If I am undergoing Hand or Wrist Surgery, should I have a regional anesthesia or a local with sedation?

posted 3/23/11 in Thumb Arthritis

Is there anything that I can do to help the arthritis at the base of my thumb feel better, short of surgery?

posted 3/21/10 in Thumb Arthritis

If you have trouble opeining a jar top, is it thumb arthritis or carpal tunnel syndrome?

posted 2/24/10 in Thumb Arthritis

Treatment with trapezium excision and ligament reconstruction

posted 4/8/15 in Thumb Arthritis

Complaints about weakness of grip are common in my office, and the offending problem may be nothing more than a painful trigger finger, 1st extensor compartment tendonitis (De Quervain’s disease) or carpal tunnel syndrome. But, it might be arthritis of the thumb’s “basal joint”. The trapezio-metacarpal joint is a bi-concave-convex...

Hand Therapy for Thumb basal joint arthritis

posted 9/15/10 in Thumb Arthritis

Prior to any decision to surgically treat thumb basal joint arthritis, conservative treatment may succeed in temporarily decreasing pain. Although this will not cure the disease, it may buy time, and at the very least, may help you to decide if surgery is the necessary next step. Before Surgery:Conservative Treatment Regimen Thenar...

Thumb CMC Prosthetic Replacement

posted 11/23/07 in Thumb Arthritis

Historically, thumb basal(CMC)joint prosthetic replacement has been unsuccessful--with high rates of loosening and late failure. This led to the current popularity of biologic solutions--most notably trapezium resection and ligament reconstruction techniques. So why consider the newest prosthetic replacement? The reasons are as follows:1.New data by Badia et al in the...

Early stage disease: painful, basal joint hypermobility

posted 4/17/07 in Thumb Arthritis

For years the painful, nonarthritic thumb basal joint has been an elusive diagnosis. It is not uncommon to see patients who have had prior operations for tendonitis only to find no relief. The basal joint can, however, be a source of pain even when xrays are normal. Subtle hypermobility can...

Trapezium-retaining procedures for basal joint arthritis

posted 4/17/07 in Thumb Arthritis

Although trapezium excision in combination with ligament reconstruction has been the most common and popular procedure to treat basilar thumb joint arthritis over the past 2 decades, newer implants are now available that may have a selective role in younger and older patients. We can discuss the pros and cons...