Blog

Treating Thumb Arthritis

Posted on 09-27-2024 in Hand by Dr. Steven Kronlage

Thumb arthritis is degeneration of the joint at the base of the thumb metacarpal. It usually is the trapezium/metacarpal joint (TMC) but can be the joint below as well. This is where the thumb meets the wrist. It is much more common in women and can be related to loose ligaments.

When bracing and steroid injections no longer help, surgical treatment can be very successful. The patient makes the decision to operate. The trapezium is removed, and a tendon is usually placed in the space that once held the trapezium. The deformity is usually corrected at the time of surgery. If a patient has a significant “Z” deformity, they may require a fusion or a stabilization of the joint above is required.

After surgery, patients are seen every two weeks. They will usually go through a progression of smaller splints and increasing range of motion. At six weeks, normal activities are allowed. Grip strength can take longer to return to normal. Supervised hand therapy may be required for optimal function. Decisions on hand therapy are made postoperatively based on how well the hand and wrist are moving.

Visit Thumb Arthritis for additional information, including symptoms and diagnosis details.

Save or share this information:

Check out some of our related posts:

Treating Pain with Peripheral Nerve Stimulation

Chronic pain management continues to be a challenge for those looking for an effective non-opioid analgesia option. At North Florida Bone and Joint Specialists, Dr. Erik Nilssen and Dr. Josh Hackel provide patients with several alternatives, including Peripheral Nerve Stimulation (PNS). Performed under local anesthesia on an outpatient basis, PNS is an extremely safe procedure that is noted to be effective in most individuals selected for treatment. PNS involves two steps. During the initial testing phase, the electrode is connected to an external device. If the trial is successful with pain relief, then a small lead or wire is implanted into the patient’s body under the skin.

Read More
Fireworks Injury Prevention

While fireworks can be the highlight of your Fourth of July celebration, they pose significant risks, particularly to the hands and arms. In fact, according to the U.S. Consumer Product Safety Commission 2022 Fireworks Report, the hands and fingers account for 29% of the body parts injured, the highest percentage of any body part. The same report also indicated that 73% of all fireworks-related injuries occurred in the weeks leading up to and after the July 4th holiday. Understanding these dangers and taking preventive measures can help ensure your Independence Day remains fun and injury-free.

Read More
Smith Named OsteoStrong Medical Director

Recently, fellowship-trained Orthopaedic Surgeon Dr. Brett Smith was appointed as the new Medical Director for OsteoStrong® Gulf Breeze and OsteoStrong® Cordova Pensacola, marking a significant milestone for the brand locally. As a global wellness franchise, OsteoStrong® provides a unique, science-backed system for strengthening bones, joints, and muscles using cutting-edge technology and personalized care for its members.

Read More
Back to the Blog