Zapalenie stawu kciuka
Objawy

Zapalenie stawu nadgarstkowo-śródręcznego kciuka (CMC) to schorzenie zwyrodnieniowe, które dotyka głównie kobiety po 40. roku życia, z częstością około 25% u kobiet powyżej 55 lat. Choroba charakteryzuje się stopniowym zużyciem chrząstki stawowej, prowadzącym do zwężenia szpary stawowej, powstawania osteofitów, podwichnięcia kości śródręcza oraz deformacji stawu. Objawy kliniczne obejmują ból u podstawy kciuka, nasilający się podczas czynności chwytania i ściskania, obrzęk, sztywność, zmniejszenie siły chwytu oraz ograniczenie zakresu ruchu. Diagnostyka opiera się na badaniu fizykalnym (tkliwość, test „grinding”, trzeszczenia) oraz obrazowaniu radiologicznym, które uwidacznia zwężenie szpary stawowej, osteofity i podwichnięcie. Progresja choroby przebiega przez cztery stadia, od łagodnego zwężenia do całkowitego zniszczenia stawu z zesztywnieniem i deformacjami typu „łabędzia szyja”.

Definicja zapalenia stawu kciuka

Zapalenie stawu kciuka, znane również jako choroba zwyrodnieniowa stawu u podstawy kciuka lub zapalenie stawu nadgarstkowo-śródręcznego kciuka (CMC), to schorzenie degeneracyjne dotykające staw u podstawy kciuka, gdzie kość śródręcza kciuka łączy się z kością nadgarstka (trapezium). Gdy chrząstka pokrywająca końce tych kości ulega zużyciu z upływem czasu, kości zaczynają ocierać się o siebie, prowadząc do uszkodzeń i szerokiego zakresu bolesnych objawów12. Jest to druga najczęstsza postać zapalenia stawów w ręce, występująca częściej u kobiet niż u mężczyzn, szczególnie po 40 roku życia34.

Objawy zapalenia stawu kciuka

Zapalenie stawu kciuka może powodować silny ból, obrzęk oraz zmniejszenie siły i zakresu ruchu, utrudniając wykonywanie prostych czynności, takich jak przekręcanie klamek czy otwieranie słoików5. Ból jest pierwszym i najczęstszym objawem zapalenia stawu kciuka, występującym u podstawy kciuka podczas chwytania, ściskania lub używania kciuka do przykładania siły6.

Charakterystyka bólu

Ból przy zapaleniu stawu kciuka może mieć różny charakter, najczęściej występuje jako:78:

  • Tępy ból u podstawy kciuka, szczególnie po użyciu ręki
  • Ból palący lub ostry
  • Ból nasilający się podczas czynności wymagających chwytania lub ściskania
  • Ból promieniujący do nadgarstka i przedramienia

Początkowo ból pojawia się tylko podczas aktywności lub po niej. Z czasem, gdy stan się pogarsza, ból może być obecny nawet w spoczynku9. U niektórych pacjentów ból występuje także w nocy10.

Inne objawy

Oprócz bólu, zapalenie stawu kciuka może wywoływać następujące objawy111213:

  • Obrzęk, sztywność i tkliwość u podstawy kciuka
  • Zmniejszona siła przy ściskaniu lub chwytaniu przedmiotów
  • Zmniejszony zakres ruchu
  • Powiększony lub kościsty wygląd stawu u podstawy kciuka
  • Uczucie trzeszczenia, chrzęszczenia lub klikania podczas ruchu kciuka
  • Dyskomfort po długotrwałym używaniu kciuka

Wpływ na codzienne funkcjonowanie

Zapalenie stawu kciuka może znacząco wpływać na codzienne funkcjonowanie, powodując1415:

  • Trudności w wykonywaniu czynności wymagających chwytania, takich jak otwieranie butelek lub przekręcanie kluczy
  • Problemy z pisaniem, zakładaniem skarpetek czy zapinaniem guzików
  • Zmniejszoną siłę uchwytu i precyzję ruchów
  • Ograniczoną zdolność do wykonywania prac manualnych
  • Trudności w codziennych czynnościach, takich jak ubieranie się, gotowanie czy mycie

Progresja zapalenia stawu kciuka

Zapalenie stawu kciuka jest schorzeniem postępującym, powodującym stopniowe pogorszenie stanu stawu nadgarstkowo-śródręcznego kciuka16. W miarę postępu choroby nasilenie objawów wzrasta, powodując upośledzający ból, zmniejszoną siłę ręki i deformację kciuka17.

Stadia zapalenia stawu kciuka

Progresja zapalenia stawu kciuka dzieli się na cztery główne stadia1819:

  • Stadium 1: Odpowiada zwężeniu szpary stawowej bez podwichnięcia (przemieszczenia kości w stawie) lub osteofitów (tworzenia się wyrośli kostnych w pobliżu stawu). Pacjenci mogą doświadczać łagodnego bólu i obrzęku podczas naciskania na staw kciuka.
  • Stadium 2: Obejmuje niewielkie podwichnięcie, które można jeszcze leczyć, oraz wczesne stadium osteofitów. Chrząstka w kciuku ulega większemu zużyciu, a wyrośla kostne zaczynają się rozwijać, co prowadzi do zwiększonego bólu, sztywności i obrzęku.
  • Stadium 3: Dotyczy osteofitów ze znacznym zwężeniem szpary stawowej i zaawansowanym stadium podwichnięcia. W tym punkcie chrząstka w stawie może być „kość do kości”, co powoduje narastający ból, utratę siły chwytu i ograniczenie ruchu.
  • Stadium 4: Polega na całkowitym zniszczeniu szpary stawowej, z wyraźnymi osteofitami, torbielami (geodes) i zesztywnieniem stawu nadgarstkowo-śródręcznego. Jest to najbardziej zaawansowane stadium zapalenia stawu kciuka, gdzie uszkodzenie stawu jest rozległe, a ból jest silny.

Zmiany strukturalne

W trakcie progresji choroby w stawie kciuka zachodzą następujące zmiany strukturalne2021:

  • Stopniowe ścieranie się chrząstki stawowej, początkowo w obszarach dłoniowych stawu, a następnie obejmujące cały staw
  • Tworzenie się osteofitów (wyrośli kostnych) w bezskutecznej próbie zwiększenia powierzchni stawowej
  • W zaawansowanym stadium, podstawa kości śródręcza kciuka zapada się, a kciuk ulega przykurczowi przywiedzeniowemu
  • Może dojść do zapadnięcia się stawu śródręczno-paliczkowego (MCP), dając deformację typu „łabędzia szyja” (Z-kształtna) lub M-kształtną

Zmiany funkcjonalne

W miarę postępu choroby występują następujące zmiany funkcjonalne2223:

  • Początkowo ból związany jest z intensywną aktywnością, taką jak ściskanie czy chwytanie
  • Z czasem ból pojawia się przy coraz mniejszej aktywności
  • Siła chwytu i ściskania stopniowo się zmniejsza
  • Pacjenci mogą odczuwać uczucie mielenia/chrzęszczenia nawet przy niewielkich ruchach kciuka
  • Staw u podstawy kciuka staje się bardzo sztywny
  • W późniejszych stadiach pacjenci zgłaszają niezdolność do odwodzenia kciuka, osłabienie chwytu szczypcowego i pogorszenie funkcji ręki

Czynniki ryzyka i osoby najbardziej narażone

Zapalenie stawu u podstawy kciuka dotyka częściej kobiety niż mężczyzn, przeważnie po 40 roku życia2425. Zdjęcia rentgenowskie pokazują, że występuje u około 25% kobiet powyżej 55 roku życia, jednak wiele osób z zapaleniem tego stawu nie ma znaczących dolegliwości bólowych26.

Do czynników ryzyka rozwoju zapalenia stawu kciuka należą272829:

  • Wiek – ryzyko znacząco wzrasta po 40 roku życia
  • Płeć żeńska – statystycznie kobiety są o 30% bardziej narażone na rozwój choroby zwyrodnieniowej u podstawy kciuka
  • Wcześniejsze złamania lub inne urazy stawu kciuka
  • Zwiększona elastyczność lub wiotkość więzadeł kciuka
  • Występowanie choroby zwyrodnieniowej w innych stawach

Przebieg choroby i jej konsekwencje

Przebieg zapalenia stawu kciuka może być różny u poszczególnych pacjentów. Choroba zwykle rozwija się stopniowo, ale niekiedy objawy mogą pojawić się nagle30. Objawy mogą przychodzić i odchodzić, pozostawać takie same lub pogarszać się z czasem31.

