Thumb Joint Reconstruction Surgery (CMC Basal Joint Arthroplasty)

The thumb is used to assist the fingers to manipulate items, grip tools, and stabilize fingers to control precise movements for grabbing small or large objects, writing, etc. The joint at the base of the thumb allows the thumb to rotate towards the fingers, move up and down and in and out. The thumb is constantly working when the hand is in use. This repetitive, constant movement and pressure at the joint can cause “wear and tear.”

The carpometacarpal (CMC) joint, also known as the basal joint, is held into position by strong ligaments and muscle. This joint is made up of the wrist bone (trapezium) and the long bone of the thumb (metacarpal). Cartilage covers both bones and allows the bones to slide against each other smoothly. But repetitive motions can cause the joint to deteriorate and lead to arthritis.

In the early stages of thumb joint arthritis, many treatments can be prescribed by Dr. Rehman that are non-surgical.  For this reason it is important to schedule an evaluation with Dr. Rehman as soon as you begin to experience any chronic pain, swelling or mobility difficulties with your thumb. She can typically prescribe a combination of medication, non-surgical treatment, exercise and physical/occupational therapy that can reduce pain and inflammation, restore mobility and help prevent long term damage to the joint.

However, when thumb joint damage or arthritis is severe or very advanced, surgery might be the best or only remaining treatment option. If non-surgical therapy is not enough, arthroplasty, or joint reconstruction surgery, may be necessary.

Causes of Thumb Joint Problems

Repetitive and constant use of the thumb can lead to osteoarthritis, which is the joint breakdown of the CMC. Women over 40 are more prone to this condition. Wear and tear on the joint can erode the smooth cartilage down to a rougher surface, making thumb movement less smooth. In some cases, the rough cartilage wears away causing the bones to rub against each other with thumb movement. The patient can experience a grinding sensation or a popping feeling in the joint. This rubbing can limit the thumb’s mobility and cause pain and swelling.

Symptoms of Thumb Joint Arthritis

Pain, swelling and stiffness are the most common symptoms of thumb joint arthritis. Symptoms are frequent when the thumb is relaxed and begins to be used in an activity. As the thumb warms up, symptoms will diminish. Waking up in the morning, gripping or pinching objects such as using tools, cutting vegetables, turning a door handle, etc. will typically cause pain. As joint deterioration worsens, even a resting thumb can be painful. The thumb joint can also lose mobility and become weaker. Arthritis can cause the bones to shift, forming a bony bump on the outside of the thumb base.

How Top Doctors Diagnose Thumb Joint Arthritis & Deterioration

Detroit’s top doctors will begin a diagnosis of CMC deterioration by evaluating symptoms, conducting a physical examination of the hand, and review daily activities. Also, an X-ray will allow the doctor to see the bones in the thumb area by taking an internal picture. While the X-ray camera is taking pictures, remain still for the painless process.

How Top Doctors Treat Thumb Joint Arthritis

Symptoms of osteoarthritis in its early stages can be treated with non-surgical methods. Medications for pain relief, rest, cortisone injections and splinting are the initial treatments. Arthritis is a degenerative and progressive condition and will worsen substantially over time if not treated.

When non-surgical methods are not enough to alleviate symptoms, a doctor may recommend a surgical procedure that is best for the patient. The medical term for thumb Joint Reconstruction Surgery is CMC Basal Joint Arthroplasty. In advanced cases, Joint Reconstruction Surgery can restore mobility and eliminate pain from arthritis joint deterioration.

Top Detroit Area Joint Reconstruction Surgeon

If you are suffering from an injury or pain in your fingers, wrist, elbow or arm, contact board certified Detroit Area Joint Reconstruction Surgeon Doctor Rehman for a comprehensive evaluation and consultation. As with most medical conditions, early detection, awareness, and a prevention or treatment plan is the most effective way to combat the effects of conditions such as thumb arthritis and CMC Basal Joint Arthroplasty.

Skilled and experienced joint reconstruction surgeon Doctor Rehman will assess your individual situation, and prescribe the treatments that are best for your condition.

Detroit Area Joint Reconstruction Surgeon: 248.335.2638