I was diagnosed with trigger thumb in both of my thumbs. I received cortisone injections into my thumbs only giving me temporary relief. I then had surgery on my left thumb in February 2004 and it was successful. In April 2004 the snapping and locking symptoms returned to my right thumb. After a consultation with Dr. Kramer, I decided to receive Prolotherapy injections in my right thumb. Within a week my thumb was feeling better and the snapping and locking symptoms were near gone. A second injection was needed and now 6-months later my thumb is totally free of any previous symptoms. After having surgery and Prolotherapy injections, I can say that my right thumb, which received the Prolotherapy injections has more movement than my left thumb, which had surgery on it due to the lack of scar tissue. I really do recommend checking out alternatives before surgery. Dr. Kramer and his staff are truly great caregivers than get results.