Charakter postępowania choroby

Zapalenie stawu kciuka może postępować w następujący sposób3233:

  • Choroba zwyrodnieniowa w tym miejscu zazwyczaj zaczyna się u pacjentów w wieku 40-50 lat, często z objawami radiologicznymi wyprzedzającymi objawy kliniczne
  • To, co widać na zdjęciu rentgenowskim, niekoniecznie odpowiada temu, co pacjent odczuwa – może występować stosunkowo zaawansowane zapalenie stawu, a pacjent zgłasza bardzo niewielki ból
  • Zapalenie stawu kciuka jest prawie zawsze obustronne (występuje w obu rękach), ale wbrew oczekiwaniom pacjenta może powodować objawy tylko w ręce niedominującej
  • Z czasem, jeśli staw nie uległ znacznemu podwichnięciu, może usztywnieć się w pozycji i w związku z tym stać się mniej bolesny

Konsekwencje nieleczonego zapalenia stawu kciuka

Nieleczone zapalenie stawu kciuka może prowadzić do343536:

  • Przewlekłego nieprawidłowego ustawienia stawów, objawiającego się jako guz wystający u podstawy kciuka
  • Zniszczenia powierzchni stawowych
  • Rozwoju wyrośli kostnych
  • Zapadnięcia się lub deformacji kciuka
  • Zwiększonego bólu i obrzęku
  • Zmniejszonej siły chwytu
  • Bólu kompensacyjnego w innych częściach ręki

Diagnostyka zapalenia stawu kciuka

Rozpoznanie zapalenia stawu kciuka opiera się na badaniu klinicznym i radiologicznym37. Podczas badania fizykalnego lekarz przepyta pacjenta o objawy i poszuka widocznych obrzęków lub guzków na stawach38.

Badanie kliniczne

W badaniu klinicznym charakterystyczne dla zapalenia stawu kciuka są3940:

  • Tkliwość przy palpacji nad stawem nadgarstkowo-śródręcznym kciuka
  • Dodatni test „grinding” (test mielenia) – jeśli ten ruch powoduje dźwięk mielenia, ból lub uczucie chrzęszczenia, chrząstka prawdopodobnie uległa zużyciu, a kości ocierają się o siebie
  • Obrzęk i trzeszczenie
  • Przywiedzenie kości śródręcza i przykurcze przestrzeni między kciukiem a palcem wskazującym
  • Może występować przykurcz zgięciowy w stawie śródręczno-paliczkowym (deformacja typu „zig-zag” lub „Z”)

Badania obrazowe

W diagnostyce obrazowej zapalenia stawu kciuka obserwuje się4142:

  • Zwężenie szpary stawowej
  • Tworzenie się osteofitów (wyrośli kostnych) z kości czworobocznej większej i podstawy kości śródręcza
  • Podwichnięcie pierwszej kości śródręcza w stawie nadgarstkowo-śródręcznym
  • Może występować bardziej rozległe zajęcie wokół kości czworobocznej większej, w tym staw łódeczkowato-czworoboczny (zapalenie stawów obejmujące całą kość czworoboczną większą)

Zaawansowane objawy i deformacja kciuka

W zaawansowanych stadiach zapalenia stawu kciuka mogą pojawić się charakterystyczne deformacje i zmiany4344:

Deformacja kciuka

  • W miarę nasilania się objawów może wystąpić nieprawidłowe ustawienie kciuka z obecnością guza nad stawem
  • Może to wpływać na staw powyżej, powodując wygląd odgięty do tyłu (przeprost)
  • Choroba zwyrodnieniowa może powodować rozluźnienie stawu nadgarstkowo-śródręcznego kciuka i jego nadmierne odgięcie (przeprost)
  • Jeśli środkowy staw kciuka (staw MCP) ulega zgięciu, a najdalszy staw kciuka również ulega przeprostowi, deformacja nazywana jest deformacją kciuka typu „łabędzia szyja”

Nasilenie objawów w zaawansowanym stadium

W późniejszych stadiach zapalenia stawu kciuka objawy mogą obejmować4546:

  • Stały, uporczywy ból, nawet w spoczynku i w nocy
  • Znaczne ograniczenie ruchomości kciuka
  • Wyraźna deformacja kciuka z guzem u jego podstawy
  • Zwężenie przestrzeni między kciukiem a palcem wskazującym, utrudniające czynności chwytne
  • Postępujące niszczenie i nieprawidłowe ustawienie stawu
  • Znaczne osłabienie siły chwytu i ściskania

W miarę postępu zapalenia stawu kciuka pacjenci często zgłaszają niezdolność do odwodzenia kciuka, osłabienie chwytu szczypcowego i pogorszenie funkcji ręki47. W najbardziej zaawansowanych przypadkach staw może stać się nieruchomy, co czyni nawet proste zadania trudnymi do wykonania48.

Leczenie i prognozowanie

Zapalenie stawu kciuka jest schorzeniem postępującym, a żadne leczenie nie może zatrzymać jego progresji. Zamiast tego, leczenie ma na celu zmniejszenie bólu oraz poprawę i utrzymanie funkcji49. We wczesnych stadiach zapalenia stawu kciuka leczenie zwykle obejmuje kombinację terapii niechirurgicznych50.

Opcje leczenia zachowawczego

Leczenie zachowawcze zapalenia stawu kciuka może obejmować5152:

  • Edukację pacjenta – programy obejmujące ochronę stawów, zarządzanie bólem i zachowanie energii
  • Ortezy (szyny) – skuteczne zarządzanie bólem można osiągnąć, jeśli szyna jest noszona przez ponad trzy miesiące
  • Programy ćwiczeń – skupione na stabilizacji pierwszego stawu nadgarstkowo-śródręcznego, zwiększaniu bezbolesnego zakresu ruchu stawu kciuka oraz ogólnej kondycji ciała
  • Iniekcje dostawowe – zarówno kortykosteroidy, jak i kwas hialuronowy mogą poprawić profil bólu, przy czym kwas hialuronowy jest bardziej skuteczny i działa dłużej niż kortykosteroidy

Leczenie chirurgiczne

Jeśli pacjent nie reaguje na inne metody leczenia lub jeśli prawie nie jest w stanie zginać i skręcać kciuka, lekarz może zalecić operację53. Opcje chirurgiczne obejmują5455:

  • Trapezjektomię z rekonstrukcją więzadła i interpozycją ścięgna (T-LRTI) – najczęściej wykonywana procedura, z 96% wskaźnikiem powodzenia
  • Artrodezę (zesztywnienie stawu) – daje stabilny, bezbolesny kciuk, który może chwytać i ściskać
  • Usunięcie kości czworobocznej większej
  • Fuzję kości nadgarstka i śródręcza
  • Wymianę stawu (endoprotezoplastykę)

Po operacji można spodziewać się noszenia gipsu lub szyny na kciuku i nadgarstku przez okres do sześciu tygodni56. Większość pacjentów osiąga całkowitą ulgę w bólu i mobilność równą zdrowego kciuka, a wyniki utrzymują się przez co najmniej 15-20 lat57.

Prognoza i przebieg długoterminowy

Zdjęcia rentgenowskie pokazują, że zapalenie stawu u podstawy kciuka zwykle pogarsza się z czasem, jednak tempo progresji choroby różni się u poszczególnych osób58. Nawet jeśli zapalenie stawu kciuka będzie postępować z czasem, objawy nie zawsze się pogarszają, a u niektórych osób objawy mogą znacznie się zmniejszyć59.

Przy odpowiednim leczeniu możliwe jest znaczne zmniejszenie bólu i poprawa funkcji ręki60. Wczesna diagnoza i szybkie leczenie mogą znacząco wpłynąć na zarządzanie zapaleniem stawu kciuka61.

Podsumowanie objawów i progresji zapalenia stawu kciuka

Zapalenie stawu kciuka jest częstym schorzeniem, które dotyka głównie kobiety po 50 roku życia. W miarę postępu choroby nasilenie objawów wzrasta, powodując upośledzający ból, zmniejszoną siłę ręki i deformację kciuka62.

Główne objawy zapalenia stawu kciuka to63:

  • Ból u podstawy kciuka, nasilający się podczas aktywności
  • Ból u podstawy kciuka, który przeszkadza w nocy
  • Utrata siły chwytu i precyzyjnej kontroli
  • Sztywność, która jest gorsza rano
  • Obrzęk u podstawy kciuka
  • Kostny guz u podstawy kciuka
  • Uczucie trzeszczenia lub pękania przy ruchu kciuka lub ręki
  • Zdeformowane stawy kciuka, jeśli stan postępuje do późniejszego stadium

Zapalenie stawu kciuka z czasem postępuje przez cztery główne stadia, od łagodnego zwężenia szpary stawowej do całkowitego zniszczenia stawu z wyraźnymi osteofitami i zesztywnieniem64. Choć jest to choroba postępująca, przy odpowiednim leczeniu i modyfikacji aktywności można skutecznie zarządzać objawami i utrzymać funkcjonalność ręki65.

