Arthritis at the Base of the Thumb Treated in Arlington, VA
The thumb facilitates countless daily tasks, such as grasping objects, opening jars, fastening buttons, operating tools and more. Crucial to its functionality is the first carpometacarpal (CMC) joint, which is situated at the point where the thumb (metacarpal) bones meet the wrist (carpal) bones.
Like other joints throughout the body, the CMC joint can sustain age-related degeneration. As its smooth cartilage lining breaks down through ongoing use, arthritis can develop at the base of the thumb. Because the resulting pain, stiffness and swelling in the CMC joint can interfere with the functionality of the hand, an accurate diagnosis and appropriate treatment are important. At Nirschl Orthopaedic Center in Arlington, Virginia, we offer the latest diagnostic and treatment options for arthritis at the base of the thumb.
How Is Thumb Arthritis Diagnosed?
Typically, the diagnostic process begins with a medical history review, including any prior thumb injuries, and a discussion of the symptoms and which activities cause pain. Next, the physician will perform a physical examination that includes holding the CMC joint while rocking the thumb back and forth. If this test causes pain or produces a grinding sound, the cause may be arthritis at the base of the thumb. To confirm the diagnosis, the physician will likely order an imaging test.
How Is Thumb Arthritis Treated?
Many patients begin treatment by wearing a soft or hard brace to limit the movement of the thumb and allow the CMC joint to rest. The brace can be worn overnight and/or intermittently throughout the day if needed. Other conservative treatment options include activity modifications, nonsteroidal anti-inflammatory drugs (NSAIDs) and ice applications.
To address severe or persistent symptoms, a hand and wrist specialist at Nirschl Orthopaedic Center can inject steroid medication directly into the CMC joint. The injection can potentially provide relief for up to several months and can be repeated if necessary. Another option is a surgical procedure in which a hand surgeon removes a portion of a bone in the thumb (trapezium), then stabilizes the joint by reconstructing a tendon or ligament. Although these treatments can provide effective symptom relief, it is important to note that they will not stop arthritis at the base of the thumb from progressing (nothing can).
The physicians at Nirschl Orthopaedic Center specialize in evaluating and treating musculoskeletal conditions that affect everyday activities. We offer the latest technological advances and we are active in research that leads to better treatments. If you have questions or would like to receive personalized advice from a board-certified, fellowship-trained orthopedic surgeon in Arlington, VA, contact Nirschl Orthopaedic Center at (703) 525-2200 today.