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Conditions Fingers

Understanding Thumb Arthritis: Causes, Symptoms, and Treatment

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Arthritis is a common condition that affects millions of people, and it can occur in various joints in the body. When it comes to the hand, one of the areas that can be affected is the base of the thumb. Imagine feeling pain from something as simple as turning a key or snapping your fingers. For many, this constant reminder is unbearable. This condition, known as thumb arthritis, can lead to pain, swelling, and reduced hand function. Let’s explore what thumb arthritis is, its symptoms, causes, risk factors, diagnosis, and available treatment options. If you’re suffering from this condition, we hope we can help.

 

What is Thumb Arthritis? 

Thumb arthritis primarily affects the joint at the base of the thumb, making it the second most common site of arthritis in the hand. It’s typically a form of osteoarthritis (OA), which results from the gradual wear and tear on the joint. In a healthy joint, cartilage acts as a cushion between the bones. However, in people with thumb arthritis, this cartilage wears away, leading to bone-on-bone friction, inflammation, and pain.

 

Symptoms of Thumb Arthritis 

The most common and early symptom of thumb arthritis is pain at the base of the thumb, especially during activities that involve gripping, pinching, or applying force with the thumb. Other symptoms may include swelling, aching, discomfort, tenderness, limited range of motion, an enlarged appearance at the base of the thumb, and reduced thumb strength. These symptoms tend to worsen over time, especially without treatment.

 

Thumb Arthritis Causes and Risk Factors 

Thumb arthritis is primarily caused by the gradual breakdown of cartilage over time, which is often associated with aging. Injuries, such as thumb fractures and dislocations, can also lead to this condition. In rare cases, joint infections may be responsible for thumb arthritis.

Several risk factors can increase the likelihood of developing thumb arthritis, including age, gender (with females being more prone), weight, genetics, joint laxity, hormonal changes (such as menopause), previous joint injuries, and certain occupational factors.  You can read more about what causes thumb arthritis on our website’s dedicated thumb arthritis page.

 

Diagnosis of Thumb Arthritis 

To diagnose thumb arthritis, a healthcare provider such as top doctor Avery Arora, MD will conduct a physical examination, assess pain levels, and inquire about prior thumb injuries and the patient’s medical history. X-rays are often used to visualize joint space, cartilage loss, and the presence of bone spurs, which are indicative of arthritis.

Thumb Arthritis

Thumb Arthritis Treatment Options 

While there is no cure for arthritis, there are various treatment options available to manage thumb arthritis:

Non-surgical Treatments:
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain and inflammation.
  • Counterirritants that distract from pain.
  • Corticosteroids to reduce inflammation.
  • Analgesics for pain relief.
  • Physical therapy and exercises to strengthen thumb muscles.
  • Wrist supports and braces.
  • Activity modification to reduce thumb stress.

 

Surgical Measures:
  •  Total joint replacement.
  •   Fusion surgery to eliminate pain by fusing the bones.
  •   Ligament reconstruction to stabilize the joint.
  •   Ligament reconstruction and tendon interposition (LRTI) to prevent bone friction.

In severe cases, surgery may be required. Recovery from surgery may take several weeks to months and may involve working with a physical therapist.

 

Finding Relief from the Pains of Thumb Arthritis 

Thumb arthritis is a common condition that can cause discomfort and limitations in hand function. While it cannot be cured, there are various treatments available to manage symptoms and improve quality of life. Early diagnosis and appropriate management are essential for individuals dealing with thumb arthritis.

If you suspect you have thumb arthritis or are experiencing thumb pain, there are many reputable hand doctor options from the Ascension or Beaumont healthcare systems or you can seek assistance from a qualified medical professional at a private practice. Arora Hand Surgery, led by Dr. Avery Arora, a specialist in upper extremity problems and a top Michigan hand doctor, has helped countless individuals alleviate their thumb arthritis symptoms. You can contact the practice, with four locations in West Bloomfield, Warren, Macomb, and Howell, at (888) 392-4263 or schedule your consultation

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Fingers General

How Arthritis in the Thumb is Treated

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You know how much you depend on your thumbs, and so it becomes important to deal quickly with any mobility issues that impair movement of this vital limb. However, many people do not notice the slow progress of arthritis in their thumbs, and so it becomes necessary to work with a hand doctor, should it develop to the point where movement, flexibility, and function are impaired.

To begin with, arthritis in the base of the thumb is a bit more complicated because it often strikes the CMC joint or the thumb basal joint. This is a joint that lets your thumb enjoy that amazing range of motion that tends to make it such an essential digit. Without it, you cannot form “pincers”, make a fist, and/or grip tightly.

Diagnosing and Treating Arthritis of the Thumb

How can you know that it is arthritis developing at the base of the thumb and not something else? First of all, more women develop this type of arthritis than men, and it is more common in people over the age of 40. It can present after injury to the joint – including a dislocation as well as a fracture.

One of the first signs is not, as many suspect, stiffness but is instead pain at the base of the thumb. Generally, pain is encountered after use of the thumb in everyday movements such as turning doorknobs, writing, or opening a jar. The pain tends to progressively increase, even when the hand is at rest.

If allowed to develop, it can often move the metacarpal bone out of joint, leading to a bump developing at the base of the thumb. This is immediately followed by a weakening of the grip and a loss of range of motion. Hyperextension of the joint above the thumb joint also commonly occurs as arthritis worsens.

At the first signs of this condition it is important to get in touch with a hand doctor. They will take your medical history and perform a basic examination that often identifies the condition. Confirmation may be done through an x-ray of the hand, as well, though this may only provide confirmation of the worst cases.

Treatment is then chosen based on the extent of the condition. Less serious cases are often treated with some splinting and therapeutic exercises meant to help retain the strength in the hand. Medications or steroid injections can also help with inflammation, and day or evening splinting is not unusual.

Those whose arthritis of the thumb cannot be addressed with non-surgical remedies will often need to be considered for surgical treatments. The main focus of any procedure is to eliminate pain while also reconstructing the joint for functionality. There are several ways this can be done, and it is important to speak with your hand surgeon about your lifestyle and needs before choosing the most appropriate surgical remedy.

The good news is that the faster you act when you suspect arthritis in the thumb, the better your outcome. Consult your hand doctor immediately and get this condition treated quickly for the best results.

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Dr. Aroras office from my first call to schedule my appointment was friendly. Walking in the first day, I felt like I was in a nice atmosphere. Dr. Arora was EXCELLENT in taking great care of my hand injury. He was gentle and very understanding to the concerns I had about my hand. His expertise was admirable and I would recommend anyone with an injury to their hand to his office to be under his care. Because of him, I have healed faster than expected and will make an 100% recovery! Thank you Dr.

Jackie S.

I first thought I was going to have to have painful injections or surgery, but Dr. Arora suggested physical therapy may do the trick. I was doubtful, but I agreed to do it. Now, my pain is gone, and with the help of an ergonomic keyboard at work to keep my hands in the correct position, I am virtually pain free. The therapy strengthened my wrists and shoulders, and built more flexibility into my wrists.

Jerry T.

My experience with this doctor was positive from the outset. Dr. Arora was kind and spent a great deal of time with me. Staff was friendly. The office was nice and bright.

Ariel G.

Very friendly and helpful Great staff!!! Doctor Arora was very professional and did great work. I was very happy with everything!

L B.