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Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Thumb Arthritis: Signs, Causes, Pain Management, and More
    https://resources.healthgrades.com/right-care/arthritis/arthritis-in-the-thumb
    Arthritis is a condition of the joints and joint tissues that can affect the thumb. As the joints and tissues of the thumb become worn or damaged, thumb arthritis can lead to pain, stiffness, swelling, or difficulty moving. However, treatment of symptoms can help manage the condition. […] If you start to experience pain, stiffness, or swelling in your thumb, it may be a sign of arthritis. […] There are various signs and symptoms of thumb arthritis. They can affect how your thumb feels, functions, and looks. […] One of the most common symptoms of thumb arthritis is pain in the thumb, especially when moving it. For example, you may find your thumb hurts when you are pinching or gripping objects. […] Other symptoms include: a bump at the base of your thumb, swelling or tenderness at the base of the thumb, aching after use of the thumb, loss of strength in the thumb, limited motion.
  • #2 Thumb Arthritis Treatment in Central GA | OrthoGeorgia
    https://www.orthoga.org/specialties/hand-center/arthritis-of-the-thumb/
    Arthritis can affect various parts of the body, causing major disruptions to the everyday lives of millions of people. One area that can be affected by arthritis is the base of the thumb, where the metacarpal bone meets the wrist bone. When cartilage at the ends of these bones wears away over time, the bones begin to rub against each other. This friction leads to damage and a wide variety of painful symptoms. Thumb arthritis is the second most common type of arthritis in the hand. Proper diagnosis and treatment of thumb arthritis is key to a patients ability to do the things they love. […] Osteoarthritis of the thumb involves the deterioration of the joint cartilage over time, which means that it typically occurs in patients over the age of 40. It is also more common in women than men. As with other types of arthritis, the most prevalent symptom of thumb arthritis is pain. Thumb arthritis pain occurs at the base of the thumb when you try to pinch or grip something. This includes activities like turning a key, opening a door, or snapping your fingers. Other symptoms of arthritis in the thumb joint include: Swelling and tenderness at the base of the thumb, Aching in the thumb with use, Decreased grip strength, Decreased range of motion, Development of a bony bump at the base of the thumb, Deformity of the other thumb joints.
  • #3 Thumb Arthritis Treatment in Central GA | OrthoGeorgia
    https://www.orthoga.org/specialties/hand-center/arthritis-of-the-thumb/
    Arthritis can affect various parts of the body, causing major disruptions to the everyday lives of millions of people. One area that can be affected by arthritis is the base of the thumb, where the metacarpal bone meets the wrist bone. When cartilage at the ends of these bones wears away over time, the bones begin to rub against each other. This friction leads to damage and a wide variety of painful symptoms. Thumb arthritis is the second most common type of arthritis in the hand. Proper diagnosis and treatment of thumb arthritis is key to a patients ability to do the things they love. […] Osteoarthritis of the thumb involves the deterioration of the joint cartilage over time, which means that it typically occurs in patients over the age of 40. It is also more common in women than men. As with other types of arthritis, the most prevalent symptom of thumb arthritis is pain. Thumb arthritis pain occurs at the base of the thumb when you try to pinch or grip something. This includes activities like turning a key, opening a door, or snapping your fingers. Other symptoms of arthritis in the thumb joint include: Swelling and tenderness at the base of the thumb, Aching in the thumb with use, Decreased grip strength, Decreased range of motion, Development of a bony bump at the base of the thumb, Deformity of the other thumb joints.
  • #4 Basal thumb arthritis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC2599975/
    Basal thumb arthritis is a common condition seen in hand clinics across the United Kingdom and is often associated with other pathological conditions such as carpal tunnel syndrome and scaphotrapezial arthritis. Typically, patients complain of pain localised to the base of the thumb. This pain is often activity related, particularly after excessive use involving forceful pinch. […] As the arthritis progresses, pain may become constant. In addition to pain, weakness or loss of motion are commonly reported. These symptoms are a protective mechanism to prevent excessive use of a damaged joint. In the later stages of the disease when instability and subluxation of the joint occurs, patients report an inability to abduct the thumb, weakness of pinch grip and a deterioration of hand function. […] Collapse of the thumb may eventually occur, producing a swanneck deformity with progressive adduction of the first metacarpal and compensatory hyperextension of the MCP joint.
  • #5 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. […] Pain is the first and most common symptom of thumb arthritis. Pain can occur at the base of your thumb when you grip, grasp or pinch an object, or use your thumb to apply force. […] Other signs and symptoms might include: Swelling, stiffness and tenderness at the base of your thumb, Decreased strength when pinching or grasping objects, Decreased range of motion, Enlarged or bony appearance of the joint at the base of your thumb. […] See your doctor if you have persistent swelling, stiffness or pain at the base of your thumb.
  • #6 Thumb arthritis
    https://www.mymlc.com/health-information/diseases-and-conditions/t/thumb-arthritis2/
    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. […] Pain is the first and most common symptom of thumb arthritis. Pain can occur at the base of your thumb when you grip, grasp or pinch an object, or use your thumb to apply force. […] Other signs and symptoms might include: Swelling, stiffness and tenderness at the base of your thumb, Decreased strength when pinching or grasping objects, Decreased range of motion, Enlarged or bony appearance of the joint at the base of your thumb. […] 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.
  • #7
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=acd8592
    Symptoms of arthritis at the base of the thumb include aching in your joint. Or the pain may feel burning or sharp. You may feel clicking, creaking, or catching in the joint. It may get stiff. You may have more pain and less strength when you pinch or grip things. […] Symptoms may come and go, stay the same, or get worse over time.
  • #8 Osteoarthritis of the carpometacarpal thumb joint – South Tees Hospitals NHS Foundation Trust
    https://www.southtees.nhs.uk/resources/osteoarthritis-of-the-carpometacarpal-thumb-joint/
    This has been written to provide you with information about your thumb arthritis and give you a better understanding of your thumb joint, why you experience pain, and how you can manage your symptoms […] Common symptoms of CMC OA […] Pain: Usually felt as a sharp or aching pain at the base of the thumb. The pain is usually worse during movement and relieved by rest […] Reduced grip strength: It may be difficult to grip or pick up objects […] Stiffness: Following periods of rest (for example; in mornings) […] Swelling: Around the base of the thumb […] Muscle Weakness and Instability […] Deformity: In the later stages of the condition the thumb joint may collapse inwards into a subluxed position […] The exercises, joint protection techniques and the use of assistive devices and splints (as described in this booklet) can help to relieve these symptoms and slow the progression of this condition
  • #9 Patient Education | Concord Orthopaedics
    https://www.concordortho.com/patient-resources/patient-education/topic/136163774fe39e67a057bc4dd9c3ae1d
    Pain is the main problem with degenerative arthritis of any joint. This pain occurs at first only related to activity. Usually, once the activity gets underway there is not much pain, but after resting for several minutes the pain and stiffness increase. Later, when the condition worsens, pain and aching may be present even at rest. The most noticeable problem with CMC joint arthritis is that it becomes difficult to grip anything. It causes a sharp pain at the base of the thumb in the thick part of the heel of the hand. […] When the articular cartilage starts to wear off the joint surface, the joint may make a squeaking sound when moved. Doctors refer to this sound as crepitus. The joint often becomes stiff and begins to lose motion. Moving the thumb away from the palm may become difficult. This is referred to as a contracture. […] Osteoarthritis may cause the CMC joint of the thumb to loosen and to bend back too far (hyperextension). If the middle thumb joint (MCP joint) becomes flexed and the furthest thumb joint also becomes hyperextended, the deformity is named a thumb swan neck deformity.
  • #10 Basal thumb arthritis | Healthify
    https://healthify.nz/health-a-z/b/basal-thumb-arthritis/
    Osteoarthritis is the most common form of arthritis to affect the joint at the base of your thumb. […] Common symptoms include pain, swelling, stiffness, loss of grip and fine control, and muscle weakness of your thumb. […] Symptoms of basal thumb arthritis include: pain at the base of your thumb that worsens during activity, pain at the base of your thumb that bothers you during the night, loss of grip strength and fine control, stiffness that is worse in the morning, swelling at the base of your thumb, a bony bulge at the base of your thumb, creaking or cracking sensations with thumb or hand movement, deformed thumb joints if the condition progresses to a later stage. […] This gradual injury can cause swelling (inflammation), reduce movement and result in pain in the base of your thumb. Recovery may be limited by repeated stress and strain and other factors such as age. […] If joint changes, pain and disability are all severe and a comprehensive management programme including the above measures is not helping, surgical procedures such as removing the trapezium, carpal and metacarpal bone fusion or joint replacement may be necessary.
