Summit Orthopaedics

Thumb Arthritis

Thumb arthritis (or osteoarthritis) affects the joint at the base of the thumb (the basal joint) and causes wear and tear of the joint cartilage and underlying bone over time. As the cartilage wears away, bone rubs against bone leading to joint damage and more pain. If you don’t get treatment for thumb arthritis, symptoms can get worse over time, affecting your ability to grip things in your hand.

Thumb arthritis is more common in women and usually occurs after age 40.

Causes of Thumb Arthritis

Thumb arthritis or basal joint arthritis is caused by a combination of many factors such as age, weight (obesity), hobbies or jobs that stress the thumb joint, computer work for extended periods of time, diseases affecting the cartilage (e.g., rheumatoid arthritis), and previous injuries.

Repetitive use of the carpometacarpal joint between the thumb and the wrist is one of the major causes of thumb arthritis. Over time this use causes wear and tear of cartilage (osteoarthritis) that the body cannot repair quickly enough.


Symptoms of 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.


Diagnosing Thumb Arthritis

During your consultation, your hand doctor will ask you about your symptoms, pain patterns, activities that aggravate the condition, and if you have had any prior injuries to your thumb.

Your doctor will also examine your hand, holding the joint firmly while moving the thumb to see if pain or a gritty feeling is present, or if a grinding sound can be heard (crepitus). This exam is done to see if the bones are rubbing directly against each other.

Additionally, x-rays are ordered to check for deterioration of the joint as well as any bone spurs or calcium deposits that may have developed.

Since many people with thumb arthritis also have symptoms of carpal tunnel syndrome, your doctor may check for that as well.

Treatment for Thumb Arthritis

There are both nonsurgical and surgical treatment options available for thumb arthritis.

Nonsurgical Treatment

Thumb arthritis can be treated effectively with nonsurgical treatment in its early stages. These nonsurgical treatments may include: 

  • Taking anti-inflammatory medications, such as aspirin or ibuprofen, to help reduce inflammation and swelling.
  • Icing the joint for 5 to 15 minutes several times a day.
  • Wearing a supportive splint during the day or overnight to limit the movement of your thumb and allow the joint to rest and heal. 

Since thumb arthritis is a progressive, degenerative disease, the condition may worsen over time, requiring cortisone injections directly into the joint.

These injections can provide relief for several months; however, they should not be repeated indefinitely.

Surgical Treatment

Surgical treatment is an option if nonsurgical treatment does not alleviate the symptoms of thumb arthritis. Surgery can be performed on an outpatient basis, and several different procedures can be used, including minimally invasive procedures. Your hand surgeon will discuss your options for surgery with you and help select the best one for you.

Recovery from Thumb Arthritis Surgery

The recovery period for thumb arthritis surgery usually depends on the type of surgery you have. Generally, though, you can expect to wear a cast for 4 to 8 weeks after thumb arthritis surgery. Your doctor may also recommend a rehabilitation program that involves physical therapy (hand therapy) to help you regain movement and strength in the hand. Again, depending on the type of surgery you have, it may take you several months to return to normal activities.

Thumb Arthritis Treatment in Portland, Oregon

If you are experiencing any symptoms of thumb arthritis, contact Summit Orthopaedics at (503) 850-9940 to schedule an appointment with one of our orthopedic hand surgeons. 

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