Materiały źródłowe

• #1 Thumb arthritis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/thumb-arthritis/diagnosis-treatment/drc-20378344

  In the early stages of thumb arthritis, treatment usually involves a combination of non-surgical therapies. If your thumb arthritis is severe, surgery might be necessary. […] To relieve pain, your doctor might recommend: […] A splint can support your joint and limit the movement of your thumb and wrist. You might wear a splint just at night or throughout the day and night. […] If pain relievers and a splint aren’t effective, your doctor might recommend injecting a long-acting corticosteroid into your thumb joint. Corticosteroid injections can offer temporary pain relief and reduce inflammation. […] 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: […] These surgeries can all be done on an outpatient basis. After surgery, you can expect to wear a cast or splint over your thumb and wrist for up to six weeks. Once the cast is removed, you might have physical therapy to help you regain hand strength and movement.

• #2 Basal Joint Arthritis: How Therapy Can Help Thumb Pain

  https://www.hss.edu/conditions_basal-joint-arthritis-therapy.asp

  Osteoarthritis, the most common type of arthritis, frequently affects the joint at the base of the thumb where it meets the wrist. […] Fortunately, there are a number of treatments for inflammation that can be provided by therapists and physicians. […] Physical and occupational therapists specializing in hand therapy provide a number of treatment options for basal joint arthritis. The goal of therapy is to teach individuals with this condition how to control pain and swelling and improve hand function. […] Treatments include splints, education in joint protection techniques, home use of heat and cold, and in some cases, gentle exercise. […] A physician or surgeon specializing in the treatment of hand problems such as basal joint arthritis may recommend oral anti-inflammatory medication, injections, and in the most severe cases, surgery.

• #3 Basal thumb arthritis: Treatment strategies for managing pain

  https://www1.racgp.org.au/ajgp/2020/november/basal-thumb-arthritis

  Basal thumb arthritis is a very common condition encountered by the general practitioner. Treatment must focus on functional expectations and demands of the patient, and individualised treatment plans need to be tailored to the patient. Hand therapy in addition to patient education and use of an orthosis has been shown to be very effective in management of the early stages of basal thumb arthritis. With more advanced disease, surgical modalities provide better symptomatic control. […] The aim of non-operative management of basal thumb arthritis is to restore thumb functionality by treating pain and improving stability, mobility and strength. Engagement with non-operative strategies should be undertaken for a minimum of six months. Failure to achieve pain relief, improve occupational performance and enhance quality of life with conservative strategies necessitates consideration of surgical intervention.

• #4 Basal thumb arthritis: Treatment strategies for managing pain

  https://www1.racgp.org.au/ajgp/2020/november/basal-thumb-arthritis

  Basal thumb arthritis is a very common condition encountered by the general practitioner. Treatment must focus on functional expectations and demands of the patient, and individualised treatment plans need to be tailored to the patient. Hand therapy in addition to patient education and use of an orthosis has been shown to be very effective in management of the early stages of basal thumb arthritis. With more advanced disease, surgical modalities provide better symptomatic control. […] The aim of non-operative management of basal thumb arthritis is to restore thumb functionality by treating pain and improving stability, mobility and strength. Engagement with non-operative strategies should be undertaken for a minimum of six months. Failure to achieve pain relief, improve occupational performance and enhance quality of life with conservative strategies necessitates consideration of surgical intervention.

• #5 Arthritis of the Thumb – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/arthritis-of-the-thumb/

  Arthritis at the base of the thumb will respond to nonsurgical treatment. […] In its early stages, arthritis at the base of the thumb will respond to 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 reduce inflammation and swelling. […] Wear a supportive splint to limit the movement of your thumb and allow the joint to rest. […] Because arthritis is a progressive, degenerative disease, the condition may worsen over time. The next phase in treatment involves injecting a steroid solution directly into the joint. This will usually provide relief for several months. However, these injections cannot be repeated indefinitely and may become less effective over time. […] When nonsurgical treatment is no longer effective, surgery is an option.

• #6 Arthritis of the Thumb – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/arthritis-of-the-thumb/

  Arthritis at the base of the thumb will respond to nonsurgical treatment. […] In its early stages, arthritis at the base of the thumb will respond to 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 reduce inflammation and swelling. […] Wear a supportive splint to limit the movement of your thumb and allow the joint to rest. […] Because arthritis is a progressive, degenerative disease, the condition may worsen over time. The next phase in treatment involves injecting a steroid solution directly into the joint. This will usually provide relief for several months. However, these injections cannot be repeated indefinitely and may become less effective over time. […] When nonsurgical treatment is no longer effective, surgery is an option.

• #7 Treatment for Thumb Arthritis: Exercise, Medications, and More

  https://www.healthline.com/health/osteoarthritis/thumb

  Osteoarthritis in the thumb is the most common form of arthritis that affects the hands. […] Arthritis is different in each person. There are a variety of treatments that may work for your particular symptoms. […] Initial treatment options involve: exercises, applying ice, medications, splinting, steroid injections. […] If these methods do not relieve pain and improve function, the joint may need to be reconstructed with surgery. […] Your doctor or physical therapist may recommend hand exercises. You can do these exercises to improve your range of motion and your arthritis symptoms. […] Medications used for pain include: over-the-counter (OTC) medications, prescription medications, injectable medications. […] Corticosteroid injections to the thumb joint may help relieve swelling and pain.

• #8 nonsurgical thumb arthritis treatment

  https://www.johnericksonmd.com/news/nonsurgical-thumb-arthritis-treatment/

  I recommend using a thumb brace during sleep at night and only during an activity which brings on the symptoms. There are many studies showing benefit with use of a thumb brace for osteoarthritis. […] Hand therapists can help patients in several ways. […] Furthermore, therapists can teach an exercise program to improve thumb range of motion, strength and stability. […] There are many studies demonstrating the benefit of hand therapy in patients with thumb osteoarthritis. […] Oral non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used to treat osteoarthritis symptoms. […] Acetaminophen is another commonly used oral medication for osteoarthritis, known by the brand name Tylenol. […] Topical medications are also available for thumb arthritis and have become more popular lately.

• #9 Arthritis of the Hand: Symptoms, Types & Treatments

  https://my.clevelandclinic.org/health/diseases/7082-arthritis-of-the-wrist-and-hand

  Steroids reduce inflammation and relieve pain. […] A complete treatment plan for arthritis of the hand includes these additional approaches: Exercises strengthening and stretching to reduce symptoms and improve function. […] If nonsurgical treatments no longer provide relief and the cartilage at the ends of your bones has worn away, surgery may be an option. […] Joint fusion (arthrodesis): This surgery uses a plate and screws to keep the bones of your joint together. […] Joint replacement (arthroplasty): Similar to other joint replacements, surgeons use an artificial implant made of plastic, ceramics, silicone or metals to replace your damaged joint. […] You and your surgeon will discuss which surgical approach might be best for your hand considering your age, activity level, the joint(s) affected and the amount of pain and deformity you’re experiencing.

• #10 nonsurgical thumb arthritis treatment

  https://www.johnericksonmd.com/news/nonsurgical-thumb-arthritis-treatment/

  1% Diclofenac gel is available without a prescription, and has been shown to reduce thumb arthritis pain significantly in some studies. […] Topical cannabidiol (CBD) has been studied for treating patients with thumb osteoarthritis, and the results have recently been published in the hand surgery literature. […] One food supplement which has been studied extensively is turmeric. […] Corticosteroid injections, also known as cortisone shots, are commonly used in treating patients with thumb carpometacarpal osteoarthritis. […] Injections should be used sparingly because high dose and frequent injections may result in damage to joint cartilage and surrounding soft tissue structures. […] The typical diet in the United States today includes a significant amount of carbohydrates, sugar, highly processed ingredients, and unhealthy fats.

• #11 Arthritis of the Hand: Symptoms, Types & Treatments

  https://my.clevelandclinic.org/health/diseases/7082-arthritis-of-the-wrist-and-hand

  Steroids reduce inflammation and relieve pain. […] A complete treatment plan for arthritis of the hand includes these additional approaches: Exercises strengthening and stretching to reduce symptoms and improve function. […] If nonsurgical treatments no longer provide relief and the cartilage at the ends of your bones has worn away, surgery may be an option. […] Joint fusion (arthrodesis): This surgery uses a plate and screws to keep the bones of your joint together. […] Joint replacement (arthroplasty): Similar to other joint replacements, surgeons use an artificial implant made of plastic, ceramics, silicone or metals to replace your damaged joint. […] You and your surgeon will discuss which surgical approach might be best for your hand considering your age, activity level, the joint(s) affected and the amount of pain and deformity you’re experiencing.

• #12 Thumb arthritis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/thumb-arthritis/diagnosis-treatment/drc-20378344

  In the early stages of thumb arthritis, treatment usually involves a combination of non-surgical therapies. If your thumb arthritis is severe, surgery might be necessary. […] To relieve pain, your doctor might recommend: […] A splint can support your joint and limit the movement of your thumb and wrist. You might wear a splint just at night or throughout the day and night. […] If pain relievers and a splint aren’t effective, your doctor might recommend injecting a long-acting corticosteroid into your thumb joint. Corticosteroid injections can offer temporary pain relief and reduce inflammation. […] 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: […] These surgeries can all be done on an outpatient basis. After surgery, you can expect to wear a cast or splint over your thumb and wrist for up to six weeks. Once the cast is removed, you might have physical therapy to help you regain hand strength and movement.

• #13 Basal Joint Arthritis: How Therapy Can Help Thumb Pain

  https://www.hss.edu/conditions_basal-joint-arthritis-therapy.asp

  Removable splints for the basal joint of the thumb are used for two primary purposes: providing support to improve hand function and providing rest to decrease inflammation and pain. […] Because osteoarthritis of the basal joint is a chronic condition, it is important to protect and avoid irritating the joint. […] Warmth is often effective in temporarily relieving the stiffness and pain of basal joint arthritis. […] While there is no cure for basal joint arthritis, there are simple treatments that effectively relieve the symptoms in many individuals. These treatments, including splints, heat and cold, joint protection techniques, and gentle motion, can all be used independently following instruction by a therapist.

