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As we get older, that CMC joint in particular often wears out, causing pain at the base of the thumb.” Treatment for thumb arthritis starts conservatively with the patient wearing a soft brace. If that doesn’t work, injections at the base of the palm may work. And if there still isn’t relief, surgery is an option.You will generally have no pain, and the numbing medication usually lasts about 8 or more hours, so you will leave the surgery center with no pain.The surgery is typically performed on an outpatient basis, and you will go home the same day. After surgery, your thumb will be placed in a cast for three to four weeks, followed by a plastic splint for four to six weeks. Typically, it takes between six and eight weeks to regain full movement in your thumb.
- Activity modification.
- Massage.
- Over the counter NSAID’s (ibuprofen or naproxen)
- Anti-inflammatory herbs such as turmeric or ginger.
- Topical pain relief creams/gels.
- Occupational/physical therapy.
- Corticosteroid injections.
- Prescription anti-inflammatory medications.
- Rest: Support the thumb and rest it for as long as possible.
- Ice: Apply an ice pack wrapped in a cloth for about 10 minutes every hour for the first day.
- Compress: Wear an elastic (ACE) bandage to reduce swelling.
- Elevate: Keep the hand raised above heart level to reduce swelling and pain.
Table of Contents
How painful is CMC surgery?
You will generally have no pain, and the numbing medication usually lasts about 8 or more hours, so you will leave the surgery center with no pain.
What helps with CMC joint pain?
- Activity modification.
- Massage.
- Over the counter NSAID’s (ibuprofen or naproxen)
- Anti-inflammatory herbs such as turmeric or ginger.
- Topical pain relief creams/gels.
- Occupational/physical therapy.
- Corticosteroid injections.
- Prescription anti-inflammatory medications.
Thumb Wrist Pain (CMC Joint); Easy Self-Treatment for Pain-Free Daily Activities
Images related to the topicThumb Wrist Pain (CMC Joint); Easy Self-Treatment for Pain-Free Daily Activities
How do you relieve pain at the base of your thumb?
- Rest: Support the thumb and rest it for as long as possible.
- Ice: Apply an ice pack wrapped in a cloth for about 10 minutes every hour for the first day.
- Compress: Wear an elastic (ACE) bandage to reduce swelling.
- Elevate: Keep the hand raised above heart level to reduce swelling and pain.
How long does CMC joint take to heal?
The surgery is typically performed on an outpatient basis, and you will go home the same day. After surgery, your thumb will be placed in a cast for three to four weeks, followed by a plastic splint for four to six weeks. Typically, it takes between six and eight weeks to regain full movement in your thumb.
What is Stage 3 CMC arthritis?
…
Table 1.
| Stage | Description |
|---|---|
| III | Advanced carpometacarpal joint space narrowing, sclerosis, and cystic changes with osteophytes or loose bodies > 2 mm |
When is surgery needed for thumb arthritis?
If you don’t respond to other treatments or if you’re barely able to bend and twist your thumb, your doctor might recommend surgery. Options include: Joint fusion (arthrodesis). The bones in the affected joint are permanently fused.
What type of doctor treats thumb pain?
The types of specialists who treat finger injuries, conditions and disorders include orthopedic specialists, hand surgeons, rheumatologists (arthritis specialists), neurologists (for nerve-related finger problems), and physical therapists.
See some more details on the topic How is CMC joint pain treated? here:
Thumb Carpalmetacarpal (CMC) Arthritis | The Center
Diagnosis and treatment · Activity modification · Massage · Over the counter NSAID’s (ibuprofen or naproxen) · Anti-inflammatory herbs such as turmeric or ginger …
Thumb arthritis – Symptoms and causes – Mayo Clinic
Treatment generally involves a combination of medication and splints. Severe thumb arthritis might require surgery.
Optimal management of thumb basal joint arthritis – NCBI
Bracing, activity modification, and the use of assistive devices such as key assist and jar openers improve the patients’ quality of …
Arthritis of the Thumb – OrthoInfo – AAOS
Nonsurgical Treatment · Ice the joint for 5 to 15 minutes several times a day. · Take an anti-inflammatory medication, such as aspirin or ibuprofen, to help …
Does massage help thumb arthritis?