  • #11 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. […] Pain is the first and most common symptom of thumb arthritis. Pain can occur at the base of your thumb when you grip, grasp or pinch an object, or use your thumb to apply force. […] Other signs and symptoms might include: Swelling, stiffness and tenderness at the base of your thumb, Decreased strength when pinching or grasping objects, Decreased range of motion, Enlarged or bony appearance of the joint at the base of your thumb. […] See your doctor if you have persistent swelling, stiffness or pain at the base of your thumb.
  • #12 Thumb (Basal Joint) Arthritis: Pain, Tests & Treatment
    https://my.clevelandclinic.org/health/diseases/thumb-arthritis
    Thumb arthritis symptoms include pain, swelling and loss of strength and motion in your thumb. […] CMC arthritis symptoms may include: Aching or discomfort after using your hand for a long time, Bone spur at the base of your thumb, Enlarged thumb joint, Loss of strength and motion in your thumb, Pain in your thumb when grasping, gripping or pinching, Swelling, stiffness or tenderness at the base of your thumb. […] Thumb arthritis is a very treatable condition. Nonsurgical treatments often ease symptoms. But surgery is an option when other treatments don’t relieve symptoms.
  • #13 Thumb Arthritis > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/thumb-arthritis
    Symptoms include swelling and tenderness, as well as loss of strength […] Pain in the thumb is the most common symptom of thumb arthritis. You might feel pain when you are pinching or gripping objects […] You may also notice a little bump at the base of your thumb, he adds, explaining that this would be a bone spur, or a projection that develops along joints as a result of inflammation, including osteoarthritis. Other symptoms may include the following: Swelling and tenderness at the base of the thumb […] An ache after prolonged use of the thumb […] Loss of strength when gripping or pinching with your thumb […] Limited motion.
  • #14 What Are the Causes, Symptoms, and Treatments of Basal Arthritis
    https://www.advancedreconstruction.com/blog/basal-arthritis-symptoms-and-treatments
    For many, basal joint arthritis symptoms develop gradually, explains Dr. Tsai. The most prominent symptom is localized pain at the base of the thumb, particularly when doing things that involve gripping or pinching objects, like snapping fingers or turning keys. […] As the condition progresses, a person may notice swelling and tenderness at the thumb’s base, along with stiffness, especially after periods of rest or in the morning. A decrease in grip strength and reduced range of motion in the thumb are also common early indicators. Some people may feel a dull ache after prolonged use of the thumb or notice a gritty feeling or grinding sound (crepitus) when moving the joint. In some cases, there may also be visible enlargement or a bony appearance at the base of the thumb. […] If left untreated, basal joint arthritis symptoms can significantly impact daily activities in several ways: Pain and discomfort: The condition causes pain at the base of the thumb, especially during activities that involve gripping, pinching, or grasping objects. This can make many routine tasks painful and difficult. Reduced grip strength: As arthritis progresses, individuals often experience a decrease in grip strength, making it challenging to open jars, turn keys, or hold onto objects securely. Limited range of motion: Stiffness and reduced mobility in the thumb joint can restrict the ability to perform tasks that require a full range of thumb motion. Difficulty with fine motor skills: Activities requiring precise thumb movements, such as writing, buttoning clothes, or using small tools, can become increasingly challenging. Impact on daily activities: Due to pain and reduced function, common tasks like dressing, cooking, cleaning, and personal grooming may become more difficult and time-consuming. Occupational challenges: For those whose work involves frequent hand use, especially gripping and pinching motions, thumb CMC arthritis can significantly impact job performance. Emotional and psychological effects: The inability to perform routine tasks independently can lead to frustration and decreased life satisfaction. Adaptations and compensations: People with thumb CMC arthritis often develop alternative ways to perform tasks or rely more heavily on their unaffected hand, which can lead to overuse issues in other joints. Reduced participation in hobbies and leisure activities: Activities like gardening, crafting, or playing musical instruments may become difficult or impossible due to pain and reduced function.
  • #15 Thumb Arthritis – Orthopedic Institute
    https://orthopedicinstitutesf.com/specialties/hand-wrist/thumb-arthritis/
    Thumb arthritis, also known as basal joint arthritis or CMC joint arthritis, affects the joint at the base of the thumb where it meets the wrist. This joint allows you to move your thumb in multiple directions. Over time, the cartilage that cushions this joint can wear down, causing pain and inflammation. […] The most common symptom is aching pain at the base of the thumb, especially after using your hand. Tasks like opening a bottle or turning a key can become difficult. […] You might notice a loss of strength, making it hard to pinch or grip things. Your thumb may also feel stiff, especially in the morning. […] Swelling around the base of the thumb is common. Over time, a bony bump may develop as the joint becomes deformed. […] Simple tasks like writing, pulling on socks, or buttoning shirts may become harder as your thumb loses mobility.
  • #16 Thumb arthritis: Tests, steps, and results
    https://www.medicalnewstoday.com/articles/thumb-arthritis-tests-steps-and-results
    Thumb arthritis is a progressive disease that causes a gradual deterioration of the CMC joint of the thumb. […] Symptoms that may indicate thumb arthritis include pain when performing activities that require gripping, grasping, and pinching. The condition may also cause the following symptoms: tenderness or discomfort at the thumb base, limited range of motion, weak grip and pinch strength, swelling or stiffness at the thumb base. […] Thumb arthritis may get worse over time, as no treatment can stop its progression. Instead, treatment aims to reduce pain and improve and maintain function.
  • #17 Basal thumb arthritis: stages and definition of arthritis in the thumb | Epitact
    https://epitact.co.uk/hand-wrist/rhizarthrosis/definition-progression-thumb-osteoarthritis
    Basal thumb arthritis is a frequent disease that mainly affects women over 50 years old. As it progresses, the severity of symptoms increases, causing disabling pain, reduced hand strength and a thumb deformity. […] Basal thumb arthritis causes pain at the base of the thumb, joint stiffness and loss of strength of the thumb-index pinch grip. These symptoms of thumb arthritis are likely to impair the ability to do daily activities. The condition can also progress by inflammatory flare-ups, which prove to be particularly painful. In the most severe stages of basal thumb arthritis, a deformity of the thumb appears, usually in a Z-shape or M-shape in some cases. […] The first stage corresponds to joint space narrowing without subluxation (movement of bones in the joint) or osteophytes (formation of bone spurs near the joint). The second stage of arthritis in the thumb involves slight subluxation that can still be treated and early stage osteophytosis. The third stage refers to osteophytosis with significant joint space narrowing and advanced stage subluxation. The fourth and last stage of basal thumb arthritis consists of complete destruction of the joint space, with prominent osteophytes, geodes (cysts) and ankylosis of the trapeziometacarpal joint.
  • #18 Basal thumb arthritis: stages and definition of arthritis in the thumb | Epitact
    https://epitact.co.uk/hand-wrist/rhizarthrosis/definition-progression-thumb-osteoarthritis
    Basal thumb arthritis is a frequent disease that mainly affects women over 50 years old. As it progresses, the severity of symptoms increases, causing disabling pain, reduced hand strength and a thumb deformity. […] Basal thumb arthritis causes pain at the base of the thumb, joint stiffness and loss of strength of the thumb-index pinch grip. These symptoms of thumb arthritis are likely to impair the ability to do daily activities. The condition can also progress by inflammatory flare-ups, which prove to be particularly painful. In the most severe stages of basal thumb arthritis, a deformity of the thumb appears, usually in a Z-shape or M-shape in some cases. […] The first stage corresponds to joint space narrowing without subluxation (movement of bones in the joint) or osteophytes (formation of bone spurs near the joint). The second stage of arthritis in the thumb involves slight subluxation that can still be treated and early stage osteophytosis. The third stage refers to osteophytosis with significant joint space narrowing and advanced stage subluxation. The fourth and last stage of basal thumb arthritis consists of complete destruction of the joint space, with prominent osteophytes, geodes (cysts) and ankylosis of the trapeziometacarpal joint.
  • #19 Thumb Arthritis, Understanding the 4 Stages -Updated 2024
    https://www.blog.ohmyarthritis.com/thumb-arthritis-understanding-the-4-stages-and-how-to-manage-it/
    Thumb arthritis affects millions of people worldwide, causing pain, stiffness, and limited mobility in the thumb joints. By understanding the four stages of thumb arthritis, you can take action to prevent further damage and find relief. […] During this stage, you may experience mild pain and swelling when putting pressure on the thumb joint. Activities like gripping or pinching objects may trigger these symptoms. […] As thumb arthritis progresses, the cartilage in your thumb wears down more, and bone spurs may start to develop. This can lead to increased pain, stiffness, and swelling that can interfere with everyday tasks like opening jars or buttoning clothes. […] At this point, the joint cartilage may be bone-on-bone which can cause increasing pain, loss of grip strength, and limited movement. Bone spurs can also contribute to joint deformity.
