Introduction
Thumb arthritis is one of the most common causes of hand pain, especially in people over 40. The base of the thumb, also known as the carpometacarpal (CMC) joint, allows you to pinch, grip, and perform everyday activities. When arthritis develops in this area, it can cause significant swelling, limited mobility, and difficulty using the hand. For patients in Braselton, GA, thumb arthritis surgery may be the best option when non-surgical treatment fails to provide relief.
What Is Thumb Arthritis?
Arthritis of the hand is an inflammatory condition that damages the tissue lining of the affected joint. The most common form is osteoarthritis, sometimes called wear and tear arthritis. Over time, the protective cartilage breaks down, leading to painful bone-on-bone contact. Post traumatic arthritis and rheumatoid arthritis can also affect the thumb, causing pain and stiffness in the hand and wrist.
Causes of Thumb Arthritis
Thumb arthritis often results from normal aging, overuse injuries, or traumatic injuries. The thumb joint endures a great deal of stress, and repetitive pinching or gripping can accelerate wear. Family history, previous fractures, and inflammatory arthritis may also play a role.
Symptoms of Thumb Arthritis
Common symptoms include pain at the base of the thumb, swelling, stiffness, and difficulty with tasks such as opening jars or turning keys. Patients may notice bone spurs, calcium deposits, or an unstable joint. In severe cases, the thumb may appear crooked or enlarged.
Diagnosis of Thumb Arthritis
An orthopedic specialist can usually diagnose thumb arthritis with a physical examination. X-rays help determine the extent of severe joint damage or more severe joint damage from arthritis. Imaging may reveal bone spurs, narrowing of the joint space, or inflamed synovium. A personalized treatment plan is then developed.
When to Consider Surgery
Many patients benefit from non surgical treatment such as activity modification, splints, anti inflammatory medications, pain medications, and steroid injections. These can provide relief in early cases. However, when non surgical treatment fails, thumb arthritis surgery may be recommended to restore function and eliminate lasting pain.
Non-Surgical Treatment Options
Before surgery, patients may try a combination of bracing, physical therapy, and medications. A physical therapist can teach hand and wrist strengthening exercises. Splints provide support to surrounding ligaments and reduce irritation. Steroid injections may relieve pain and swelling in an arthritic joint.
Surgical Options for Thumb Arthritis
Several different surgical procedures are available, depending on the severity of the condition and patient goals. Options include:
- Surgical removal of the damaged trapezium bone with joint reconstruction.
- Joint replacement using artificial implant materials such as older silicone rubber joints or new ceramic implants.
- Resulting fusion of the joint for severe cases where stability is more important than motion.
Each procedure has unique benefits, and the goal is to provide relief, restore function, and allow the joint reconstruction to heal properly.
What to Expect During Surgery
Thumb arthritis surgery is typically performed as an outpatient procedure. Orthopedic surgery of the hand and upper extremity is done under regional or general anesthesia. The surgeon carefully addresses the affected joint, stabilizes the surrounding ligaments, and may use tendon repair or reconstruction techniques. Surgical procedures vary, but all aim to eliminate pain and restore function.
Recovery After Thumb Arthritis Surgery
A postoperative splint is used to protect the thumb while it heals. Patients may experience significant swelling at first, but this improves with time. A rehabilitation program guided by a physical therapist helps restore motion and strength. Most patients return to normal activities within several months, though full recovery may take longer in severe cases.
Everyday Life After Surgery
Once healing is complete, patients are able to return to daily life without the constant discomfort of arthritis. Surgery eliminates the bone-on-bone grinding that causes pain, allowing patients to enjoy improved mobility and function. Many patients report lasting relief and the ability to resume hobbies and work without difficulty.
Other Hand and Wrist Conditions
In addition to thumb arthritis, Specialty Orthopaedics in Braselton treats many other conditions, including carpal tunnel syndrome, trigger finger, nerve pain, overuse injuries, and sports injuries. Comprehensive hand and upper extremity surgery ensures patients receive expert care for the full spectrum of orthopedic problems.
Why Choose Dr. Neustein
Dr. Thomas Neustein is a board certified orthopedic surgeon specializing in hand and upper extremity surgery. With advanced training in orthopaedic surgery and years of experience, he provides personalized treatment plans for each patient. He completed his medical degree at Emory University School of Medicine and continues to deliver expert care for patients throughout North Georgia.
Call to Action
If you are experiencing pain from thumb arthritis or arthritis of the hand, don’t wait until the condition causes severe joint damage. Contact our Braselton office today to schedule a consultation with Dr. Neustein. Together, we will explore treatment options and create a personalized plan to relieve pain and restore function.
