Treating Thumb Arthritis in Lexington, KY
Treating Thumb Arthritis Healthtalk Transcript:
Megan Reitenbach, MD, Orthopedic Surgery
Baptist Health Lexington
Megan Reitenbach, MD:
Thumb arthritis is degenerative osteoarthritis, so it's normal wear and tear similar to arthritic knees or arthritic hips, but it just happens in the base of the thumb. Thumb arthritis typically affects the nondominant hand a bit more often, and that's usually because of gripping and pinching. Every time we pinch with our fingertips, we're loading the joint. Sometimes we can load the joint up to 20 times, and inside joint pressures are typically there.
Looking at how we treat thumb arthritis, there are really two kinds of components — nonsurgical and surgical. The nonsurgical options typically start with anti-inflammatories, both oral and topical, and we also have injections. The injections are steroid injections. Injecting the thumb base can really help relieve the symptoms. They're very similar to injections you might get for your knees or for your hips. This is actually a unique part of the body. You can have as many injections as you want because this is an area where I can remove the arthritis if it ever becomes a surgical option.
The surgery for thumb CMC [carpometacarpal] arthritis is removing a small bone called the trapezium. We remove that bone and then fashion tendons together to provide a nice hammock and base for the thumb to rest on.
I got into hand surgery because I love thumb arthritis. I love treating it both nonoperatively and operatively. If you've been told that there's nothing that can be done for your thumb arthritis, I would really encourage a visit to a hand surgeon's office to discuss your options. I would love to treat you.