  • #20 Osteoarthritis of the carpometacarpal thumb joint – South Tees Hospitals NHS Foundation Trust
    https://www.southtees.nhs.uk/resources/osteoarthritis-of-the-carpometacarpal-thumb-joint/
    In severe OA, the cartilage can become so thin that it no longer covers the joint surfaces, and damage is caused to the bone ends by them grinding against each other during movement […] This can mean that you avoid using these joints, subsequently causing the surrounding muscles to weaken. This can, over time, change the shape of the joint creating a deformity, as the joint is no longer held in its natural position.
  • #21 Thumb Arthritis | UW Orthopaedic Surgery and Sports Medicine
    https://orthop.washington.edu/patient-care/hand/thumb-arthritis.html
    Initial symptoms of thumb arthritis include pain and swelling around the wrist and the base of the thumb as well as progressive weakness. Patients find that it becomes increasingly difficult to twist open jars or even turn a doorknob. […] In severe cases, even holding a pen or utensil can be very painful. The base of the thumb may look enlarged and out of place. Stiffness and decreased motion of the thumb can be minimal or significant, depending on the severity of disease. […] With progressive wear and tear (degenerative arthritis or osteoarthritis), the cartilage becomes thinner and there is direct contact between the bony surfaces (bone-on-bone). […] In advanced stages, bone spurs, or osteophytes, can form in the joint, causing the thumb metacarpal to slide out of the saddle. Hyperextension instability can also occur in the adjacent joint (metacarpophalangeal joint).
  • #22 Basal thumb arthritis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC2599975/
    Basal thumb arthritis is a common condition seen in hand clinics across the United Kingdom and is often associated with other pathological conditions such as carpal tunnel syndrome and scaphotrapezial arthritis. Typically, patients complain of pain localised to the base of the thumb. This pain is often activity related, particularly after excessive use involving forceful pinch. […] As the arthritis progresses, pain may become constant. In addition to pain, weakness or loss of motion are commonly reported. These symptoms are a protective mechanism to prevent excessive use of a damaged joint. In the later stages of the disease when instability and subluxation of the joint occurs, patients report an inability to abduct the thumb, weakness of pinch grip and a deterioration of hand function. […] Collapse of the thumb may eventually occur, producing a swanneck deformity with progressive adduction of the first metacarpal and compensatory hyperextension of the MCP joint.
  • #23 Arthritis – Base of the Thumb
    http://noelhenley.com/arthritis-base-of-the-thumb/
    The earliest symptom of thumb arthritis is pain at the base of the thumb (the heel of the palm) with pinching, opening jars, or after long periods of writing. […] As the arthritis gets worse, the strength of pinching gets weaker and heavy activity is no longer required to make the thumb painful. […] Patients with advanced arthritis may feel a grinding/crunching sensation with even small movements of the thumb, and the thumb joint may start to look enlarged, swollen, or “out of place”. The joint at the base of the thumb becomes very stiff at this point. […] This type of arthritis is more common in women than men, and usually doesn’t happen before age 40. Fractures and other trauma to the thumb joint may put you at risk for developing arthritis in the future.
  • #24 Basal thumb arthritis
    https://www.bssh.ac.uk/patients/conditions/24/basal_thumb_arthritis
    The universal joint at the base of the thumb, between the metacarpal and trapezium bones, often becomes arthritic as people get older. […] Arthritis of the basal joint of the thumb is common in women and rather less common in men. X-rays show it is present in about 25% of women over the age of 55, but many people with arthritis of this joint have no significant pain. […] 1. Pain at the base of the thumb, aggravated by thumb use. 2. Tenderness if you press on the base of the thumb. 3. Difficulty with tasks such as opening jars, turning a key in the lock etc. 4. Stiffness of the thumb and some loss of ability to open the thumb away from the hand. 5. In advanced cases, there is a bump at the base of the thumb and the middle thumb joint may hyperextend, giving a zigzag appearance.
  • #25 Arthritis of the Thumb – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/arthritis-of-the-thumb/
    Arthritis of the base of the thumb is more common in women than in men, and usually occurs after 40 years of age. Prior fractures or other injuries to the joint may increase the likelihood of developing this condition. […] Pain with activities that involve gripping or pinching, such as turning a key, opening a door, or snapping your fingers. […] Loss of strength in gripping or pinching activities. […] Swelling and tenderness at the base of the thumb. […] Aching discomfort after prolonged use of the thumb. […] An enlarged, „out-of-joint” appearance at the base of the thumb. […] Development of a bony prominence or bump over the basal joint at the base of the thumb. […] Limited motion in the thumb. […] Because arthritis is a progressive, degenerative disease, the condition may worsen over time.
  • #26 Basal thumb arthritis
    https://www.bssh.ac.uk/patients/conditions/24/basal_thumb_arthritis
    The universal joint at the base of the thumb, between the metacarpal and trapezium bones, often becomes arthritic as people get older. […] Arthritis of the basal joint of the thumb is common in women and rather less common in men. X-rays show it is present in about 25% of women over the age of 55, but many people with arthritis of this joint have no significant pain. […] 1. Pain at the base of the thumb, aggravated by thumb use. 2. Tenderness if you press on the base of the thumb. 3. Difficulty with tasks such as opening jars, turning a key in the lock etc. 4. Stiffness of the thumb and some loss of ability to open the thumb away from the hand. 5. In advanced cases, there is a bump at the base of the thumb and the middle thumb joint may hyperextend, giving a zigzag appearance.
  • #27 Arthritis in Thumb – Best Treatment Options in 2025
    https://prohealthclinic.co.uk/blog/arthritis-in-thumb/
    Managing thumb arthritis effectively begins with proper recognition of its indications. These can include substantial pain, especially when pinching or gripping objects, inflammation and the formation of bony protrusions at the base of the thumb. […] If you are experiencing persistent pain, sudden swelling, or a significant decrease in hand function due to thumb arthritis, it is essential to seek medical attention. […] Left thumb arthritis untreated can lead to severe complications such as increased pain and swelling. It may also result in the collapse or deformity of the affected thumb if left unaddressed. […] Several risk factors can contribute to an individuals likelihood of developing thumb arthritis. Advancing age is a significant factor, as the chances of developing this condition increase notably for those over 40.
  • #28 Recognizing Thumb Arthritis – Jeffrey M. Jacobson, M.D.
    https://jacobsonmd.com/recognizing-thumb-arthritis/
    Pain at the base of the thumb on the palm side may be the most obvious sign, but it is far from the only one. […] Look out for these additional signs if you think you may have thumb arthritis: Pain or weakness with a grasping, twisting or pinching motion, swelling and tenderness at the base of the thumb, a visual deformity of the joint, limited range of motion of the thumb. […] Thumb arthritis usually begins after age 40, and previous injury to the thumb increases the risk of developing thumb arthritis.
  • #29 Arthritis – Base of the Thumb
    http://noelhenley.com/arthritis-base-of-the-thumb/
    The earliest symptom of thumb arthritis is pain at the base of the thumb (the heel of the palm) with pinching, opening jars, or after long periods of writing. […] As the arthritis gets worse, the strength of pinching gets weaker and heavy activity is no longer required to make the thumb painful. […] Patients with advanced arthritis may feel a grinding/crunching sensation with even small movements of the thumb, and the thumb joint may start to look enlarged, swollen, or “out of place”. The joint at the base of the thumb becomes very stiff at this point. […] This type of arthritis is more common in women than men, and usually doesn’t happen before age 40. Fractures and other trauma to the thumb joint may put you at risk for developing arthritis in the future.
  • #30 Base of Thumb Arthritis – pt Health
    https://www.pthealth.ca/conditions/arthritis/base-of-thumb-arthritis/
    Thumb arthritis occurs when the cartilage that covers these bones wears away. […] As the disease progresses, bone can grind on bone, causing joint damage and painful bone spurs called osteophytes that can form in the place of cartilage. […] Common symptoms of thumb arthritis include: Pain, swelling or tenderness at the CMC joint (the base of the thumb). […] Stiffness at the CMC joint, especially first thing in the morning or after periods of inactivity. […] A crunching, clicking, or snapping sound, known as crepitus, when moving the thumb. […] Weakness at the CMC joint. […] Decreased range of motion and pain while doing routine activities such as opening jars, turning a key or doorknob, grasping an object, or snapping your fingers. […] A bumpy or bony appearance at the base of your thumb. […] Most often the pain develops slowly over time, but it can appear suddenly. […] Unfortunately, no. There is no cure for thumb arthritis, but with proper treatment, the disease can be managed effectively and progression stopped or delayed.
