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Comparison Guide

Trigger Finger: Injection vs Surgery

Should you try cortisone injection or go straight to surgery for trigger finger? Compare success rates, recovery, and when each is appropriate.

Cortisone Injection

A steroid injected into the tendon sheath reduces inflammation. Takes 30 seconds, works within 1-2 weeks. Success rate: 60-90% for first injection. Diabetics have lower success (~50%). May need repeat injection. Cost: $200-$500.

Surgical Release

A 10-20 minute procedure under local anesthesia that cuts the A1 pulley permanently. Success rate: 95%+ with very low recurrence. Cost: $2,000-$8,000. Recommended after 2 failed injections or Stage 4 (locked finger).

Comparison

FactorInjectionSurgery
Success rate60-90%95%+
RecoveryNone2-4 weeks
Recurrence20-40%Rare (<5%)
Cost$200-$500$2,000-$8,000
AnesthesiaLocal (30 sec)Local (10-20 min)
Best forFirst-line treatmentFailed injections

Frequently Asked Questions

How many injections before surgery?
Most surgeons recommend a maximum of 2-3. If 2 fail, surgery is preferred.
Is surgery worth it for trigger finger?
Yes. 95%+ success rate, quick recovery, permanent fix. Most patients wish they did it sooner.

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