Arthritis at the base of the thumb

Jeffrey Wint

Less severe thumb arthritis will usually respond to non-surgical care. Arthritis medication, splinting and cortisone injections may help alleviate pain. A hand therapist might provide a variety of rigid and non-rigid splints which can be used while sleeping or during activities. However a rigid splint may irritate the skin if there are prominent bone spurs and can cause increase pain if too much immobilization occurs.

Recently topical medications such as a prescription anti-inflammatory gel have had some success.

Patients with advanced disease or who fail non-surgical treatment may be candidates for surgical reconstruction. A variety of surgical techniques are available that can successfully reduce or eliminate pain. Surgical procedures vary and may include a combination of removal of arthritic bone and joint reconstruction , joint fusion, bone realignment, capsulodesis, tendon transfers, ligament reconstruction, release of contractures and even arthroscopy in very rare select cases. A consultation with your hand surgeon can help decide the best option for you.

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