  • #31
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=acd8592
    Symptoms of arthritis at the base of the thumb include aching in your joint. Or the pain may feel burning or sharp. You may feel clicking, creaking, or catching in the joint. It may get stiff. You may have more pain and less strength when you pinch or grip things. […] Symptoms may come and go, stay the same, or get worse over time.
  • #32 Basal Joint Arthritis: Osteoarthritis of the Thumb | HSS
    https://www.hss.edu/conditions_basal-joint-arthritis-overview.asp
    Arthritis at the base of the thumb is one of the most common locations and can be very disabling. Because the strength and motion of the thumb is required for nearly every activity – whether writing, opening a jar, or buttoning a shirt – pain from this condition may impede the most basic everyday tasks. […] Arthritis in this location generally begins in patients from 40-50 yrs old, often with the X-ray appearance in advance of the symptoms. In fact many peopleespecially women, in whom the condition is more prevalent may have some degree of basal thumb arthritis by X-ray without being aware of it, according to Robert N. Hotchkiss, MD, Associate Attending Orthopaedic Surgeon at Hospital for Special Surgery (HSS). […] What we are able to see on X-ray does not necessarily correspond to what the patient feels, Dr. Hotchkiss explains. We may see relatively advanced arthritis in the joint, yet the patient reports very little pain.
  • #33 Basal Joint Arthritis Symptoms and Treatment
    https://www.healthline.com/health/basal-joint-arthritis
    Usually, the first sign of arthritis in the thumb is pain, tenderness, and stiffness. Youre most likely to feel it at the base of your thumb as you try to grip, pinch, or clasp something between the thumb and index fingers. […] Over time, pain and inflammation can rob your hand of strength and restrict your range of motion. […] The thumb may appear swollen, especially at its base, and you may develop a bony bump. Overall, the base of the thumb can take on an enlarged appearance. […] Responding to early symptoms with splinting and medications will usually help relieve pain in the base of the thumb. However, basal joint arthritis will often worsen over time.
  • #34 Thumb Arthritis | Orthopedic Surgeons located in Lake Oswego, OR | Summit Orthopaedics
    https://summitdocs.com/thumb-arthritis/
    Thumb arthritis symptoms include thumb pain, loss of strength in the thumb, limited range of motion in the joint, swelling at the base of the thumb, and/or grinding of the thumb. […] Since the carpometacarpal joint controls grasping, weakness of the hands and inability to grasp objects is a common symptom of thumb arthritis. […] If symptoms do not improve and your thumb arthritis remains left untreated, it can progressively develop into a chronic misalignment of the joints. This will appear as a bump that protrudes at the base of the thumb, which may cause frequent pain each time the joint is moved. Untreated arthritis can also lead to the destruction of joint surfaces and the development of bony spurs. If you have a family history of arthritis or if you are already experiencing arthritis in areas of your body other than your thumb, there is an increased chance that, if left untreated, your arthritis symptoms will worsen over time.
  • #35 Arthritis in Thumb – Best Treatment Options in 2025
    https://prohealthclinic.co.uk/blog/arthritis-in-thumb/
    Managing thumb arthritis effectively begins with proper recognition of its indications. These can include substantial pain, especially when pinching or gripping objects, inflammation and the formation of bony protrusions at the base of the thumb. […] If you are experiencing persistent pain, sudden swelling, or a significant decrease in hand function due to thumb arthritis, it is essential to seek medical attention. […] Left thumb arthritis untreated can lead to severe complications such as increased pain and swelling. It may also result in the collapse or deformity of the affected thumb if left unaddressed. […] Several risk factors can contribute to an individuals likelihood of developing thumb arthritis. Advancing age is a significant factor, as the chances of developing this condition increase notably for those over 40.
  • #36 Base of Thumb Arthritis: Symptoms & Treatment
    https://www.handandplasticskaty.com/hand-wrist-surgery-katy/thumb-arthritis/
    Early detection of base of thumb arthritis is critical for managing symptoms and preventing further damage to the joint. Without timely diagnosis, patients may experience worsening pain, reduced grip strength, and limited motion in the thumb. […] While there is no cure for arthritis, there are excellent treatment options available in Katy, TX to help alleviate your symptoms of pain and/or stiffness and regain the function of your hand. […] Symptomatic thumb arthritis that does not respond to conservative treatment can benefit from surgical intervention. There are several surgical options for the treatment of basilar joint arthritis. […] If untreated, it can lead to reduced grip strength, deformities, or compensatory pain in other parts of the hand.
  • #37 Base of Thumb Arthritis: Causes, Symptoms, And Treatment
    https://www.mskclinic.co.uk/post/base-of-thumb-arthritis-causes-symptoms-and-treatment
    Thumb arthritis can be diagnosed by a doctor following clinical and radiological assessment. Typically, Thumb Arthritis leads to pain, stiffness, and swelling in the thumb. […] With the right treatment at the right time, your pain would improve, you could keep your thumb moving and return to your day-to-day activities. […] The corticosteroid medication is injected into the joint to help reduce pain and swelling. […] Hyaluronic acid (HA) injections are used to treat base of thumb joint pain. […] PRP injection is a therapy that uses a persons own blood to treat their thumb arthritis. […] PRP injections have been shown to be effective in reducing pain and improving function in a variety of musculoskeletal conditions, and the evidence is beginning to accumulate for their use in thumb arthritis as well.
  • #38 Thumb arthritis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/thumb-arthritis/diagnosis-treatment/drc-20378344
    During a physical exam, your doctor will ask about your symptoms and look for noticeable swelling or lumps on your joints. […] If this movement produces a grinding sound, or causes pain or a gritty feeling, the cartilage has likely worn down, and the bones are rubbing against each other. […] 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. […] A splint can support your joint and limit the movement of your thumb and wrist. […] If pain relievers and a splint aren’t effective, your doctor might recommend injecting a long-acting corticosteroid into your thumb joint. […] 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.
  • #39
    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. […] Diagnosis is made clinically with tenderness to palpation over the thumb CMC joint, a painful CMC grind test, and radiographs of the hand showing osteoarthritis of the 1st CMC joint. […] History: progressive pain, crepitus, swelling to base of the thumb. Loss of pinch/grip strength; symptoms exacerbated by activities such as opening jars or utilizing power grip. […] Symptoms: pain at base of thumb; symptoms of concomitant carpal tunnel syndrome in approximately 50% of patients; difficulty pinching and grasping.
  • #40 Thumb Arthritis – Orthopedic Institute
    https://orthopedicinstitutesf.com/specialties/hand-wrist/thumb-arthritis/
    If you are experiencing symptoms, an orthopedic doctor at Orthopedic Institute will start with a physical exam. They may press on your thumb joint to check for tenderness, swelling, or misalignment. […] Treatments for thumb arthritis vary based on how severe your symptoms are. Your orthopedic specialist in Sioux Falls will work with you to find the best treatment plan. […] Thumb arthritis surgery is usually an outpatient procedure, so you can go home the same day. Your hand will be in a splint to keep the thumb stable while it heals. After 1-2 weeks, your stitches will be removed, and you will start using a removable splint. Physical therapy will help you regain strength and mobility, and most patients return to normal activities within a few months.
  • #41
    https://www.orthobullets.com/hand/6054/basilar-thumb-arthritis
    Physical exam: swelling and crepitus; metacarpal adduction and web space contractures; may have adjacent MCP fixed hyperextension (zig-zag or „Z” deformity) occurs during pinch as a sequlae of CMC arthritis. […] Imaging: findings include joint space narrowing and osteophytes. […] Prognosis: Osteoarthritis in 1 joint in a row (proximal row) predicts for osteoarthritis in other joints in same row.
  • #42 Arthritis of the Hand, Thumb & Wrist | Grand Rapids Orthopedic Doctors
    https://www.oamichigan.com/hand-upper-extremity/hand-upper-extremity-conditions/arthritis-hand-thumb-wrist/
    Arthritis at the base of thumb is a very common disorder encountered by the primary care physician and the hand specialist. […] It is the second most common arthritic problem encountered in the hand, behind distal interphalangeal joint arthritis. However, it is the most common site for which surgery is sought because of its profound impact on hand function. […] Patients typically complain of aching and pain involving the thenar aspect of the hand and base of the thumb. […] During the physical exam, there is often some swelling or prominence noted at the dorsal base of the thumb. This is a sign of subluxation of the first metacarpal at the CMC joint. […] One of the definitive physical findings is that of a positive grind test. […] Typical findings are loss of joint space, spurring and osteophyte formation from the trapezium and metacarpal base.
  • #43 Symptoms of Thumb Arthritis | UPMC HealthBeat
    https://share.upmc.com/2017/03/thumb-arthritis-symptoms/
