Phone: 817-697-4038 Fax: 877-409-3962

BASAL JOINT OSTEOARTHRITIS

If you suffer from osteoarthritis or severe thumb pain, please Schedule an appointment with one of our orthopedic specialists as soon as possible.

What is Basal Joint Osteoarthritis?

Basal joint osteoarthritis, also known as thumb arthritis or carpometacarpal (CMC) joint arthritis, is a condition that affects the joint at the base of the thumb. Osteoarthritis is the most common form of arthritis and occurs when the protective cartilage that cushions the ends of bones wears down over time. In basal joint osteoarthritis, the cartilage within the basal joint gradually deteriorates, leading to joint pain, stiffness, and loss of function. It is often associated with aging and repetitive use of the thumb joint over time. Other risk factors include a family history of arthritis, previous thumb injuries, and certain occupations or activities that involve repetitive thumb movements.

Indication of Basal Joint Osteoarthritis 

Patients with Basal Joint Arthritis may find it difficult to complete actions such as turning a doorknob or opening small containers. Orthopedic Hand & Wrist Specialists often treat this osteoarthritis of the thumb with a combination of splints and prescription medication. Only the most severe Basal Joint Osteoarthritis may require thumb joint replacement.

Indications of basal joint osteoarthritis manifest primarily as chronic pain, swelling, and stiffness localized at the base of the thumb. These symptoms often worsen with activities that involve gripping, pinching, or twisting motions. Patients may experience difficulty with tasks such as opening jars, turning keys, or grasping objects. As the condition progresses, the joint may appear enlarged or feel tender to the touch. Reduced range of motion in the thumb, coupled with weakness in grip strength, further impairs hand function and dexterity. Individuals with basal joint osteoarthritis may also notice instability or a clicking sensation in the affected joint, indicating joint degeneration. Early diagnosis and appropriate treatment are crucial to managing symptoms and preserving thumb function. Treatment options range from conservative measures such as splinting and medication to surgical interventions like joint reconstruction, depending on the severity of the condition and its impact on daily activities.

Common symptoms of basal joint 

Persistent pain at the base of the thumb often occurs during activities that involve gripping or pinching, affecting daily tasks and reducing overall hand function. The joint may also swell and become tender to the touch, while stiffness can develop, limiting the thumb’s ability to move freely. Weakness in grip strength may emerge, impacting tasks that require thumb opposition, such as opening jars or turning keys.

Additionally, individuals may experience a decreased range of motion in the thumb, making it difficult to fully extend or flex. This limitation further impairs hand dexterity and utility. Instability in the thumb joint may lead to a sensation of slipping or looseness, raising concerns about joint stability during daily activities. These symptoms collectively suggest potential conditions like thumb arthritis, necessitating medical evaluation and appropriate treatment.

Treatment For Basal Joint Osteoarthritis

Treatment options for thumb conditions include medications like nonsteroidal anti-inflammatory drugs (NSAIDs) or pain relievers to manage pain and inflammation. Thumb splinting with a brace provides essential support and restricts movement, aiding pain relief and facilitating healing. Hand therapy involves targeted exercises and stretches to strengthen the thumb, improve range of motion, and reduce discomfort effectively.

Corticosteroid injections directly into the joint reduce inflammation and provide significant pain relief. Assistive devices and adaptive aids help minimize stress on the thumb during daily activities, promoting comfort and preventing strain. In severe cases where conservative treatments fail, surgical interventions such as joint reconstruction or fusion may be necessary to restore thumb function and alleviate persistent symptoms.

It’s important to consult with a healthcare professional, such as a hand specialist or rheumatologist, for an accurate diagnosis and to discuss the most appropriate treatment plan based on the severity of the condition and individual needs. Early intervention and proper management can help individuals with basal joint osteoarthritis maintain thumb function and improve their quality of life.

If you would like to speak to an Orthopedic Hand and Wrist Specialist in North Texas, give us a call at 817-697-4038, or contact us over the web. Telemedicine appointments are also available.