Thumb CMC Osteoarthritis: Comprehensive Care at Palms Physiotherapy & Allied Health

Understanding Thumb CMC Osteoarthritis

The carpometacarpal joint is where the thumb meets the wrist. This joint allows for a wide range of thumb movements, such as pinching, grasping, and rotating. With age or overuse, the protective cartilage covering the bones in this joint can wear down, leading to osteoarthritis.

Symptoms of Thumb CMC Osteoarthritis

• Pain: Especially at the base of the thumb during gripping or pinching.

• Swelling: Around the affected joint.

• Weakness: Difficulty performing tasks like opening jars or turning keys.

• Deformity: A "squared" appearance of the thumb base in advanced cases.

• Loss of Mobility: Reduced range of motion or stiffness in the thumb joint.

Causes and Risk Factors

Primary Causes

• Wear and Tear: Repeated use of the thumb joint over time.

• Injury: Prior trauma or fracture involving the thumb joint.

Risk Factors

• Age: More common in individuals over 50.

• Gender: Women are more likely to develop thumb CMC osteoarthritis.

• Repetitive Motion: Occupational or recreational activities that strain the thumb joint.

• Genetics: A family history of osteoarthritis increases risk.

Diagnosing Thumb CMC Osteoarthritis

Our specialists at Palms Physiotherapy & Allied Health perform a thorough evaluation to confirm the diagnosis:

• Physical Examination: Checking for pain, swelling, and joint mobility.

• Grind Test: Assessing pain when rotating the thumb joint.

• Imaging:

  • X-rays: To detect joint space narrowing, bone spurs, or other arthritic changes.

Treatment Options for Thumb CMC Osteoarthritis

Non-Surgical Management

1. Splinting:

   • Custom thumb splints to support the joint and reduce pain during activities.

2. Pain Management:

   • NSAIDs or topical anti-inflammatory creams.

3. Activity Modification:

   • Learning alternative ways to grip or lift objects to reduce joint strain.

4. Physiotherapy:

   • Exercises to strengthen the muscles supporting the thumb joint.

   • Techniques to improve range of motion and reduce stiffness.

5. Occupational Therapy:

   • Assistance with adaptive tools and strategies for daily tasks.

6. Injections:

   • Corticosteroid injections to reduce inflammation and pain.

Surgical Treatment

For severe cases where conservative treatments fail, surgical options may include:

• Trapeziectomy: Removal of the trapezium bone in the thumb joint.

• Ligament Reconstruction and Tendon Interposition (LRTI): A common surgical technique to restore thumb joint function.

• Joint Fusion: Reserved for advanced or complex cases.

Rehabilitation at Palms Physiotherapy & Allied Health

At Palms Physiotherapy & Allied Health, our multidisciplinary team offers:

• Hand Therapy: Targeted exercises and manual therapy to regain thumb strength and flexibility.

• Splint Fitting: Custom-designed splints to support the thumb during recovery.

• Pain Management Techniques: Including heat/cold therapy and ultrasound.

• Functional Training: Re-educating movements for optimal joint use in daily activities.

Prognosis and Long-Term Care

With early intervention and consistent treatment, most individuals experience significant symptom relief and improved thumb function. For advanced cases requiring surgery, rehabilitation plays a vital role in achieving optimal recovery.

Why Choose Palms Physiotherapy & Allied Health?

Our team provides evidence-based care tailored to your needs. From advanced diagnostic tools to personalized therapy programs, we’re here to help you manage thumb CMC osteoarthritis effectively.

Contact Us Today

If you’re experiencing symptoms of thumb CMC osteoarthritis, don’t wait to seek care. Our expert team at Palms Physiotherapy & Allied Health is here to guide you through diagnosis, treatment, and rehabilitation. Contact us at our Malaga or Noranda clinics today, and let’s get started on improving your hand function and quality of life!