Studies have shown that having a professional hand massage just once a week, and doing self-massage once a day, may help reduce the pain associated with many conditions, including arthritis, carpal tunnel syndrome, and neuropathy.
What causes thumb arthritis to flare up?
The most common triggers of an OA flare are overdoing an activity or trauma to the joint. Other triggers can include bone spurs, stress, repetitive motions, cold weather, a change in barometric pressure, an infection or weight gain.
Why does my CMC joint hurt?
CMC joint arthritis is a type of osteoarthritis, a condition when the cartilage where the thumb joint meets the wrist begins to break down. The cartilage acts as a cushion in your joints, so the bones don’t rub together. When the cartilage wears away, it can be a painful experience.
How do you test for CMC arthritis?
A simple way you can test for thumb arthritis at home is to touch the tip of your thumb to the tip of your index finger. When you complete this test you should see the shape of an O. If the shape looks more like a D that is an indication of thumb arthritis. This “O” shape is indicative of no arthritis.
Thumb Carpometacarpal (CMC) Joint Arthritis Treatment
Images related to the topicThumb Carpometacarpal (CMC) Joint Arthritis Treatment
Why does the palm of my hand hurt by my thumb?
Pain in the palm often results from a minor injury or from overusing the hand. However, hand pain can sometimes also be the result of an underlying issue, such as an infection, inflammation, or peripheral neuropathy. If hand pain gets worse or does not get better with home treatments, see a doctor.
Is a Trapeziectomy painful?
Will I be in pain? It is not uncommon for you to have some pain after a trapeziectomy. This pain may last up to six months after surgery. A splint should help reduce your pain, but if it carries on please discuss this with your consultant surgeon or GP who may advise you on medicines to help.
How do you inject the first CMC joint?
To inject the first carpometacarpal joint, insert the needle at the base of the first metacarpal on whichever side of the abductor pollicis longus and extensor pollicis brevis tendons palpation is easier.
Is CMC arthritis a disability?
Yes. Arthritis can prompt incapacity, as can numerous other mental and physical conditions. If your arthritis confines your daily movements, or activities you may qualify for disability benefits.
What is end stage CMC arthritis?
Hyperextension at the MCP seen in end stage CMC arthritis occurs to compensate for the loss of motion at the CMC joint. Diagnosis: CMC arthritis is diagnosed through physical exam and radiographic evaluation. CMC treatment is deter- mined by the stage of the disease.
What is first CMC osteoarthritis?
The first carpometacarpal (trapeziometacarpal) joints are a frequent site of osteoarthritis in postmenopausal women. This osteoarthritis, which is typically bilateral both clinically and roentgenographically, may be mistaken for tenosynovitis unless its characteristic features are recognized.
Is CMC surgery successful?
Though the surgery is successful in stabilizing the thumb, it is followed by a minimum six-month recovery time before the patient regains their strength and grasp, Ruch says. With fiberwire ligament reconstruction, recovery time is shortened to three months.
Do cortisone shots help thumb arthritis?
Cortisone injections
Injection of a long-acting corticosteroid into the thumb basilar joint may provide pain relief for a few months. However, the relief is temporary and the arthritis in the joint will continue to progress.
Does a cortisone injection in the thumb hurt?
The most common side effect is intense pain and swelling in the joint where the injection was given. This usually gets better after a day or two. You may also get some bruising where the injection was given.
How long does it take to recover from thumb joint surgery?
In a traditional thumb joint reconstruction, the surgeon removes the trapezium — the small bone that connects the thumb to the wrist — then harvests a piece of tendon from the patient and implants it between the thumb and wrist to serve as a spacer. Patients often need three months to fully recover.
Treating Basal Thumb Joint Arthritis – Mayo Clinic
Images related to the topicTreating Basal Thumb Joint Arthritis – Mayo Clinic
What does thumb arthritis feel like?
Swelling, stiffness and tenderness at the base of your thumb. Decreased strength when pinching or grasping objects. Decreased range of motion. Enlarged or bony appearance of the joint at the base of your thumb.
How is thumb arthritis diagnosed?
For the physical examination, your doctor will hold the basal joint while rocking your thumb back and forth, Dr. Luo says. If that causes pain or a grinding sound, it means the bones are rubbing directly against each other and likely have thumb arthritis. An X-ray can confirm the diagnosis.
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