Patients considering surgery for thumb arthritis are often dealing with persistent pain that interferes with simple tasks—opening jars, gripping objects, or even holding a phone. As a hand and upper extremity surgeon, I regularly treat individuals with advanced thumb CMC arthritis who have not improved with conservative treatments.
Thumb arthritis is one of the most common causes of hand pain, particularly affecting the joint at the base of the thumb. In my practice, I frequently see patients whose symptoms have progressed to the point that daily activities—such as opening jars, turning keys, or gripping objects—become difficult and painful.
Carpal tunnel surgery is one of the most commonly performed procedures in orthopedic surgery and is generally highly effective in relieving symptoms of carpal tunnel syndrome. Most patients experience meaningful improvement after carpal tunnel release. However, a subset of patients continue to experience persistent symptoms or develop new symptoms following prior carpal tunnel surgery. These situations are often described as failed carpal tunnel surgery or failed carpal tunnel release.
Thumb pain is a common reason patients seek evaluation for hand and wrist conditions. Two of the most frequent causes are de quervain's tendonitis (also called de quervain's tenosynovitis) and thumb arthritis, particularly involving the basal joint. While both conditions affect the thumb side of the hand and can interfere with daily activities, they arise from very different underlying problems.
Cubital tunnel syndrome is a common form of nerve compression affecting the upper extremity and is second only to carpal tunnel syndrome in frequency. It involves irritation or compression of the ulnar nerve as it passes through a narrow space at the elbow known as the cubital tunnel.
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