengar is exceptional. His experience, skill, and depth of knowledge shine through in every interaction. His bedside manner is warm and reassuring, and he takes the time to truly listen to your goals without ever being pushy. He’s incredibly responsive and makes you feel confident and cared for from day one. Honestly, his fresh perspective combined with his expertise is a major positive!

The aftercare has also been outstanding! Thorough, diligent, and consistently supportive. I’ve felt cared for every step of the way.

My entire experience has been nothing short of excellent. I’d highly recommend this practice to anyone looking for a team that’s professional, compassionate, and truly invested in your care. They set the bar high!

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Jenny M.

I’m incredibly grateful that I was referred to Dr. Iyengar for my breast reconstruction surgery. From the very first consultation, he has been an absolute blessing throughout the entire process. His kindness, super friendliness (a rare trait), helpfulness, caring nature, and outstanding service are truly remarkable. Additionally, his extensive knowledge and confident responses to my questions, along with his ability to treat me with personable care, make him an exceptional surgeon.

Quality care in all realms of plastic and reconstructive surgery.

We see our patients as individuals, not just cases on the schedule. Dr. Iyengar makes every effort to get to know his patients personally and thoroughly understand their goals. This personalized approach ensures that every patient receives the highest quality care and achieves the results of their dreams! Dr. Iyengar executes every procedure with precision, integrity and utmost care.

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