• #14 Basal thumb arthritis

  https://www.bssh.ac.uk/patients/conditions/24/basal_thumb_arthritis

  Arthritis of the basal joint of the thumb is common in women and rather less common in men. […] The options for treatment include: 1. Avoiding activities that cause pain, if possible. 2. Analgesic and/or anti-inflammatory medication. A pharmacist or your family doctor can advise. 3. Using a splint to support the thumb and wrist. Rigid splints (metal or plastic) are effective but make thumb use difficult. A flexible neoprene rubber support is more practicable. 4. Steroid injection improves pain in many cases, though the effect may wear off over time. The risks of injection are small, but it very occasionally causes some thinning or colour change in the skin at the site of injection. Improvement may occur within a few days of injection, but often takes several weeks to be effective. The injection can be repeated if needed. 5. Surgery is a last resort, as the symptoms often stabilise over the long term and can be controlled by the non-surgical treatments above. There are various operations that can be performed to treat this condition. […] Removal of the trapezium is the most commonly performed operation. Your Hand Surgeon will advise you on the best options for your thumb.

• #15 Basal thumb arthritis: Treatment strategies for managing pain

  https://www1.racgp.org.au/ajgp/2020/november/basal-thumb-arthritis

  The mainstays of therapist-led conservative management for thumb CMCJ osteoarthritis are education, orthotics and exercise. […] International guidelines recommend the provision of orthoses for patients with osteoarthritis of the first CMCJ. An orthosis that supports the first CMCJ in palmar abduction is recommended as it facilitates the inherent stability provided by the joint surfaces while maximising the thumb web space. Effective pain management can be achieved if the splint is worn for longer than three months. Even if only worn at night, the splint can provide daytime pain relief. […] A systematic review of the literature looking at the benefits of intra-articular injections of either corticosteroids or hyaluronate showed mixed results. Although most of the randomised controlled trials (RCTs) showed some benefit of intra-articular injections, the duration and efficacy of symptom improvement when compared with placebo was variable. The mechanism of action of each differs, with corticosteroids modulating the inflammatory process while hyaluronate restores the reduced viscoelasticity of the synovial fluid. Overall, there is evidence that intra-articular injections improve the pain profile, with hyaluronate being more effective and longer lasting than corticosteroids.

• #16 Basal thumb arthritis: Treatment strategies for managing pain

  https://www1.racgp.org.au/ajgp/2020/november/basal-thumb-arthritis

  The mainstays of therapist-led conservative management for thumb CMCJ osteoarthritis are education, orthotics and exercise. […] International guidelines recommend the provision of orthoses for patients with osteoarthritis of the first CMCJ. An orthosis that supports the first CMCJ in palmar abduction is recommended as it facilitates the inherent stability provided by the joint surfaces while maximising the thumb web space. Effective pain management can be achieved if the splint is worn for longer than three months. Even if only worn at night, the splint can provide daytime pain relief. […] A systematic review of the literature looking at the benefits of intra-articular injections of either corticosteroids or hyaluronate showed mixed results. Although most of the randomised controlled trials (RCTs) showed some benefit of intra-articular injections, the duration and efficacy of symptom improvement when compared with placebo was variable. The mechanism of action of each differs, with corticosteroids modulating the inflammatory process while hyaluronate restores the reduced viscoelasticity of the synovial fluid. Overall, there is evidence that intra-articular injections improve the pain profile, with hyaluronate being more effective and longer lasting than corticosteroids.

• #17 Basal Joint Arthritis: How Therapy Can Help Thumb Pain

  https://www.hss.edu/conditions_basal-joint-arthritis-therapy.asp

  Removable splints for the basal joint of the thumb are used for two primary purposes: providing support to improve hand function and providing rest to decrease inflammation and pain. […] Because osteoarthritis of the basal joint is a chronic condition, it is important to protect and avoid irritating the joint. […] Warmth is often effective in temporarily relieving the stiffness and pain of basal joint arthritis. […] While there is no cure for basal joint arthritis, there are simple treatments that effectively relieve the symptoms in many individuals. These treatments, including splints, heat and cold, joint protection techniques, and gentle motion, can all be used independently following instruction by a therapist.

• #18 Arthritis of the Thumb – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/arthritis-of-the-thumb/

  Arthritis at the base of the thumb will respond to nonsurgical treatment. […] In its early stages, arthritis at the base of the thumb will respond to 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 reduce inflammation and swelling. […] Wear a supportive splint to limit the movement of your thumb and allow the joint to rest. […] Because arthritis is a progressive, degenerative disease, the condition may worsen over time. The next phase in treatment involves injecting a steroid solution directly into the joint. This will usually provide relief for several months. However, these injections cannot be repeated indefinitely and may become less effective over time. […] When nonsurgical treatment is no longer effective, surgery is an option.

• #19 Thumb Arthritis | UW Orthopaedic Surgery and Sports Medicine

  https://orthop.washington.edu/patient-care/hand/thumb-arthritis.html

  A number of conservative measures are helpful to decrease pain and maintain function of the thumb. […] Heat can be helpful in loosening joints and relaxing stiff muscles. […] Ice is generally effective for flare-ups or swelling at the end of the day, especially after overdoing activities. […] A number of simple changes at home can be helpful. […] Tylenol and nonsteroidal anti-inflammatory drugs (NSAIDs) may be taken for pain relief. […] There are a number of different braces and splints that support the thumb, which places the joint in a resting position and provides significant pain relief. […] If a trial of bracing, activity modification, and use of NSAIDs is no longer effective and the pain becomes disabling, your doctor may recommend a cortisone injection. […] If conservative management is no longer effective and you have persistent severe pain and weakness, there are a number of surgical options that would provide pain relief and improved function.

• #20 Basal Joint Arthritis: How Therapy Can Help Thumb Pain

  https://www.hss.edu/conditions_basal-joint-arthritis-therapy.asp

  Removable splints for the basal joint of the thumb are used for two primary purposes: providing support to improve hand function and providing rest to decrease inflammation and pain. […] Because osteoarthritis of the basal joint is a chronic condition, it is important to protect and avoid irritating the joint. […] Warmth is often effective in temporarily relieving the stiffness and pain of basal joint arthritis. […] While there is no cure for basal joint arthritis, there are simple treatments that effectively relieve the symptoms in many individuals. These treatments, including splints, heat and cold, joint protection techniques, and gentle motion, can all be used independently following instruction by a therapist.

• #21

  https://www.hingehealth.com/resources/articles/thumb-arthritis/

  Ice can help if you’re having a pain flare, with swelling, while heat can help to reduce tightness, says Dr. Reising. […] You’ll want to keep your hands and thumbs active, but you may need to modify activities for a period of time as you build strength. […] Research shows there’s a link between lack of sleep, or poor sleep, and joint pain. […] Many doctors recommend splints for thumb arthritis in order to limit the thumbs movement and allow it time to rest. […] But use splints sparingly, says Dr. Reising. […] Research shows that splints are most effective if they’re used along with daily hand exercises.

• #22 Basal Joint Arthritis: How Therapy Can Help Thumb Pain

  https://www.hss.edu/conditions_basal-joint-arthritis-therapy.asp

  Osteoarthritis, the most common type of arthritis, frequently affects the joint at the base of the thumb where it meets the wrist. […] Fortunately, there are a number of treatments for inflammation that can be provided by therapists and physicians. […] Physical and occupational therapists specializing in hand therapy provide a number of treatment options for basal joint arthritis. The goal of therapy is to teach individuals with this condition how to control pain and swelling and improve hand function. […] Treatments include splints, education in joint protection techniques, home use of heat and cold, and in some cases, gentle exercise. […] A physician or surgeon specializing in the treatment of hand problems such as basal joint arthritis may recommend oral anti-inflammatory medication, injections, and in the most severe cases, surgery.

• #23 Basal Joint Arthritis: How Therapy Can Help Thumb Pain

  https://www.hss.edu/conditions_basal-joint-arthritis-therapy.asp

  Removable splints for the basal joint of the thumb are used for two primary purposes: providing support to improve hand function and providing rest to decrease inflammation and pain. […] Because osteoarthritis of the basal joint is a chronic condition, it is important to protect and avoid irritating the joint. […] Warmth is often effective in temporarily relieving the stiffness and pain of basal joint arthritis. […] While there is no cure for basal joint arthritis, there are simple treatments that effectively relieve the symptoms in many individuals. These treatments, including splints, heat and cold, joint protection techniques, and gentle motion, can all be used independently following instruction by a therapist.

• #24 Thumb (Basal Joint) Arthritis: Pain, Tests & Treatment

  https://my.clevelandclinic.org/health/diseases/thumb-arthritis

  Thumb arthritis treatment varies based on the severity of your symptoms. If you have mild symptoms, a healthcare provider may recommend at-home treatments like: […] Your provider may recommend steroid injections if your symptoms are severe or get worse. They’ll inject a steroid solution into your thumb joint. This typically provides pain relief for several months. But injections become less effective over time. At that point, your provider may recommend surgery. […] Thumb arthritis is a very treatable condition. Nonsurgical treatments often ease symptoms. But surgery is an option when other treatments don’t relieve symptoms. Your healthcare provider may recommend physical therapy or occupational therapy. For example, a certified hand therapist can help you regain strength and movement in your hand and thumb.

• #25 7 Facts For How Physical Therapy Can Relieve Thumb Arthritis Pain

  https://imovedaily.com/7-surprising-facts-about-thumb-arthritis-and-how-pt-can-help/

  Physical therapy utilizes an individualized program that is designed to reduce symptoms and restore the function of the thumb. This typically includes a hands-on approach designed to improve joint mobility, reduce pain, and restore strength in the thumb and hand. […] Education will be utilized to help the individual gain a better understanding of the condition and gain a better understanding of how to successfully manage symptoms. […] By recognizing these surprising facts and investing in physical therapy as a cornerstone for treatment, individuals can effectively manage symptoms and maintain an active, pain-free lifestyle.

• #26 Osteoarthritis and your thumbs – Musculoskeletal Health Australia (MHA)

  https://muscha.org/oa-thumbs/

  Theres no cure for thumb OA, but it can be managed effectively using self-care, splints, medications, and in some cases, surgery. […] Exercise as with all musculoskeletal conditions, exercise is one of the most important things you can do to manage your pain and keep your joints moving. A study published in the BMJ Open from researchers at The University of Sydney found that hand exercises, when used with pain relief, splints and education, increased hand function and decreased pain in people with thumb OA. […] A hand therapist is an occupational therapist or physiotherapist who has undergone advanced training to become experts in assessing, diagnosing, and treating upper limb problems (shoulder to hand). They can provide advice on joint protection and energy conservation (e.g. splints) as well as recommendations for adaptive devices/equipment to improve thumb and hand function.

