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Basal thumb surgery


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Old 11-27-2017, 12:16 AM   #1
Annathy
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Basal thumb surgery

Hi. I have advanced secondary ostio arthritis in my left thumb joint (luckily Im right handed). I am listed for surgery 1st Feb (8 weeks away).

My Dad keeps asking me to reconsider having surgery as he feels if the problem burns itself out, I would be pain free and therefore would not need the surgery any more. Is this correct? As I thought it would only get worse, not eventually stop hurting?

Also, im not in constant pain. It comes and goes throughout the day and night. And some days arnt to bad but some days its agony. Should I not be in constsant pain before I consider surgery? I do have growths on and inside my bones though.

Your advise would be much appreciated.

 
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Old 11-27-2017, 11:27 AM   #2
tess201
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Re: Basal thumb surgery

"burns itself out"? Arthritis is usually degenerative, a wearing away (in this case) of the thumb joint. You could try OT first. Sometimes a brace helps along with hand therapy. You say that you also have bone spurs. They would have to be removed by surgery. What did your surgeon advise?

I had CMC on my left hand and decided to wait on my right because it's my dominant hand. It is now much worse for the waiting. I am scheduled for surgery in January. This is my situation; of course, yours may be different but usually once the joint becomes weakened and painful it doesn't reverse.

All the best with figuring this out,

Tess

 
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Old 11-27-2017, 12:15 PM   #3
Annathy
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Re: Basal thumb surgery

Thanks Tess. I had a steroid injection into the joint earlier this year. I got total releif but only for 5 weeks. The pain has been steadily increasing since then.

Surgeon didnt suggest OT. After examining me, he said he was willing to try one more injection. But doubted it would work as the last one didnt last long.

He said I would just be putting off the inebitable as I need the surgery.

He mentioned arthritis in other hand joints can "burn itself out" and then the patients pain free. But not likely in this thumb joint. My Dad says he used to have pain in his thumb joint but says he doesnt now. Thats why I was asking really.

I did ask the surgeon if it would get worse if I didnt have surgery now? And he said "yes" its degenetative. As you said.

I just want to be sure Im doing the right thing as the revovery is so long.

Good luck with your op in Jan. We will have to swap notes.

Ann

 
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Old 11-28-2017, 08:06 AM   #4
tess201
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Re: Basal thumb surgery

Hi Ann,

Do you know which type of CMC surgery you will have? I am going for a different, less invasive, surgery than my first one on the left hand, which actually failed. That was where they take a tendon from the wrist and make a thumb joint out of it. Not meaning to scare you as this only happens in a small percentage of cases. I wear a brace on that hand. I'm hoping for better results with this Mini Tightrope surgery. You could always ask the surgeon (unless you already know) what his preference is and then research that method.

All the best. Let us know how it goes.

Tess

 
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Old 11-28-2017, 10:10 AM   #5
Annathy
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Re: Basal thumb surgery

Hi Tess.

I sm having the big tendon reconstruction surgery which you had. Trapeziectomy. Hope mine works x

 
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Old 01-09-2018, 11:03 AM   #6
tess201
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Re: Basal thumb surgery

Hello again,

Well, I just cancelled my surgery because I came down with some kind of stomach "bug" but I also want this time to reconsider (as your father suggested to you). Have you ever been fitted for a thumb brace? I have several including the popular "Push" brace. While I wear it my thumb is pretty much ok even though I am at level 4, the highest level for degenerization. So in these intervening weeks before the next scheduled surgery I will decide if I want to proceed with the surgery or wear the brace. The push brace allows for normal movement and is inconspicuous . . . for a brace. An OT helps to decide the proper size and fits it to the hand.

Tess

 
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