    Arthritis at the base of the thumb is one of the most common sites of osteoarthritis in the hand. Thumb arthritis is more commonly seen in women than in men, and typically occurs after age 40. […] According to Dean G. Sotereanos, MD, orthopaedic surgeon at Orthopedic Specialists UPMC, pain is the most common symptom of thumb arthritis and typically occurs at the base of the thumb with gripping and pinching activities such as opening a jar or bottle, turning a door handle, twisting a key, or snapping the fingers. Other symptoms may include swelling, stiffness, or tenderness at the base of the thumb. […] As symptoms worsen, pain may occur even while the thumb is at rest. The strength and range of motion of the thumb will often decrease as a result. In severe cases, misalignment of the thumb occurs with the presence of a bump over the joint. This may affect the joint above, causing a bent-back appearance (hyperextension).
  • #44 Physical therapy in Reading, Sinking Spring, Wernersville, Berks county for Hand Pain – Arthritis of the Thumb
    https://www.southmountainpt.com/article.php?aid=282
    Osteoarthritis may cause the CMC joint of the thumb to loosen and to bend back too far (hyperextension). If the middle thumb joint (MCP joint) becomes flexed and the furthest thumb joint also becomes hyperextended, the deformity is named a thumb swan neck deformity. A similar finger deformity sometimes occurs in people with finger arthritis.
  • #45 Arthritis at the Base of the Thumb | UConn Musculoskeletal Institute
    https://health.uconn.edu/msi/clinical-services/orthopaedic-surgery/hand-and-wrist/arthritis-at-the-base-of-the-thumb/
    Arthritis at the base of the thumb is more common in women and usually starts after age 40. […] The most common symptom of thumb basal joint arthritis is a deep, aching pain at the base of the thumb. The pain is often worsened with activities that involve pinch, including opening jars, turning door knobs or keys, and writing. As the disease progresses, patients may experience pain at rest and at night, and patients often note loss of pinch and grip strength. […] In severe cases, progressive destruction and mal-alignment of the joint occurs and a bump develops at the base of the thumb, which is caused by the thumb metacarpal moving out of position in relation to the trapezium. At this point, thumb motion becomes limited and the space between the thumb and index finger narrows, making pinch activities difficult.
  • #46 Basal thumb arthritis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC2599975/
    Basal thumb arthritis is a common condition seen in hand clinics across the United Kingdom and is often associated with other pathological conditions such as carpal tunnel syndrome and scaphotrapezial arthritis. Typically, patients complain of pain localised to the base of the thumb. This pain is often activity related, particularly after excessive use involving forceful pinch. […] As the arthritis progresses, pain may become constant. In addition to pain, weakness or loss of motion are commonly reported. These symptoms are a protective mechanism to prevent excessive use of a damaged joint. In the later stages of the disease when instability and subluxation of the joint occurs, patients report an inability to abduct the thumb, weakness of pinch grip and a deterioration of hand function. […] Collapse of the thumb may eventually occur, producing a swanneck deformity with progressive adduction of the first metacarpal and compensatory hyperextension of the MCP joint.
  • #47 Basal thumb arthritis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC2599975/
    Basal thumb arthritis is a common condition seen in hand clinics across the United Kingdom and is often associated with other pathological conditions such as carpal tunnel syndrome and scaphotrapezial arthritis. Typically, patients complain of pain localised to the base of the thumb. This pain is often activity related, particularly after excessive use involving forceful pinch. […] As the arthritis progresses, pain may become constant. In addition to pain, weakness or loss of motion are commonly reported. These symptoms are a protective mechanism to prevent excessive use of a damaged joint. In the later stages of the disease when instability and subluxation of the joint occurs, patients report an inability to abduct the thumb, weakness of pinch grip and a deterioration of hand function. […] Collapse of the thumb may eventually occur, producing a swanneck deformity with progressive adduction of the first metacarpal and compensatory hyperextension of the MCP joint.
  • #48 Thumb Arthritis, Understanding the 4 Stages -Updated 2024
    https://www.blog.ohmyarthritis.com/thumb-arthritis-understanding-the-4-stages-and-how-to-manage-it/
    This is the most advanced stage of thumb arthritis, where joint damage is extensive, and pain is severe. The joint may become immobile, making even simple tasks challenging. […] Thankfully, an early diagnosis and prompt treatment can make a significant difference in managing thumb arthritis. Taking over-the-counter anti-inflammatory medicines, wearing a splint or brace, and modifying your activities can help relieve pain and prevent the condition from progressing. […] Understanding the four stages of thumb arthritis empowers you to manage and treat the condition effectively. By taking proactive steps to manage it, you can live a more comfortable and active life.
  • #49 Thumb arthritis: Tests, steps, and results
    https://www.medicalnewstoday.com/articles/thumb-arthritis-tests-steps-and-results
    Thumb arthritis is a progressive disease that causes a gradual deterioration of the CMC joint of the thumb. […] Symptoms that may indicate thumb arthritis include pain when performing activities that require gripping, grasping, and pinching. The condition may also cause the following symptoms: tenderness or discomfort at the thumb base, limited range of motion, weak grip and pinch strength, swelling or stiffness at the thumb base. […] Thumb arthritis may get worse over time, as no treatment can stop its progression. Instead, treatment aims to reduce pain and improve and maintain function.
  • #50 Thumb arthritis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/thumb-arthritis/diagnosis-treatment/drc-20378344
    During a physical exam, your doctor will ask about your symptoms and look for noticeable swelling or lumps on your joints. […] If this movement produces a grinding sound, or causes pain or a gritty feeling, the cartilage has likely worn down, and the bones are rubbing against each other. […] 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. […] A splint can support your joint and limit the movement of your thumb and wrist. […] If pain relievers and a splint aren’t effective, your doctor might recommend injecting a long-acting corticosteroid into your thumb joint. […] 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.
  • #51 Basal thumb arthritis: Treatment strategies for managing pain
    https://www1.racgp.org.au/ajgp/2020/november/basal-thumb-arthritis
    The carpometacarpal joint of the thumb is one of the joints most commonly affected by arthritis. […] The condition results in significant disability of the hand, which affects activities of daily living. […] Basal thumb arthritis is a very common condition encountered by the general practitioner. […] 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. […] Failure to achieve pain relief, improve occupational performance and enhance quality of life with conservative strategies necessitates consideration of surgical intervention.
  • #52 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. […] The efficacy of education has been established by Dziedzic et al, who compared the pain and disability states of patients who either received or did not receive a program incorporating joint protection, pain management and energy conservation education. […] Effective pain management can be achieved if the splint is worn for longer than three months. […] Exercise programs that focus on stabilising the first CMCJ, increasing pain-free thumb joint range of movement, and general body conditioning have been recommended by recent international guidelines. […] A systematic review of the literature looking at the benefits of intra-articular injections of either corticosteroids or hyaluronate showed mixed results.
  • #53 Thumb arthritis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/thumb-arthritis/diagnosis-treatment/drc-20378344
    During a physical exam, your doctor will ask about your symptoms and look for noticeable swelling or lumps on your joints. […] If this movement produces a grinding sound, or causes pain or a gritty feeling, the cartilage has likely worn down, and the bones are rubbing against each other. […] 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. […] A splint can support your joint and limit the movement of your thumb and wrist. […] If pain relievers and a splint aren’t effective, your doctor might recommend injecting a long-acting corticosteroid into your thumb joint. […] 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.
  • #54 Basal thumb arthritis: Treatment strategies for managing pain
    https://www1.racgp.org.au/ajgp/2020/november/basal-thumb-arthritis
    Overall, there is evidence that intra-articular injections improve the pain profile, with hyaluronate being more effective and longer lasting than corticosteroids. […] 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. […] 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. […] Fusion is an excellent option for the management of thumb trapeziometacarpal arthritis. […] Painful non-union can be an issue when undertaking this procedure. […] Both non-operative and operative strategies are effective in managing pain and dysfunction associated with this joint, and treatment should be individually tailored to the patients needs.
  • #55 5 Surgeries for Thumb Arthritis | Arthritis Foundation
    https://www.arthritis.org/health-wellness/treatment/joint-surgery/preplanning/five-surgeries-for-thumb-arthritis
