Trigger Thumb Surgery Bandage Care

Trigger thumb, also known as stenosing tenosynovitis, is a condition where the tendon sheath surrounding the thumb becomes inflamed, causing pain and stiffness. In severe cases, surgery may be necessary to relieve the tension and restore normal thumb function. Proper post-operative bandage care is crucial to ensure a smooth and uneventful recovery.

The surgical procedure for trigger thumb typically involves making a small incision in the thumb to release the affected tendon sheath. After the surgery, the thumb is usually wrapped in a bulky bandage to protect the wound, reduce swelling, and provide support. The bandage is typically left in place for 2-3 days, during which time it’s essential to follow proper care instructions to prevent complications.

Immediate Post-Surgical Care (First 2-3 days)

1. Keep the bandage dry: It’s crucial to keep the bandage dry to prevent infection. Avoid submerging the thumb in water, and refrain from taking baths or swimming until the bandage is removed. If you need to wash your hands, cover the bandage with a plastic bag or waterproof sleeve.
2. Elevate the thumb: To reduce swelling, elevate your thumb above the level of your heart as much as possible. You can use a pillow or a wedge to support your thumb while sleeping or resting.
3. Monitor for signs of infection: Watch for signs of infection, such as increased redness, swelling, warmth, or purulent discharge. If you experience any of these symptoms, contact your surgeon immediately.
4. Take pain medication as directed: Follow your surgeon’s instructions for taking pain medication to manage discomfort and pain.

Bandage Change and Wound Care (After 2-3 days)

1. Remove the bandage: After 2-3 days, you’ll need to remove the bandage to inspect the wound and change the dressing. Gently unwrap the bandage, taking care not to touch the wound or disturb any stitches.
2. Clean the wound: Gently clean the wound with mild soap and water. Avoid using harsh soap, hydrogen peroxide, or iodine, as these can irritate the wound.
3. Apply antibiotic ointment: Apply a thin layer of antibiotic ointment to the wound to help prevent infection.
4. Cover the wound: Cover the wound with a sterile dressing or bandage to protect it from dirt and bacteria.

Ongoing Care and Recovery

1. Follow a gentle exercise routine: Once the bandage is removed, start gently exercising your thumb to maintain flexibility and range of motion. Your surgeon or a physical therapist can provide guidance on exercises to perform.
2. Avoid heavy lifting or bending: Avoid heavy lifting, bending, or strenuous activities that may put strain on your thumb.
3. Monitor for complications: Continue to monitor for signs of infection, nerve damage, or other complications. If you experience any unusual symptoms, contact your surgeon promptly.
4. Attend follow-up appointments: Attend scheduled follow-up appointments with your surgeon to ensure proper healing and address any concerns.

By following these care instructions and attending follow-up appointments, you can ensure a smooth and successful recovery from trigger thumb surgery. Remember to prioritize wound care, exercise gently, and monitor for complications to achieve optimal outcomes.