• #27 Thumb Arthritis | Osteopathy and Physiotherapy in Jersey and Northampton

  https://osteopathy.colganosteo.com/thumb-arthritis/

  The treatment of degenerative arthritis of the CMC joint of the thumb is based on the severity of symptoms. The goals of treatment are to relieve pain, decrease disability, and prevent deformity. Treatment can be divided into the nonsurgical means to control the symptoms and the surgical procedures that are available to treat the condition. Surgery is usually not considered until the symptoms have become impossible to control without it. […] Treatment usually begins when the CMC joint first becomes painful. This may only occur with heavy use and may simply require mild anti-inflammatory medications, such as aspirin or ibuprofen. Reducing the activity, or changing from occupations that require heavy repetitive gripping with the hand, may be necessary to help control the symptoms. […] Rehabilitation services, such as physical and occupational therapy, have a critical role in the nonoperative treatment plan for CMC joint arthritis. A primary goal is to help you learn how to control symptoms and maximize the health of your thumb. You’ll learn ways to calm pain and symptoms, which might include the use of rest, heat, or topical rubs. Adaptive devices to assist with household chores, self-care, or even on-the-job tasks may be recommended.

• #28 New insights in treatment of Thumb Arthritis according to Last Evidence – ReHand: Rehabilitation of hand, wrist and finger injuries via Tablet

  https://rehand.net/en/new-insights-in-thumb-arthritis-treatment-last-evidence/

  Hand function can be affected when Osteoarthritis in Carpal-Metacarpal joint (CMC) of the thumb appears. Current evidence support Therapeutic Exercise for managing Thumb Pain as the main treatment. […] Following these factors, thumb osteoarthritis must base its treatment on neuromuscular training to promote dynamic stability of the joint. […] According to those factors, Osteoarthritis treatment must include some neuromuscular training techniques for restoring Dynamic Instability in this Joint. […] An active management with SensoriMotor Techniques focused on thumb muscles must be the main treatment of this thumb pathology. […] Kristin Valdes also adds that an important goal is to achieve a decrease in tone throughout the adductor and flexor muscles of the thumb, which promote joint deformity, together with elastic bandaging techniques, joint traction and orthoses.

• #29 New insights in treatment of Thumb Arthritis according to Last Evidence – ReHand: Rehabilitation of hand, wrist and finger injuries via Tablet

  https://rehand.net/en/new-insights-in-thumb-arthritis-treatment-last-evidence/

  Hand function can be affected when Osteoarthritis in Carpal-Metacarpal joint (CMC) of the thumb appears. Current evidence support Therapeutic Exercise for managing Thumb Pain as the main treatment. […] Following these factors, thumb osteoarthritis must base its treatment on neuromuscular training to promote dynamic stability of the joint. […] According to those factors, Osteoarthritis treatment must include some neuromuscular training techniques for restoring Dynamic Instability in this Joint. […] An active management with SensoriMotor Techniques focused on thumb muscles must be the main treatment of this thumb pathology. […] Kristin Valdes also adds that an important goal is to achieve a decrease in tone throughout the adductor and flexor muscles of the thumb, which promote joint deformity, together with elastic bandaging techniques, joint traction and orthoses.

• #30 Thumb arthritis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/thumb-arthritis/diagnosis-treatment/drc-20378344

  In the early stages of thumb arthritis, treatment usually involves a combination of non-surgical therapies. If your thumb arthritis is severe, surgery might be necessary. […] To relieve pain, your doctor might recommend: […] A splint can support your joint and limit the movement of your thumb and wrist. You might wear a splint just at night or throughout the day and night. […] If pain relievers and a splint aren’t effective, your doctor might recommend injecting a long-acting corticosteroid into your thumb joint. Corticosteroid injections can offer temporary pain relief and reduce inflammation. […] 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: […] These surgeries can all be done on an outpatient basis. After surgery, you can expect to wear a cast or splint over your thumb and wrist for up to six weeks. Once the cast is removed, you might have physical therapy to help you regain hand strength and movement.

• #31 Thumb arthritis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/thumb-arthritis/diagnosis-treatment/drc-20378344

  In the early stages of thumb arthritis, treatment usually involves a combination of non-surgical therapies. If your thumb arthritis is severe, surgery might be necessary. […] To relieve pain, your doctor might recommend: […] A splint can support your joint and limit the movement of your thumb and wrist. You might wear a splint just at night or throughout the day and night. […] If pain relievers and a splint aren’t effective, your doctor might recommend injecting a long-acting corticosteroid into your thumb joint. Corticosteroid injections can offer temporary pain relief and reduce inflammation. […] 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: […] These surgeries can all be done on an outpatient basis. After surgery, you can expect to wear a cast or splint over your thumb and wrist for up to six weeks. Once the cast is removed, you might have physical therapy to help you regain hand strength and movement.

• #32 Thumb (Basal Joint) Arthritis: Pain, Tests & Treatment

  https://my.clevelandclinic.org/health/diseases/thumb-arthritis

  Thumb arthritis treatment varies based on the severity of your symptoms. If you have mild symptoms, a healthcare provider may recommend at-home treatments like: […] Your provider may recommend steroid injections if your symptoms are severe or get worse. They’ll inject a steroid solution into your thumb joint. This typically provides pain relief for several months. But injections become less effective over time. At that point, your provider may recommend surgery. […] Thumb arthritis is a very treatable condition. Nonsurgical treatments often ease symptoms. But surgery is an option when other treatments don’t relieve symptoms. Your healthcare provider may recommend physical therapy or occupational therapy. For example, a certified hand therapist can help you regain strength and movement in your hand and thumb.

• #33 Arthritis of the Thumb – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/arthritis-of-the-thumb/

  Arthritis at the base of the thumb will respond to nonsurgical treatment. […] In its early stages, arthritis at the base of the thumb will respond to 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 reduce inflammation and swelling. […] Wear a supportive splint to limit the movement of your thumb and allow the joint to rest. […] Because arthritis is a progressive, degenerative disease, the condition may worsen over time. The next phase in treatment involves injecting a steroid solution directly into the joint. This will usually provide relief for several months. However, these injections cannot be repeated indefinitely and may become less effective over time. […] When nonsurgical treatment is no longer effective, surgery is an option.

• #34 Thumb Arthritis > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/thumb-arthritis

  Treatments include wearing a brace and taking anti-inflammatory medications. […] 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. […] The first method of treatment for thumb arthritis involves wearing a soft brace to limit the movement of your thumb, which allows the joint to rest. If the condition is more serious, a hard brace can be used, and either type can be worn overnight or intermittently throughout the day. […] Other noninvasive steps include taking anti-inflammatory medications, modifying your activities, and icing the joint for 5 to 15 minutes several times a day. […] If these methods do not help, the next step would be to inject a steroid medication directly into the joint. The injection may provide relief for several months and can be repeated indefinitely.

• #35 nonsurgical thumb arthritis treatment

  https://www.johnericksonmd.com/news/nonsurgical-thumb-arthritis-treatment/

  1% Diclofenac gel is available without a prescription, and has been shown to reduce thumb arthritis pain significantly in some studies. […] Topical cannabidiol (CBD) has been studied for treating patients with thumb osteoarthritis, and the results have recently been published in the hand surgery literature. […] One food supplement which has been studied extensively is turmeric. […] Corticosteroid injections, also known as cortisone shots, are commonly used in treating patients with thumb carpometacarpal osteoarthritis. […] Injections should be used sparingly because high dose and frequent injections may result in damage to joint cartilage and surrounding soft tissue structures. […] The typical diet in the United States today includes a significant amount of carbohydrates, sugar, highly processed ingredients, and unhealthy fats.

• #36 How to Relieve Thumb Base Pain With Injections – Proliance

  https://prohand.com/how-to-relieve-thumb-base-pain-the-injection-edition/

  Thumb base pain is one of the most common complaints we see on a daily basis. X-rays often prove that the pain comes from arthritis in the first (thumb) carpometacarpal joint. […] When these treatments do not give the needed pain relief, the next step to try is injection. In my practice, the mainstay of injection therapy is a corticosteroid injection. Intra-articular injections of steroids have been around for many decades and are very standard within the field of orthopedic surgery, rheumatology, and primary care. […] A number of studies have shown that corticosteroid injections of many different forms (e.g. betamethasone, methylprednisolone, and triamcinolone) are effective and safe with generally better and longer-lasting results in earlier forms of the disease. […] At this time the decision depends on the surgeon’s clinical experience, medication cost/availability, and patient factors. Our practice has been using betamethasone, a corticosteroid, injection for many years to treat thumb joint pain with proven results time and time again to be effective, safe, and readily available. […] Once you have been diagnosed with thumb basal joint arthritis, our surgeons can help find the best treatment for you. We offer same-day corticosteroid injections along with highly trained occupational therapists that are onsite at our Kirkland and Bellevue offices.

• #37 Basal thumb arthritis: Treatment strategies for managing pain

  https://www1.racgp.org.au/ajgp/2020/november/basal-thumb-arthritis

  The mainstays of therapist-led conservative management for thumb CMCJ osteoarthritis are education, orthotics and exercise. […] International guidelines recommend the provision of orthoses for patients with osteoarthritis of the first CMCJ. An orthosis that supports the first CMCJ in palmar abduction is recommended as it facilitates the inherent stability provided by the joint surfaces while maximising the thumb web space. Effective pain management can be achieved if the splint is worn for longer than three months. Even if only worn at night, the splint can provide daytime pain relief. […] A systematic review of the literature looking at the benefits of intra-articular injections of either corticosteroids or hyaluronate showed mixed results. Although most of the randomised controlled trials (RCTs) showed some benefit of intra-articular injections, the duration and efficacy of symptom improvement when compared with placebo was variable. The mechanism of action of each differs, with corticosteroids modulating the inflammatory process while hyaluronate restores the reduced viscoelasticity of the synovial fluid. Overall, there is evidence that intra-articular injections improve the pain profile, with hyaluronate being more effective and longer lasting than corticosteroids.

• #38 Basal thumb arthritis: Treatment strategies for managing pain

  https://www1.racgp.org.au/ajgp/2020/november/basal-thumb-arthritis

  The mainstays of therapist-led conservative management for thumb CMCJ osteoarthritis are education, orthotics and exercise. […] International guidelines recommend the provision of orthoses for patients with osteoarthritis of the first CMCJ. An orthosis that supports the first CMCJ in palmar abduction is recommended as it facilitates the inherent stability provided by the joint surfaces while maximising the thumb web space. Effective pain management can be achieved if the splint is worn for longer than three months. Even if only worn at night, the splint can provide daytime pain relief. […] A systematic review of the literature looking at the benefits of intra-articular injections of either corticosteroids or hyaluronate showed mixed results. Although most of the randomised controlled trials (RCTs) showed some benefit of intra-articular injections, the duration and efficacy of symptom improvement when compared with placebo was variable. The mechanism of action of each differs, with corticosteroids modulating the inflammatory process while hyaluronate restores the reduced viscoelasticity of the synovial fluid. Overall, there is evidence that intra-articular injections improve the pain profile, with hyaluronate being more effective and longer lasting than corticosteroids.