    The best surgical approach depends on the stage of the disease and severity of symptoms. […] Most people with very early arthritis experience good to excellent pain relief. Studies suggest ligament reconstruction also prevents disease progression in a majority of patients. […] LRTI has a 96 percent success rate. Most patients achieve complete pain relief and mobility equal to that of a healthy thumb, with results lasting at least 15 to 20 years, he says. […] Most patients get complete pain relief, an increase in grip strength and improved overall function. […] Arthrodesis produces a stable, pain-free thumb that can grasp and pinch.
  • #56 Thumb arthritis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/thumb-arthritis/diagnosis-treatment/drc-20378344
    After surgery, you can expect to wear a cast or splint over your thumb and wrist for up to six weeks. […] To ease pain and improve joint mobility, try to modify hand tools. […] Icing the joint for five to 15 minutes several times a day can help relieve swelling and pain. […] For some, heat may be more effective than cold in relieving pain.
  • #57 5 Surgeries for Thumb Arthritis | Arthritis Foundation
    https://www.arthritis.org/health-wellness/treatment/joint-surgery/preplanning/five-surgeries-for-thumb-arthritis
    The best surgical approach depends on the stage of the disease and severity of symptoms. […] Most people with very early arthritis experience good to excellent pain relief. Studies suggest ligament reconstruction also prevents disease progression in a majority of patients. […] LRTI has a 96 percent success rate. Most patients achieve complete pain relief and mobility equal to that of a healthy thumb, with results lasting at least 15 to 20 years, he says. […] Most patients get complete pain relief, an increase in grip strength and improved overall function. […] Arthrodesis produces a stable, pain-free thumb that can grasp and pinch.
  • #58 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. Typically, degenerative arthritis of the thumb occurs sometime after 40 years of age. Signs and symptoms of thumb arthritis may include swelling or stiffness at the base of the thumb. As the arthritis progresses, the pain and weakness may increase along with decreasing range of motion at the base of the thumb. X-rays show that basal joint arthritis will generally get worse with time. The rate of the progression of arthritis varies from one person to another. Even though thumb arthritis will advance with time, the symptoms do not always get worse, and in some people the symptoms will decrease significantly. […] Activities which rely on the thumb may result in pain at the base of the thumb, particularly in an arthritic joint. The activities most people notice as painful include pinching, grasping or gripping. As the arthritis advances even further, bone spurs may develop, resulting in an enlarged appearance at the base of the thumb.
  • #59 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. Typically, degenerative arthritis of the thumb occurs sometime after 40 years of age. Signs and symptoms of thumb arthritis may include swelling or stiffness at the base of the thumb. As the arthritis progresses, the pain and weakness may increase along with decreasing range of motion at the base of the thumb. X-rays show that basal joint arthritis will generally get worse with time. The rate of the progression of arthritis varies from one person to another. Even though thumb arthritis will advance with time, the symptoms do not always get worse, and in some people the symptoms will decrease significantly. […] Activities which rely on the thumb may result in pain at the base of the thumb, particularly in an arthritic joint. The activities most people notice as painful include pinching, grasping or gripping. As the arthritis advances even further, bone spurs may develop, resulting in an enlarged appearance at the base of the thumb.
  • #60 Thumb (Basal Joint) Arthritis: Pain, Tests & Treatment
    https://my.clevelandclinic.org/health/diseases/thumb-arthritis
    Thumb arthritis symptoms include pain, swelling and loss of strength and motion in your thumb. […] CMC arthritis symptoms may include: Aching or discomfort after using your hand for a long time, Bone spur at the base of your thumb, Enlarged thumb joint, Loss of strength and motion in your thumb, Pain in your thumb when grasping, gripping or pinching, Swelling, stiffness or tenderness at the base of your thumb. […] Thumb arthritis is a very treatable condition. Nonsurgical treatments often ease symptoms. But surgery is an option when other treatments don’t relieve symptoms.
  • #61 Thumb Arthritis, Understanding the 4 Stages -Updated 2024
    https://www.blog.ohmyarthritis.com/thumb-arthritis-understanding-the-4-stages-and-how-to-manage-it/
    This is the most advanced stage of thumb arthritis, where joint damage is extensive, and pain is severe. The joint may become immobile, making even simple tasks challenging. […] Thankfully, an early diagnosis and prompt treatment can make a significant difference in managing thumb arthritis. Taking over-the-counter anti-inflammatory medicines, wearing a splint or brace, and modifying your activities can help relieve pain and prevent the condition from progressing. […] Understanding the four stages of thumb arthritis empowers you to manage and treat the condition effectively. By taking proactive steps to manage it, you can live a more comfortable and active life.
  • #62 Basal thumb arthritis: stages and definition of arthritis in the thumb | Epitact
    https://epitact.co.uk/hand-wrist/rhizarthrosis/definition-progression-thumb-osteoarthritis
    Basal thumb arthritis is a frequent disease that mainly affects women over 50 years old. As it progresses, the severity of symptoms increases, causing disabling pain, reduced hand strength and a thumb deformity. […] Basal thumb arthritis causes pain at the base of the thumb, joint stiffness and loss of strength of the thumb-index pinch grip. These symptoms of thumb arthritis are likely to impair the ability to do daily activities. The condition can also progress by inflammatory flare-ups, which prove to be particularly painful. In the most severe stages of basal thumb arthritis, a deformity of the thumb appears, usually in a Z-shape or M-shape in some cases. […] The first stage corresponds to joint space narrowing without subluxation (movement of bones in the joint) or osteophytes (formation of bone spurs near the joint). The second stage of arthritis in the thumb involves slight subluxation that can still be treated and early stage osteophytosis. The third stage refers to osteophytosis with significant joint space narrowing and advanced stage subluxation. The fourth and last stage of basal thumb arthritis consists of complete destruction of the joint space, with prominent osteophytes, geodes (cysts) and ankylosis of the trapeziometacarpal joint.
  • #63 Basal thumb arthritis | Healthify
    https://healthify.nz/health-a-z/b/basal-thumb-arthritis/
    Osteoarthritis is the most common form of arthritis to affect the joint at the base of your thumb. […] Common symptoms include pain, swelling, stiffness, loss of grip and fine control, and muscle weakness of your thumb. […] Symptoms of basal thumb arthritis include: pain at the base of your thumb that worsens during activity, pain at the base of your thumb that bothers you during the night, loss of grip strength and fine control, stiffness that is worse in the morning, swelling at the base of your thumb, a bony bulge at the base of your thumb, creaking or cracking sensations with thumb or hand movement, deformed thumb joints if the condition progresses to a later stage. […] This gradual injury can cause swelling (inflammation), reduce movement and result in pain in the base of your thumb. Recovery may be limited by repeated stress and strain and other factors such as age. […] If joint changes, pain and disability are all severe and a comprehensive management programme including the above measures is not helping, surgical procedures such as removing the trapezium, carpal and metacarpal bone fusion or joint replacement may be necessary.
  • #64 Basal thumb arthritis: stages and definition of arthritis in the thumb | Epitact
    https://epitact.co.uk/hand-wrist/rhizarthrosis/definition-progression-thumb-osteoarthritis
    Basal thumb arthritis is a frequent disease that mainly affects women over 50 years old. As it progresses, the severity of symptoms increases, causing disabling pain, reduced hand strength and a thumb deformity. […] Basal thumb arthritis causes pain at the base of the thumb, joint stiffness and loss of strength of the thumb-index pinch grip. These symptoms of thumb arthritis are likely to impair the ability to do daily activities. The condition can also progress by inflammatory flare-ups, which prove to be particularly painful. In the most severe stages of basal thumb arthritis, a deformity of the thumb appears, usually in a Z-shape or M-shape in some cases. […] The first stage corresponds to joint space narrowing without subluxation (movement of bones in the joint) or osteophytes (formation of bone spurs near the joint). The second stage of arthritis in the thumb involves slight subluxation that can still be treated and early stage osteophytosis. The third stage refers to osteophytosis with significant joint space narrowing and advanced stage subluxation. The fourth and last stage of basal thumb arthritis consists of complete destruction of the joint space, with prominent osteophytes, geodes (cysts) and ankylosis of the trapeziometacarpal joint.
  • #65 Thumb Arthritis, Understanding the 4 Stages -Updated 2024
    https://www.blog.ohmyarthritis.com/thumb-arthritis-understanding-the-4-stages-and-how-to-manage-it/
    This is the most advanced stage of thumb arthritis, where joint damage is extensive, and pain is severe. The joint may become immobile, making even simple tasks challenging. […] Thankfully, an early diagnosis and prompt treatment can make a significant difference in managing thumb arthritis. Taking over-the-counter anti-inflammatory medicines, wearing a splint or brace, and modifying your activities can help relieve pain and prevent the condition from progressing. […] Understanding the four stages of thumb arthritis empowers you to manage and treat the condition effectively. By taking proactive steps to manage it, you can live a more comfortable and active life.