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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What our patients have to say.

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.

Kara D.

I have had a wonderful experience with Dr. Iyengar and his team. I appreciate his transparency achieving realistic results that are natural and what is safe for my body. Dr. Iyengar is very attentive ensuring my recovery is going well and is very responsive to questions or concerns that I have had. I love my results, it is everything that I asked for and I feel more confident than ever. I am grateful and appreciative of Dr. Iyengar and his team.

Beth S.

Dr. Iyengar is an incredible doc, he truly listened to my story and provided a plan to address all of my medical needs. After surgery, he has been providing excellent care of me and is the most accessible surgeon I have ever encountered. Having a complex medical history, I was nervous about having this surgery, but Dr. Iyengar and his whole staff have been amazing and I highly recommend them!

Lisa S.

I had a procedure to ease back and neck pain. Dr.Rajiv Iyengar. Was so amazing. His staff was thoughtful. They helped coordinate insurance. Made sure I was well informed and the surgery and results have been beyond my expectations. I suggest you shop around and then STOP when you interview Dr Iyengar. The procedure went without a hitch. He had full control of all the Medical professionals and was very thorough through the day. He is helpful and old fashioned in his bedside manner. Very pleased with results and will recommend to anyone.

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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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Michael W

Dr Iyengar did a repair on an old eyelid surgery. Him and his staff were a pleasure to work with and I could not be happier with the results!

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Laurie A.

Dr. Raj Iyengar is awesome!!! I had 3 areas of botox today (glabella, crow's feet, and forehead). I had absolutely no pain and zero bruising. He was very informative throughout the procedure, and very kind. A great experience

Christina R.

I am 6 days post brow lift, blephraplasty, nanofat transfer, and neck lipo with Renuvion, and I already see a significant difference. I am SO excited already, and I’m still healing. Dr Iyengar has an incredible bed side manner, remembers little details about his patients, and has an impeccable résumé. I made the right choice trusting him with my face!

Ron L.

I’m glad to have this doctor and his staff on my side. When I heard the words skin cancer I went through a WIDE verity of feelings. I got worse case scenario and it scared me. After some reassurance I felt much better. I’m amazed at the complexity of the surgery and how well everything went. Just 6 weeks after surgery I’m feeling much better about the future look that everyone will see when they see my smiling face. Thanks Dr. Iyengar. I’ll share photos with anyone interested.

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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