• #39 Basal thumb arthritis: Treatment strategies for managing pain

  https://www1.racgp.org.au/ajgp/2020/november/basal-thumb-arthritis

  The mainstays of therapist-led conservative management for thumb CMCJ osteoarthritis are education, orthotics and exercise. […] International guidelines recommend the provision of orthoses for patients with osteoarthritis of the first CMCJ. An orthosis that supports the first CMCJ in palmar abduction is recommended as it facilitates the inherent stability provided by the joint surfaces while maximising the thumb web space. Effective pain management can be achieved if the splint is worn for longer than three months. Even if only worn at night, the splint can provide daytime pain relief. […] A systematic review of the literature looking at the benefits of intra-articular injections of either corticosteroids or hyaluronate showed mixed results. Although most of the randomised controlled trials (RCTs) showed some benefit of intra-articular injections, the duration and efficacy of symptom improvement when compared with placebo was variable. The mechanism of action of each differs, with corticosteroids modulating the inflammatory process while hyaluronate restores the reduced viscoelasticity of the synovial fluid. Overall, there is evidence that intra-articular injections improve the pain profile, with hyaluronate being more effective and longer lasting than corticosteroids.

• #40 Basal thumb arthritis: Treatment strategies for managing pain

  https://www1.racgp.org.au/ajgp/2020/november/basal-thumb-arthritis

  The mainstays of therapist-led conservative management for thumb CMCJ osteoarthritis are education, orthotics and exercise. […] International guidelines recommend the provision of orthoses for patients with osteoarthritis of the first CMCJ. An orthosis that supports the first CMCJ in palmar abduction is recommended as it facilitates the inherent stability provided by the joint surfaces while maximising the thumb web space. Effective pain management can be achieved if the splint is worn for longer than three months. Even if only worn at night, the splint can provide daytime pain relief. […] A systematic review of the literature looking at the benefits of intra-articular injections of either corticosteroids or hyaluronate showed mixed results. Although most of the randomised controlled trials (RCTs) showed some benefit of intra-articular injections, the duration and efficacy of symptom improvement when compared with placebo was variable. The mechanism of action of each differs, with corticosteroids modulating the inflammatory process while hyaluronate restores the reduced viscoelasticity of the synovial fluid. Overall, there is evidence that intra-articular injections improve the pain profile, with hyaluronate being more effective and longer lasting than corticosteroids.

• #41 Regenerative Therapies for Basal Thumb Arthritis—A Systematic Review

  https://www.mdpi.com/1422-0067/24/19/14909

  Platelet-based therapies have emerged as a popular treatment option for osteoarthritis. Reportedly, platelet-rich plasma (PRP) influences inflammatory cytokines, enzymes and transcription factors that play crucial roles in cartilage repair. Recent studies have shown positive effects of PRP in both preclinical and clinical settings. […] The aim of this study was to (1) review the currently available literature on therapies with regenerative potential for CMC-1 arthritis, (2) provide an update on PRP and fat grafting for basal thumb arthritis and (3) present and discuss their outcomes. […] This review revealed that only limited data on regenerative therapies for carpometacarpal arthritis are currently available, yet PRP and lipofilling show promising results and merit further investigation.

• #42 Minimally Invasive Treatment for Thumb Joint Arthritis in Fort Lauderdale Florida – Institute of Regenerative Orthopedics & Sports Medicine

  https://irosm.com/minimally-invasive-treatment-for-thumb-joint-arthritis/

  Thumb arthritis can be a debilitating condition that affects the joints in the thumb, causing pain, stiffness, and reduced mobility. In recent years, platelet-rich plasma (PRP) injection therapy has emerged as a promising treatment option for thumb arthritis. […] PRP injection therapy involves injecting the concentrated platelets directly into the affected thumb joint. The growth factors and other bioactive substances in PRP help promote healing and reduce inflammation within the joint. This treatment approach has gained popularity due to its potential to enhance tissue regeneration and alleviate thumb arthritis symptoms. […] Numerous research studies have demonstrated the potential effectiveness of PRP injection therapy in relieving thumb arthritis symptoms. […] PRP injection therapy offers not only immediate symptom relief but also the potential for long-term benefits. […] Thumb arthritis can significantly impact daily activities and quality of life, but PRP injection therapy presents a promising avenue for alleviating symptoms and improving thumb joint function.

• #43 Treatment of Basal Thumb Osteoarthritis with Dextrose Prolotherapy

  https://journalofprolotherapy.com/treatment-basal-thumb-osteoarthritis-with-prolotherapy-injections/

  This study justifies the use of Prolotherapy to remedy the biomechanical failure of basal thumb arthritis. […] When these conservative measures failas they generally do because underlying causes of the arthritic process have not been addressedmore aggressive and invasive therapies, such as corticosteroid injections, may be given in an attempt to reduce inflammation and pain. […] Once TMC osteoarthritis reaches Stage II or III, surgery is recommended. […] The surgical success rates are reported as generally good, but even with the best post-operative results, the patient must wear a cast or splint for six weeks. […] Prolotherapy works by initiating a temporary inflammatory response, which causes a reparative cascade to generate new collagen and extra cellular matrix, thus giving connective tissue the strength and ability to handle strain and force.

• #44 Treatment of Basal Thumb Osteoarthritis with Dextrose Prolotherapy

  https://journalofprolotherapy.com/treatment-basal-thumb-osteoarthritis-with-prolotherapy-injections/

  Prolotherapy stimulates the repair that occurs in a soft-tissue injury, without disrupting the architecture of the tissue. […] The purpose of this paper is to document the benefits of Prolotherapy for patients with TMC joint OA. […] The results of this retrospective study suggest that Prolotherapy decreases pain and stiffness in patients with previously unresolved TMC osteoarthritis of the thumb. […] The outcomes documented in this study indicate that dextrose Prolotherapy, utilizing sugar in its simplest form, is an efficacious option for TMC joint osteoarthritis. […] Dextrose Prolotherapy is, therefore, a viable treatment option for the biomechanical failure seen in basal thumb osteoarthritis. […] Considered a conservative treatment in comparison to surgery, Prolotherapy is a simple procedure, in which solutions of dextrose are injected into the afflicted area. […] In comparison to other options, dextrose Prolotherapy is a cost-effective treatment for basal thumb arthritis, allowing patients to resume normal daily activities quickly. […] This study justifies the use of Prolotherapy based on its probable effectiveness for basal thumb arthritis.

• #45 Regenerative Therapies for Basal Thumb Arthritis—A Systematic Review

  https://www.mdpi.com/1422-0067/24/19/14909

  Platelet-based therapies have emerged as a popular treatment option for osteoarthritis. Reportedly, platelet-rich plasma (PRP) influences inflammatory cytokines, enzymes and transcription factors that play crucial roles in cartilage repair. Recent studies have shown positive effects of PRP in both preclinical and clinical settings. […] The aim of this study was to (1) review the currently available literature on therapies with regenerative potential for CMC-1 arthritis, (2) provide an update on PRP and fat grafting for basal thumb arthritis and (3) present and discuss their outcomes. […] This review revealed that only limited data on regenerative therapies for carpometacarpal arthritis are currently available, yet PRP and lipofilling show promising results and merit further investigation.

• #46 Stem Cell Therapy for Thumb Osteoarthritis

  https://regenorthosport.in/orthopedics/blog/stem-cell-therapy-for-thumb-osteoarthritis/

  Stem cell therapy for thumb osteoarthritis is an effective non-surgical treatment option to heal the damaged thumb tissue. […] Stem cell therapy for hand and thumb osteoarthritis helps to regenerate healthy tissue without surgery. […] Stem cell therapy is a highly effective treatment option to avoid surgery for the thumb. […] The stem cells work by suppressing the inflammation and releasing proteins known as cytokines that reduce the cartilage degeneration. […] Stem cell therapy for thumb osteoarthritis is a same-day, outpatient protocol that does not require hospitalization. […] Stem cells are highly effective in the treatment of thumb osteoarthritis. […] Stem cell therapy caters to tissue regeneration and heals the condition non-surgically.

• #47 Arthritis of the Thumb – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/arthritis-of-the-thumb/

  Arthritis at the base of the thumb will respond to nonsurgical treatment. […] In its early stages, arthritis at the base of the thumb will respond to 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 reduce inflammation and swelling. […] Wear a supportive splint to limit the movement of your thumb and allow the joint to rest. […] Because arthritis is a progressive, degenerative disease, the condition may worsen over time. The next phase in treatment involves injecting a steroid solution directly into the joint. This will usually provide relief for several months. However, these injections cannot be repeated indefinitely and may become less effective over time. […] When nonsurgical treatment is no longer effective, surgery is an option.

• #48 Thumb Arthritis: Symptoms and Treatment | The Hand Society

  https://www.assh.org/handcare/condition/thumb-arthritis

  Thumb arthritis is also known as basal joint arthritis. Treatment options are based on the severity of the symptoms. There is no convincing evidence to support the use of any medications or supplements to prevent the progression of thumb arthritis. Nonoperative treatment for thumb arthritis can involve: Anti-inflammatory medications (consult your doctor first), The use of heat or ice, Bracing, Exercises, Ergonomic adjustments, Avoidance of irritating activities, Steroid injections into the basal joint, Occupational therapy. When nonoperative treatment fails and when the patient is sufficiently symptomatic, surgery is an option. Surgery can involve removing part or all of the trapezium (one of the bones in the thumb joint) and cushioning or suspending the thumb joint with a variety of possible techniques. Fusing (making the two bones into one) the thumb joint is also an option. The complete recovery after a thumb surgery can take anywhere between 8 weeks and one year.

• #49 Osteoarthritis and your thumbs – Musculoskeletal Health Australia (MHA)

  https://muscha.org/oa-thumbs/

  Theres no cure for thumb OA, but it can be managed effectively using self-care, splints, medications, and in some cases, surgery. […] Exercise as with all musculoskeletal conditions, exercise is one of the most important things you can do to manage your pain and keep your joints moving. A study published in the BMJ Open from researchers at The University of Sydney found that hand exercises, when used with pain relief, splints and education, increased hand function and decreased pain in people with thumb OA. […] A hand therapist is an occupational therapist or physiotherapist who has undergone advanced training to become experts in assessing, diagnosing, and treating upper limb problems (shoulder to hand). They can provide advice on joint protection and energy conservation (e.g. splints) as well as recommendations for adaptive devices/equipment to improve thumb and hand function.

• #50

  https://www.hingehealth.com/resources/articles/thumb-arthritis/

  Ice can help if you’re having a pain flare, with swelling, while heat can help to reduce tightness, says Dr. Reising. […] You’ll want to keep your hands and thumbs active, but you may need to modify activities for a period of time as you build strength. […] Research shows there’s a link between lack of sleep, or poor sleep, and joint pain. […] Many doctors recommend splints for thumb arthritis in order to limit the thumbs movement and allow it time to rest. […] But use splints sparingly, says Dr. Reising. […] Research shows that splints are most effective if they’re used along with daily hand exercises.

• #51 Physiotherapy For Base Of Thumb Arthritis | Simply Align Rehab

  https://simplyalignrehab.com/base-of-thumb-arthritis-physiotherapy/

  Other treatments include Interferential current therapy (IFC) or TENS therapy, Therapeutic ultrasound, Acupuncture, Occupational therapy, Hand therapy and Heat and cold therapy. […] No. Though there is no cure for thumb arthritis, it can be delayed or stopped with some changes in lifestyle. For example, you can minimize activities that put pressure on the thumbs such as knitting or playing tennis. You can use assistive devices like key turners, jar openers, large zipper pulls, larger pens, kitchen tools, and utensils with larger handles. Using doorknobs that have levers that can be pushed down instead of turning. Further, you can wear a brace, sleeve, or glove for support while sleeping or doing repetitive motions during the day. […] Yes. You can prevent the onset of base of thumb arthritis by maintaining a healthy weight and following a non-inflammatory diet. You need to avoid foods high in sugar content and avoid refined and processed foods.

• #52 Physiotherapy For Base Of Thumb Arthritis | Simply Align Rehab

  https://simplyalignrehab.com/base-of-thumb-arthritis-physiotherapy/

  Other treatments include Interferential current therapy (IFC) or TENS therapy, Therapeutic ultrasound, Acupuncture, Occupational therapy, Hand therapy and Heat and cold therapy. […] No. Though there is no cure for thumb arthritis, it can be delayed or stopped with some changes in lifestyle. For example, you can minimize activities that put pressure on the thumbs such as knitting or playing tennis. You can use assistive devices like key turners, jar openers, large zipper pulls, larger pens, kitchen tools, and utensils with larger handles. Using doorknobs that have levers that can be pushed down instead of turning. Further, you can wear a brace, sleeve, or glove for support while sleeping or doing repetitive motions during the day. […] Yes. You can prevent the onset of base of thumb arthritis by maintaining a healthy weight and following a non-inflammatory diet. You need to avoid foods high in sugar content and avoid refined and processed foods.

• #53 nonsurgical thumb arthritis treatment

  https://www.johnericksonmd.com/news/nonsurgical-thumb-arthritis-treatment/

  1% Diclofenac gel is available without a prescription, and has been shown to reduce thumb arthritis pain significantly in some studies. […] Topical cannabidiol (CBD) has been studied for treating patients with thumb osteoarthritis, and the results have recently been published in the hand surgery literature. […] One food supplement which has been studied extensively is turmeric. […] Corticosteroid injections, also known as cortisone shots, are commonly used in treating patients with thumb carpometacarpal osteoarthritis. […] Injections should be used sparingly because high dose and frequent injections may result in damage to joint cartilage and surrounding soft tissue structures. […] The typical diet in the United States today includes a significant amount of carbohydrates, sugar, highly processed ingredients, and unhealthy fats.

• #54 Non-Surgical Relief for Basal Joint Arthritis: SoftWave Therapy | Blog & Resources

  https://www.naturalhealingroc.com/blog/non-surgical-relief-for-basal-joint-arthritis-softwave-therapy

  Are you struggling with the pain and stiffness of basal joint arthritis? […] SoftWave Therapy is a game-changer in the world of arthritis treatment. […] SoftWave Therapy helps flush out trapped inflammation around the affected joint. By reducing inflammation, it alleviates pain and swelling. […] SoftWave Therapy stimulates the growth of new blood vessels. This increased blood flow enhances the body’s natural ability to heal, bringing vital nutrients to the affected area. […] SoftWave Therapy can break down this scar tissue, improving mobility and reducing pain. […] SoftWave Therapy activates your body’s repair cells, or stem cells. These cells migrate to the injured or arthritic area, promoting healing and regeneration. […] Many of our patients who came to us with basal joint pain and arthritis have experienced pain relief and improved mobility after treatment. […] It’s a safe, conservative approach that can complement traditional treatments or even serve as a primary treatment option. […] SoftWave Therapy is changing the game for basal joint arthritis, offering a non-surgical, non-invasive, and drug-free path to relief.

• #55 Cannabidiol Treatment Effective for Thumb Basal Joint Arthritis Pain, Disability – Rheumatology Advisor

  https://www.rheumatologyadvisor.com/news/cannabidiol-treatment-effective-for-thumb-basal-joint-arthritis-pain-disability/

  Researchers evaluated the therapeutic potential of topical cannabidiol (CBD) for treating pain associated with thumb basal joint arthritis. […] Treatment with a twice-daily application of topical cannabidiol (CBD) was associated with improvements in thumb basal joint arthritis-related pain and disability without adverse events (AEs), according to study results published in The Journal of Hand Surgery. […] Treatment with CBD was associated with significant improvements in Visual Analog Scale (VAS) pain score, Disabilities of the Arm, Shoulder, and Hand (DASH) score, and Single Assessment Numeric Evaluation (SANE) scores from baseline compared with the control group (P .05 for all). […] Treatment with CBD was associated with an improvement in Patient-Reported Outcomes Measurement Information upper extremity scores (range, 0 to 100, with a higher score indicative of greater function), with scores of 39 at baseline, 38 with the control cream (3% decrease), and 42 with the CBD cream (8% increase). […] The study authors concluded, Larger, multicenter clinical trials are warranted to further investigate the safety, therapeutic potential, and dose-response of CBD for musculoskeletal pain.

• #56 nonsurgical thumb arthritis treatment

  https://www.johnericksonmd.com/news/nonsurgical-thumb-arthritis-treatment/

  1% Diclofenac gel is available without a prescription, and has been shown to reduce thumb arthritis pain significantly in some studies. […] Topical cannabidiol (CBD) has been studied for treating patients with thumb osteoarthritis, and the results have recently been published in the hand surgery literature. […] One food supplement which has been studied extensively is turmeric. […] Corticosteroid injections, also known as cortisone shots, are commonly used in treating patients with thumb carpometacarpal osteoarthritis. […] Injections should be used sparingly because high dose and frequent injections may result in damage to joint cartilage and surrounding soft tissue structures. […] The typical diet in the United States today includes a significant amount of carbohydrates, sugar, highly processed ingredients, and unhealthy fats.

• #57 Thumb arthritis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/thumb-arthritis/diagnosis-treatment/drc-20378344

  In the early stages of thumb arthritis, treatment usually involves a combination of non-surgical therapies. If your thumb arthritis is severe, surgery might be necessary. […] To relieve pain, your doctor might recommend: […] A splint can support your joint and limit the movement of your thumb and wrist. You might wear a splint just at night or throughout the day and night. […] If pain relievers and a splint aren’t effective, your doctor might recommend injecting a long-acting corticosteroid into your thumb joint. Corticosteroid injections can offer temporary pain relief and reduce inflammation. […] 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: […] These surgeries can all be done on an outpatient basis. After surgery, you can expect to wear a cast or splint over your thumb and wrist for up to six weeks. Once the cast is removed, you might have physical therapy to help you regain hand strength and movement.

• #58 Basal thumb arthritis: Treatment strategies for managing pain

  https://www1.racgp.org.au/ajgp/2020/november/basal-thumb-arthritis

  Basal thumb arthritis is a very common condition encountered by the general practitioner. Treatment must focus on functional expectations and demands of the patient, and individualised treatment plans need to be tailored to the patient. Hand therapy in addition to patient education and use of an orthosis has been shown to be very effective in management of the early stages of basal thumb arthritis. With more advanced disease, surgical modalities provide better symptomatic control. […] The aim of non-operative management of basal thumb arthritis is to restore thumb functionality by treating pain and improving stability, mobility and strength. Engagement with non-operative strategies should be undertaken for a minimum of six months. Failure to achieve pain relief, improve occupational performance and enhance quality of life with conservative strategies necessitates consideration of surgical intervention.

• #59 Basal thumb arthritis: Treatment strategies for managing pain

  https://www1.racgp.org.au/ajgp/2020/november/basal-thumb-arthritis

  With more advanced disease or failure of non-operative management, surgical strategies can be considered. The goal of surgical intervention is to eliminate pain and restore hand function while maintaining stability and mobility. There is strong consensus that the removal of the arthritic articular surfaces of the thumb CMCJ is associated with good clinical outcomes. A range of surgical options are available to achieve this goal. These can be broadly divided into two categories: non-implant and implant-related procedures. Non-implant procedures include trapeziectomy with or without tendon interposition, suture suspension, arthroscopic procedures, metacarpal osteotomies and joint fusion. Implant-related procedures include all surgical options where implants (cobalt chrome, titanium, pyrocarbon, silicon) are used to replace or recreate the joint articulation similar to knee or hip joint replacements.

• #60 Basal thumb arthritis: Treatment strategies for managing pain

  https://www1.racgp.org.au/ajgp/2020/november/basal-thumb-arthritis

  Trapeziectomy alone was the standard operative treatment for many years. However, concerns about longitudinal collapse of the thumb ray affecting grip and pinch strength resulted in the development of alternative surgical techniques. Trapeziectomy with ligament reconstruction and tendon interposition (T-LRTI) has become the most commonly performed procedure. Case series looking at medium- to long-term results show 95% satisfaction rates, with good pain relief and improved range of motion and grip strength. T-LRTI has become the standard by which other treatment modalities are measured. However, there is a small incidence of complications associated with the procedure; graft harvest morbidity, wound irritation, flexor carpi radialis tendonitis and complex regional pain syndrome have been reported. Randomised studies comparing these two techniques have failed to find any statistically significant advantage of T-LRTI over trapeziectomy alone.

• #61 Thumb Arthritis > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/thumb-arthritis

  When nonsurgical approaches are no longer effective, surgery is an option. The best type of surgery for you depends on a number of factors, including the progression of the disease and how painful the symptoms are. In most cases, surgery for thumb arthritis involves removing some or part of trapezium (a bone in the thumb joint) with varying ways of stabilizing the joint. […] We take out the arthritic bone and reconstruct the tendon or ligament to hold the thumb in place, Dr. Luo explains. This surgery works great, but has a long recovery. It may take up to one year for complete recovery. A lot of my patients don’t like me at their first follow-up, but as the months roll by, they really like it.

• #62 Basal thumb arthritis: Treatment strategies for managing pain

  https://www1.racgp.org.au/ajgp/2020/november/basal-thumb-arthritis

  Trapeziectomy alone was the standard operative treatment for many years. However, concerns about longitudinal collapse of the thumb ray affecting grip and pinch strength resulted in the development of alternative surgical techniques. Trapeziectomy with ligament reconstruction and tendon interposition (T-LRTI) has become the most commonly performed procedure. Case series looking at medium- to long-term results show 95% satisfaction rates, with good pain relief and improved range of motion and grip strength. T-LRTI has become the standard by which other treatment modalities are measured. However, there is a small incidence of complications associated with the procedure; graft harvest morbidity, wound irritation, flexor carpi radialis tendonitis and complex regional pain syndrome have been reported. Randomised studies comparing these two techniques have failed to find any statistically significant advantage of T-LRTI over trapeziectomy alone.

• #63 Thumb Arthritis (Basil Joint Arthritis) | MedStar Health

  https://www.medstarhealth.org/services/arthritis-thumb

  When nonsurgical treatments are no longer effective, surgery can offer relief. Most often, surgeons use the ligament reconstruction and tendon interposition (LRTI) technique, which can restore thumb movement and eliminate pain. […] In most cases, a ligament reconstruction and tendon interposition (LRTI) technique is used to alleviate arthritis of the thumb. This can restore thumb movement and eliminate pain.

• #64 Basal thumb arthritis: Treatment strategies for managing pain

  https://www1.racgp.org.au/ajgp/2020/november/basal-thumb-arthritis

  Fusion is an excellent option for the management of thumb trapeziometacarpal arthritis. It is usually reserved for younger patients (aged 50 years) with heavy manual labour occupations because, in addition to effective pain relief and strengthened pinch grip, it provides improved stability while maintaining the length of the first ray. Painful non-union can be an issue when undertaking this procedure. The rate of non-union has been reported between 0% and 48%, with a mean of 13%. Literature comparing arthrodesis procedures to trapeziectomy with or without interposition arthroplasty shows similar results with tip pinch, key pinch and grip strength; however, pain relief, cold intolerance and complication rates are better in the trapeziectomy group.

• #65 5 Surgeries for Thumb Arthritis | Arthritis Foundation

  https://www.arthritis.org/health-wellness/treatment/joint-surgery/preplanning/five-surgeries-for-thumb-arthritis

  This procedure avoids complications associated with tendon harvesting and more complex operations. […] Thumb arthroplasty is a less invasive surgery (because there is no grafting) with faster recovery and rehabilitation times. […] Arthrodesis eliminates pain by fusing the bones in the joint together. […] Arthrodesis produces a stable, pain-free thumb that can grasp and pinch.

• #66 Thumb Arthritis | UW Orthopaedic Surgery and Sports Medicine

  https://orthop.washington.edu/patient-care/hand/thumb-arthritis.html

  Your surgeon can cut the thumb metacarpal and reposition the bone to take pressure off the joint. […] In this procedure, your surgeon removes the diseased cartilage and fuses the bones in the affected joint. […] Although there are plastic and joint replacements in the thumb, most surgeons prefer to reconstruct the thumb basal joint with the adjacent soft tissue (tendon). […] In all 3 surgical procedures, you will be in a thumb splint or brace for the first 6 weeks.

• #67 Osteoarthritis and your thumbs – Musculoskeletal Health Australia (MHA)

  https://muscha.org/oa-thumbs/

  A splint can support your thumb, reduce your pain, protect your thumb while you do your everyday activities, and rest the joint. […] Your doctor may suggest medications such as analgesics (pain killers) and/or non-steroidal anti-inflammatory medications (NSAIDs) for temporary pain relief. […] If conservative treatments havent helped and arthritis in your thumb is causing significant pain and distress and impacting your quality of life, surgery may be an option. […] The most common types of surgery for thumb OA are: Joint fusion (arthrodesis) involves fusing two or more bones together. […] Osteotomy involves cutting, shaping and repositioning bone to help correct joint alignment. […] Trapeziectomy involves removing one of the bones in your thumb joint (trapezium) to relieve pain. […] Joint replacement (arthroplasty) all or part of the affected joint is removed and replaced with an artificial implant.

• #68

  https://www.orthobullets.com/hand/6054/basilar-thumb-arthritis

  Basilar Thumb Arthritis, also referred to as trapeziometacarpal (TMC) arthritis, is a common degenerative condition caused by attenuation of the volar beak and dorsoradial ligaments, leading to joint subluxation and cartilage degeneration of the trapeziometacarpal joint. This condition typically presents in elderly women with common symptoms of pain, crepitus, and loss of pinch/grip strength. […] Treatment can be conservative (therapy, bracing, injections) or operative, depending on the severity of symptoms and the stage of disease. […] Nonoperative NSAIDS, thumb bracing are first line of treatment for mild symptoms. […] Injections are a second line of treatment for mild to moderate disease. […] CMC arthroscopic debridement is indicated in early stages of disease. […] 1st metacarpal osteotomy is indicated in early Stage I-II disease. […] Trapeziectomy +/- ligament reconstruction is indicated in Stage I-IV disease. […] CMC arthrodesis is indicated in Stage II-III disease in young male heavy laborers. […] CMC denervation is indicated in Stage I-IV disease. […] CMC prosthetic arthroplasty is not recommended.

• #69 Basal thumb arthritis: Treatment strategies for managing pain

  https://www1.racgp.org.au/ajgp/2020/november/basal-thumb-arthritis

  With more advanced disease or failure of non-operative management, surgical strategies can be considered. The goal of surgical intervention is to eliminate pain and restore hand function while maintaining stability and mobility. There is strong consensus that the removal of the arthritic articular surfaces of the thumb CMCJ is associated with good clinical outcomes. A range of surgical options are available to achieve this goal. These can be broadly divided into two categories: non-implant and implant-related procedures. Non-implant procedures include trapeziectomy with or without tendon interposition, suture suspension, arthroscopic procedures, metacarpal osteotomies and joint fusion. Implant-related procedures include all surgical options where implants (cobalt chrome, titanium, pyrocarbon, silicon) are used to replace or recreate the joint articulation similar to knee or hip joint replacements.

• #70 Arthritis of the Hand: Symptoms, Types & Treatments

  https://my.clevelandclinic.org/health/diseases/7082-arthritis-of-the-wrist-and-hand

  Steroids reduce inflammation and relieve pain. […] A complete treatment plan for arthritis of the hand includes these additional approaches: Exercises strengthening and stretching to reduce symptoms and improve function. […] If nonsurgical treatments no longer provide relief and the cartilage at the ends of your bones has worn away, surgery may be an option. […] Joint fusion (arthrodesis): This surgery uses a plate and screws to keep the bones of your joint together. […] Joint replacement (arthroplasty): Similar to other joint replacements, surgeons use an artificial implant made of plastic, ceramics, silicone or metals to replace your damaged joint. […] You and your surgeon will discuss which surgical approach might be best for your hand considering your age, activity level, the joint(s) affected and the amount of pain and deformity you’re experiencing.

• #71 Treatment Options for Thumb Osteoarthritis | Castle Orthopaedics

  https://castleortho.co.uk/thumb-osteoarthritis-treatment-options/

  Trapeziectomy this is the removal of the trapezium bone in your thumb. This is effective at relieving the pain of thumb arthritis but the joint does not normally regain its former normal strength. […] Denervation this is where the soft tissue around the joint is surgically detached. This means pain signals from the joint are not perceived but the underlying arthritic condition continues. 70% of people get a 70% improvement in pain. […] Joint replacement (arthroplasty) this includes a spectrum of implants and options. Cartiva, hemiarthroplasty and total joint replacement are possible. […] Here at Castle Orthopaedics we have pioneered a new approach to thumb arthritis which is producing excellent results. Cartiva Synthetic Cartilage Implants are cylindrical implants of synthetic cartilage that inserted into the thumb joint. These implants mimic the properties of natural cartilage, helping to restore strength and flexibility to the thumb.

• #72 Arthritis of Thumb Treatment | Sydney Orthopaedic Surgeon

  https://sydneyorthopaedicsurgeon.com.au/hands/arthritis-of-thumb/

  In some cases, surgical intervention may be necessary to treat arthritis of the thumb. The treatment approach that Dr Stuart Kirkham uses will depend on the severity of the condition and the affected joints. […] For arthritis of the carpometacarpal joint (CMCJ), a pyrocarbon resurfacing implant called Pyrocardan is Dr Kirkhams first preference. These disc-shaped implants are designed to replace the damaged cartilage with a durable and long-lasting pyrocarbon material that can help restore function to the joint. […] For arthritis of the scaphotrapeziotrapezoidal joint (STTJ), a pyrocarbon resurfacing implant called STPI implant is the preferred option. This implant is designed to replace the damaged joint surface with a smooth pyrocarbon material that can help reduce pain and improve function.

• #73 Thumb arthritis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/thumb-arthritis/diagnosis-treatment/drc-20378344

  In the early stages of thumb arthritis, treatment usually involves a combination of non-surgical therapies. If your thumb arthritis is severe, surgery might be necessary. […] To relieve pain, your doctor might recommend: […] A splint can support your joint and limit the movement of your thumb and wrist. You might wear a splint just at night or throughout the day and night. […] If pain relievers and a splint aren’t effective, your doctor might recommend injecting a long-acting corticosteroid into your thumb joint. Corticosteroid injections can offer temporary pain relief and reduce inflammation. […] 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: […] These surgeries can all be done on an outpatient basis. After surgery, you can expect to wear a cast or splint over your thumb and wrist for up to six weeks. Once the cast is removed, you might have physical therapy to help you regain hand strength and movement.

• #74 Arthritis of the Thumb – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/arthritis-of-the-thumb/

  One option involves fusing the bones of the joint together. This reduces pain and allows for a strong pinch; however, it will limit movement of the thumb. […] Another option is to remove part of the joint and suspend the remaining thumb using a tendon in your wrist or a medical device. This procedure alleviates pain and allows for continued motion of the thumb. […] After surgery, you will likely have to wear a cast or splint for 4 to 8 weeks, depending on which procedure you have. […] A rehabilitation program, often involving a therapist, will help you regain movement and strength in your hand. […] Full recovery from surgery takes several months. Most patients are eventually able to resume normal activities. […] Basal joint arthritis, or thumb CMC arthritis, is a very treatable condition, and many patients are satisfied with their outcome after treatment. Patients who don’t achieve relief with nonsurgical treatment very often have a good result after surgery.

• #75 Thumb arthritis – Orthopedic treatment options at

  https://www.honorhealth.com/medical-services/orthopedics/thumb-arthritis

  Your hand specialist will evaluate your condition to develop a plan for you. There are a variety of non-surgical therapies to treat thumb arthritis. Your doctor may recommend a combination of some of the following treatments: […] If you dont respond to non-surgical treatments or if you have severe limitations in your thumb joint, your hand specialist may recommend surgery. Options for surgery include: […] After surgery, you can expect to wear a cast or splint for up to six weeks over your thumb and wrist. Once this is removed, your surgeon may recommend physical therapy to help you regain your strength and mobility.

• #76 Hand & Wrist Treatment in Muskegon & Grand Haven, MI | Orthopaedic Associates of Muskegon

  https://www.oamkg.com/specialties/hand-wrist/thumb-arthritis-wrist.html

  Because arthritis is a progressive, degenerative disease, the condition may worsen over time. The next phase in treatment involves a steroid solution injection into the joint. This will usually provide relief for several months. However, these injections cannot be repeated indefinitely. […] Surgical Treatment When nonsurgical treatment is no longer effective, surgery is an option. The operation can be performed on an outpatient basis, and several different procedures can be used. One option involves fusing the bones of the joint together. This, however, will limit movement. Another option is to remove part of the joint and reconstruct it using either a tendon graft or an artificial substance. You and your physician will discuss the options and select the one that is best for you. […] Rehabilitation Casting for 2 weeks, removable splint for 4 additional weeks Physical therapy for strength and motion Full recovery may take 6+ months Most patients resume normal activities and are quite satisfied after surgical intervention.

• #77 Thumb arthritis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/thumb-arthritis/diagnosis-treatment/drc-20378344

  In the early stages of thumb arthritis, treatment usually involves a combination of non-surgical therapies. If your thumb arthritis is severe, surgery might be necessary. […] To relieve pain, your doctor might recommend: […] A splint can support your joint and limit the movement of your thumb and wrist. You might wear a splint just at night or throughout the day and night. […] If pain relievers and a splint aren’t effective, your doctor might recommend injecting a long-acting corticosteroid into your thumb joint. Corticosteroid injections can offer temporary pain relief and reduce inflammation. […] 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: […] These surgeries can all be done on an outpatient basis. After surgery, you can expect to wear a cast or splint over your thumb and wrist for up to six weeks. Once the cast is removed, you might have physical therapy to help you regain hand strength and movement.

• #78 Arthritis of the Hand: Symptoms, Types & Treatments

  https://my.clevelandclinic.org/health/diseases/7082-arthritis-of-the-wrist-and-hand

  Steroids reduce inflammation and relieve pain. […] A complete treatment plan for arthritis of the hand includes these additional approaches: Exercises strengthening and stretching to reduce symptoms and improve function. […] If nonsurgical treatments no longer provide relief and the cartilage at the ends of your bones has worn away, surgery may be an option. […] Joint fusion (arthrodesis): This surgery uses a plate and screws to keep the bones of your joint together. […] Joint replacement (arthroplasty): Similar to other joint replacements, surgeons use an artificial implant made of plastic, ceramics, silicone or metals to replace your damaged joint. […] You and your surgeon will discuss which surgical approach might be best for your hand considering your age, activity level, the joint(s) affected and the amount of pain and deformity you’re experiencing.

• #79 Arthritis of the Thumb – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/arthritis-of-the-thumb/

  One option involves fusing the bones of the joint together. This reduces pain and allows for a strong pinch; however, it will limit movement of the thumb. […] Another option is to remove part of the joint and suspend the remaining thumb using a tendon in your wrist or a medical device. This procedure alleviates pain and allows for continued motion of the thumb. […] After surgery, you will likely have to wear a cast or splint for 4 to 8 weeks, depending on which procedure you have. […] A rehabilitation program, often involving a therapist, will help you regain movement and strength in your hand. […] Full recovery from surgery takes several months. Most patients are eventually able to resume normal activities. […] Basal joint arthritis, or thumb CMC arthritis, is a very treatable condition, and many patients are satisfied with their outcome after treatment. Patients who don’t achieve relief with nonsurgical treatment very often have a good result after surgery.

• #80 Thumb Arthritis > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/thumb-arthritis

  When nonsurgical approaches are no longer effective, surgery is an option. The best type of surgery for you depends on a number of factors, including the progression of the disease and how painful the symptoms are. In most cases, surgery for thumb arthritis involves removing some or part of trapezium (a bone in the thumb joint) with varying ways of stabilizing the joint. […] We take out the arthritic bone and reconstruct the tendon or ligament to hold the thumb in place, Dr. Luo explains. This surgery works great, but has a long recovery. It may take up to one year for complete recovery. A lot of my patients don’t like me at their first follow-up, but as the months roll by, they really like it.

• #81 Thumb Arthritis Treatment Centreville, VA | Thumb Osteoarthritis Reston, VA

  https://www.davidrmillermd.com/arthritis-of-thumb-hand-wrist-upper-extremity-surgeon-reston-centreville-va.html

  Non-surgical treatment methods for relieving pain in an arthritic joint include activity modification, pain medications, and use of splints and ultrasound guided steroid injections. Surgery is usually considered when non-surgical treatment fails to give relief. There are different surgical procedures that can be used: […] Dr. Miller will discuss the options and help you decide which type of surgery is the most appropriate for you. […] Following surgery, a rehabilitation program, often involving a Certified Hand Therapist (CHT), may help to regain hand strength and movement. You may need to use a postoperative splint for a while after surgery to help protect the hand while it heals. You may need to restrict activities for a minimum of 12 weeks to let the joint reconstruction heal properly. Although recovery is slow, you should be able to resume your normal activities within a few months of surgery. During this time your fingers are free to use as tolerated while the thumb is protected. You can expect the thumb to improve for up to a year, although most of the pain relief is experienced in the first few months.

• #82 Nonsurgical treatment of thumb arthritis shows lasting benefits – OrthoBuzz

  https://orthobuzz.jbjs.org/2023/10/31/nonsurgical-treatment-thumb-arthriti/

  Nonsurgical treatment of thumb arthritis shows lasting benefits. […] Initial nonsurgical treatment, including the use of orthotics and exercise therapy, provides satisfactory long-term outcomes for patients with osteoarthritis of the thumb carpometacarpal joint (CMC-1 OA)– with a low rate of conversion to surgery, reports a study in The Journal of Bone & Joint Surgery. […] “Our findings support nonsurgical treatment as the first treatment choice and suggest that treatment effects are sustainable” in patients with CMC-1 OA, according to the new research by Lisa Esteban Lopez, LMJ, MSc, PT, of University Medical Center Rotterdam, the Netherlands. […] Current guidelines call for initial nonsurgical treatments, such as orthoses, steroid injections, analgesics, and exercise therapy. […] Nonsurgical treatment focused on the use of orthotics, physical therapy sessions focused on exercises and achieving more stable thumb opposition, and daily home exercise. […] The findings support current recommendations for initial nonsurgical treatment for OA of the thumb, while providing new evidence that positive outcomes remain stable at long-term follow-up.

• #83 Basal thumb arthritis: Treatment strategies for managing pain

  https://www1.racgp.org.au/ajgp/2020/november/basal-thumb-arthritis

  Trapeziectomy alone was the standard operative treatment for many years. However, concerns about longitudinal collapse of the thumb ray affecting grip and pinch strength resulted in the development of alternative surgical techniques. Trapeziectomy with ligament reconstruction and tendon interposition (T-LRTI) has become the most commonly performed procedure. Case series looking at medium- to long-term results show 95% satisfaction rates, with good pain relief and improved range of motion and grip strength. T-LRTI has become the standard by which other treatment modalities are measured. However, there is a small incidence of complications associated with the procedure; graft harvest morbidity, wound irritation, flexor carpi radialis tendonitis and complex regional pain syndrome have been reported. Randomised studies comparing these two techniques have failed to find any statistically significant advantage of T-LRTI over trapeziectomy alone.

• #84 Basal thumb arthritis: Treatment strategies for managing pain

  https://www1.racgp.org.au/ajgp/2020/november/basal-thumb-arthritis

  Trapeziectomy alone was the standard operative treatment for many years. However, concerns about longitudinal collapse of the thumb ray affecting grip and pinch strength resulted in the development of alternative surgical techniques. Trapeziectomy with ligament reconstruction and tendon interposition (T-LRTI) has become the most commonly performed procedure. Case series looking at medium- to long-term results show 95% satisfaction rates, with good pain relief and improved range of motion and grip strength. T-LRTI has become the standard by which other treatment modalities are measured. However, there is a small incidence of complications associated with the procedure; graft harvest morbidity, wound irritation, flexor carpi radialis tendonitis and complex regional pain syndrome have been reported. Randomised studies comparing these two techniques have failed to find any statistically significant advantage of T-LRTI over trapeziectomy alone.

• #85 Do you have Thumb Base Arthritis?

  https://www.rebeccaayers.co.nz/procedures-and-information/hand-surgery/thumb-base-arthritis

  Osteoarthritis (OA) of the basal thumb joint is very common. […] If you have thumb base arthritis, it should always be treated initially with conservative care. I will only recommend surgical treatment when conservative, non-surgical care options are not successful, or they are no longer controlling your symptoms. […] Conservative treatment for your thumb base arthritis involves a period of activity modification (during which you dont do heavy activities or actions that cause you pain), taking non-steroidal anti-inflammatory medication, wearing a splint and sometimes a steroid injection. […] If your symptoms persist despite conservative treatment, then I will discuss surgical options with you. […] There are a number of surgical options for thumb base arthritis, depending on how severe the arthritic changes within and around your thumb base are. […] The most common operation is a simple trapeziectomy, where the trapezium is simply removed. This approach seems almost too simple – but is very effective at treating the pain of arthritis. […] Following surgery, 90-95% of patients achieve good to excellent results.

• #86 Thumb Arthritis Symptoms & Treatments | Reno Orthopedic Center

  https://www.renoortho.com/specialties/center-for-hand-upper-extremity/thumb-arthritis/

  Operative Treatments Include: Thumb CMC joint reconstruction (arthroplasty), Arthroscopy. […] But an exciting new method now exists for treating thumb CMC arthritis. Known as the SpeedSpiral System, it involves just one small incision, a collagen implant, and accelerated rehabilitation. In this procedure, the trapezium bone is removed, the thumb is suspended in place with a suture, and the collagen implant is then used to replace the trapezium bone. This provides a stable new base for the thumb, one shown to increase pinch and grip strength when compared to traditional methods. Additionally, a splint is required for only about six weeks before a return to normal activities, and pain relief is faster.

• #87 Basal thumb arthritis: Treatment strategies for managing pain

  https://www1.racgp.org.au/ajgp/2020/november/basal-thumb-arthritis

  Basal thumb arthritis is a very common condition encountered by the general practitioner. Treatment must focus on functional expectations and demands of the patient, and individualised treatment plans need to be tailored to the patient. Hand therapy in addition to patient education and use of an orthosis has been shown to be very effective in management of the early stages of basal thumb arthritis. With more advanced disease, surgical modalities provide better symptomatic control. […] The aim of non-operative management of basal thumb arthritis is to restore thumb functionality by treating pain and improving stability, mobility and strength. Engagement with non-operative strategies should be undertaken for a minimum of six months. Failure to achieve pain relief, improve occupational performance and enhance quality of life with conservative strategies necessitates consideration of surgical intervention.

• #88 The Treatment of Primary Arthritis of the Finger and Thumb Joint

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5954171/

  The primary goal of treatment should be preservation of function with full or at least partial relief of pain. Each patient’s treatment should be decided on an individual basis. […] The authors of a prospective study with 50 patients (follow-up: 12 months) investigated the effect of a customized orthosis together with patient training on CMC-1 arthritis. […] A multimodal approach combining manual therapy/physiotherapy and an orthosis is more effective than a single-track approach in this situation. […] In conclusion, conservative multimodal treatment, in combination with orthoses if indicated, seems to be worthwhile as initial approach, particularly in early primary arthritis of the finger and thumb joints. […] The data from studies on intra-articular administration of hyaluronic acid and cortisone are relatively consistent. These substances seem well suited for short-term pain relief, but their long-term effect on pain and joint function is questionable. […] Trapezectomy, with or without interposition/suspension, is an effective surgical treatment for symptomatic advanced CMC-1 arthritis. […] Intra-articular injections have neither improved grip strength nor reduced pain significantly in the long term in randomized controlled trials.

• #89 Arthritis of the Hand: Symptoms, Types & Treatments

  https://my.clevelandclinic.org/health/diseases/7082-arthritis-of-the-wrist-and-hand

  The base of your thumb, your knuckles, second joint and top joint of your fingers are common sites for hand arthritis. Treatments include splints/braces, medications, steroid injections and healthy life choices. Surgeries include joint fusion, joint replacement and tendon transfer. […] Treatment options depend on the type of arthritis, stage of arthritis, how many joints are affected, your age, activity level, the hand affected (if it’s your dominant hand) and other existing medical conditions. […] Treatment options include splinting/bracing, medications, injections, non-drug approaches and surgery. […] Splits or braces support and protect the affected joint, reduce deformity, provide joint stability, lessen strain, and promote proper joint alignment. […] Your healthcare provider may prescribe medications to reduce your joint pain and swelling and, in the case of rheumatoid or psoriatic arthritis, to prevent joint damage.

• #90 Arthritis of the Hand: Symptoms, Types & Treatments

  https://my.clevelandclinic.org/health/diseases/7082-arthritis-of-the-wrist-and-hand

  Steroids reduce inflammation and relieve pain. […] A complete treatment plan for arthritis of the hand includes these additional approaches: Exercises strengthening and stretching to reduce symptoms and improve function. […] If nonsurgical treatments no longer provide relief and the cartilage at the ends of your bones has worn away, surgery may be an option. […] Joint fusion (arthrodesis): This surgery uses a plate and screws to keep the bones of your joint together. […] Joint replacement (arthroplasty): Similar to other joint replacements, surgeons use an artificial implant made of plastic, ceramics, silicone or metals to replace your damaged joint. […] You and your surgeon will discuss which surgical approach might be best for your hand considering your age, activity level, the joint(s) affected and the amount of pain and deformity you’re experiencing.

• #91 Arthritis of the Hand: Symptoms, Types & Treatments

  https://my.clevelandclinic.org/health/diseases/7082-arthritis-of-the-wrist-and-hand

  The base of your thumb, your knuckles, second joint and top joint of your fingers are common sites for hand arthritis. Treatments include splints/braces, medications, steroid injections and healthy life choices. Surgeries include joint fusion, joint replacement and tendon transfer. […] Treatment options depend on the type of arthritis, stage of arthritis, how many joints are affected, your age, activity level, the hand affected (if it’s your dominant hand) and other existing medical conditions. […] Treatment options include splinting/bracing, medications, injections, non-drug approaches and surgery. […] Splits or braces support and protect the affected joint, reduce deformity, provide joint stability, lessen strain, and promote proper joint alignment. […] Your healthcare provider may prescribe medications to reduce your joint pain and swelling and, in the case of rheumatoid or psoriatic arthritis, to prevent joint damage.

• #92 Basal thumb arthritis: Treatment strategies for managing pain

  https://www1.racgp.org.au/ajgp/2020/november/basal-thumb-arthritis

  Fusion is an excellent option for the management of thumb trapeziometacarpal arthritis. It is usually reserved for younger patients (aged 50 years) with heavy manual labour occupations because, in addition to effective pain relief and strengthened pinch grip, it provides improved stability while maintaining the length of the first ray. Painful non-union can be an issue when undertaking this procedure. The rate of non-union has been reported between 0% and 48%, with a mean of 13%. Literature comparing arthrodesis procedures to trapeziectomy with or without interposition arthroplasty shows similar results with tip pinch, key pinch and grip strength; however, pain relief, cold intolerance and complication rates are better in the trapeziectomy group.

• #93 Arthritis of the Hand: Symptoms, Types & Treatments

  https://my.clevelandclinic.org/health/diseases/7082-arthritis-of-the-wrist-and-hand

  The base of your thumb, your knuckles, second joint and top joint of your fingers are common sites for hand arthritis. Treatments include splints/braces, medications, steroid injections and healthy life choices. Surgeries include joint fusion, joint replacement and tendon transfer. […] Treatment options depend on the type of arthritis, stage of arthritis, how many joints are affected, your age, activity level, the hand affected (if it’s your dominant hand) and other existing medical conditions. […] Treatment options include splinting/bracing, medications, injections, non-drug approaches and surgery. […] Splits or braces support and protect the affected joint, reduce deformity, provide joint stability, lessen strain, and promote proper joint alignment. […] Your healthcare provider may prescribe medications to reduce your joint pain and swelling and, in the case of rheumatoid or psoriatic arthritis, to prevent joint damage.

• #94 Thumb arthritis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/thumb-arthritis/symptoms-causes/syc-20378339

  Thumb arthritis can cause severe pain, swelling, and decreased strength and range of motion, making it difficult to do simple tasks, such as turning doorknobs and opening jars. Treatment generally involves a combination of medication and splints. Severe thumb arthritis might require surgery. […] Thumb arthritis commonly occurs with aging. Previous trauma or injury to the thumb joint also can cause thumb arthritis. […] The damage to the joint might result in growth of new bone along the sides of the existing bone (bone spurs), which can produce noticeable lumps on your thumb joint.

• #95 Basal thumb arthritis: Treatment strategies for managing pain

  https://www1.racgp.org.au/ajgp/2020/november/basal-thumb-arthritis

  Basal thumb arthritis is a very common condition encountered by the general practitioner. Treatment must focus on functional expectations and demands of the patient, and individualised treatment plans need to be tailored to the patient. Hand therapy in addition to patient education and use of an orthosis has been shown to be very effective in management of the early stages of basal thumb arthritis. With more advanced disease, surgical modalities provide better symptomatic control. […] The aim of non-operative management of basal thumb arthritis is to restore thumb functionality by treating pain and improving stability, mobility and strength. Engagement with non-operative strategies should be undertaken for a minimum of six months. Failure to achieve pain relief, improve occupational performance and enhance quality of life with conservative strategies necessitates consideration of surgical intervention.

• #96 Thumb (Basal Joint) Arthritis: Pain, Tests & Treatment

  https://my.clevelandclinic.org/health/diseases/thumb-arthritis

  Thumb arthritis treatment varies based on the severity of your symptoms. If you have mild symptoms, a healthcare provider may recommend at-home treatments like: […] Your provider may recommend steroid injections if your symptoms are severe or get worse. They’ll inject a steroid solution into your thumb joint. This typically provides pain relief for several months. But injections become less effective over time. At that point, your provider may recommend surgery. […] Thumb arthritis is a very treatable condition. Nonsurgical treatments often ease symptoms. But surgery is an option when other treatments don’t relieve symptoms. Your healthcare provider may recommend physical therapy or occupational therapy. For example, a certified hand therapist can help you regain strength and movement in your hand and thumb.

• #97 Arthritis of the Hand: Symptoms, Types & Treatments

  https://my.clevelandclinic.org/health/diseases/7082-arthritis-of-the-wrist-and-hand

  There is no cure for arthritis. However, you can usually manage mild to moderate symptoms with a combination of medication and non-medication approaches. Surgery may be an option if other treatments fail or the arthritis in your hands is severe. […] Many treatment options are available depending on your exact arthritis type. Medications can reduce joint pain and swelling. Researchers are still working on ways to slow the progression of osteoarthritis.

• #98 What Are the Causes, Symptoms, and Treatments of Basal Arthritis

  https://www.advancedreconstruction.com/blog/basal-arthritis-symptoms-and-treatments

  These non-surgical approaches are often tried before surgical options are considered. Many patients experience satisfactory long-term outcomes with these conservative treatments, with studies showing sustained benefits over five years or more for pain reduction and improved hand function. […] In some cases of thumb CMC arthritis surgery may be necessary. These options are typically recommended when conservative non-surgical treatments have failed, or there is severe pain, advanced joint damage, or loss of function. […] Each surgical option has specific indications and potential benefits. The choice of procedure is typically made in consultation with a hand surgeon based on the patient’s age, activity level, and extent of joint damage. […] By incorporating these strategies, exercises, and devices into their daily routines, people can better manage bothersome symptoms of thumb CMC arthritis. However, it is important to consult with a healthcare provider or hand therapist for personalized advice and to ensure exercises are performed correctly. […] Positive outcomes are entirely possible with the right approach and treatment.

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