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Basal joint surgical treatment..Effective???


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Old 02-24-2010, 02:59 AM   #46
fayster
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Re: Basal joint surgical treatment..Effective???

I have an appointment next week with the hand specialist and will discuss this surgery and hopefully be having it. I've done the various non-surgical things and the pain in my left thumb is getting worse. It has been very interesting reading this thread and thanks to everyone for sharing.

My question is: has anyone had both hands done? Not at once - that would obviously really put you out of commission - but over time. My right hand barely comes in 2nd in the pain category. I'm wondering if it won't need the surgery somewhere down the line. Maybe having a pain-free left hand will cover up some of the activities of the right hand. Not sure I'm making sense...

Thanks for you help

 
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Old 02-25-2010, 06:03 AM   #47
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Re: Basal joint surgical treatment..Effective???

Quote:
Originally Posted by fayster View Post
I have an appointment next week with the hand specialist and will discuss this surgery and hopefully be having it. I've done the various non-surgical things and the pain in my left thumb is getting worse. It has been very interesting reading this thread and thanks to everyone for sharing.

My question is: has anyone had both hands done? Not at once - that would obviously really put you out of commission - but over time. My right hand barely comes in 2nd in the pain category. I'm wondering if it won't need the surgery somewhere down the line. Maybe having a pain-free left hand will cover up some of the activities of the right hand. Not sure I'm making sense...

Thanks for you help

Dear Fayster,

I had the surgery on my left thumb almost a year ago (no pain at all ever in my right). I did, however, meet a woman at PT who had the surgery on both hands (separately). She had no regrets and happy to be pain-free in both hands. Hope this helps!

 
Old 02-25-2010, 05:35 PM   #48
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Re: Basal joint surgical treatment..Effective???

Quote:
Originally Posted by fayster View Post
I have an appointment next week with the hand specialist and will discuss this surgery and hopefully be having it. I've done the various non-surgical things and the pain in my left thumb is getting worse. It has been very interesting reading this thread and thanks to everyone for sharing.

My question is: has anyone had both hands done? Not at once - that would obviously really put you out of commission - but over time. My right hand barely comes in 2nd in the pain category. I'm wondering if it won't need the surgery somewhere down the line. Maybe having a pain-free left hand will cover up some of the activities of the right hand. Not sure I'm making sense...

Thanks for you help
Hi,

I would not have both hands done same time. I would, however, have both hands done at different times if I had pain in both like I had . Plan at least a year between the surgeries.

My left hand is pain free now and I do not ever regret having the surgery!!!

Let us know how it goes. Best wishes

Blessings,
SunnyR

 
Old 02-25-2010, 07:39 PM   #49
fayster
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Re: Basal joint surgical treatment..Effective???

I think a year in between is a good idea. If nothing else, it'll let me forget the bad bits - kind of like waiting between childbirths.

Of course, I still don't know what the doc will say next week. But I've tried the passive approach and am ready to move on.

 
Old 03-01-2010, 05:13 PM   #50
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Re: Basal joint surgical treatment..Effective???

I have been diagnosed with basal joint arthritis. I am a typist. My doctor wants to do the joint surgery with the tendon graft. I have heard of the Townley Doctors in Port Huron, MI who do this procedure with a Bio Pro Modular Thumb Implant that is supposed to be better. Has anyone heard of this or had this procedure done? thank you.
Gina

 
Old 03-02-2010, 04:16 AM   #51
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Re: Basal joint surgical treatment..Effective???

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Originally Posted by Ginadon View Post
I have been diagnosed with basal joint arthritis. I am a typist. My doctor wants to do the joint surgery with the tendon graft. I have heard of the Townley Doctors in Port Huron, MI who do this procedure with a Bio Pro Modular Thumb Implant that is supposed to be better. Has anyone heard of this or had this procedure done? thank you.
Gina
Hi Gina,

I asked my doctor about an implant and he much preferred arthroplasty which is the basal joint surgery with the tendon graft. My doctor is considered the best in his field in the Nashville area so I trust him. I did a lot of research too just to feel good about my decision. Ask your doctor and do research for yourself so that you feel settled about what ever decision you make.

Let us know how it goes. This is a great resource for people considering surgery and we really depend on feedback.

Take care!!!

 
Old 03-03-2010, 04:55 AM   #52
fayster
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Re: Basal joint surgical treatment..Effective???

Gina: I've been searching this procedure after reading your post. As yet, I can't find a lot about it. I don't think its very widespread. Not to say it's not effective just not widely done. It seems Dr. Townley developed the prosthesis (in Grand Rapids) and that would be the group you've referred to.

There is also an implant called the Artelon.

I'm glad you posted because it's led me to lots of reading about treatment options. I meet with my doc tomorrow and will have lots of questions. Will post back afterwards.

Fay

Last edited by fayster; 03-05-2010 at 03:59 AM. Reason: please do not post websites except as described in the Posting Policy

 
Old 03-05-2010, 04:10 AM   #53
fayster
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Re: Basal joint surgical treatment..Effective???

Had my appointment yesterday and surgery is scheduled for next Tuesday (March 9). I will be having the CMC arthroplasty with tendon graft. My doc has been doing this since '85 and has seen it evolve over the years. He used to use pins, now he doesn't. He used to use one long incision from base of thumb to wrist (for tendon graft), now he uses 2 (range of motion issues with the 1 incision). His comment about the joint replacement options was that the tendon graft surgery has been around so long and been so successful that anything new has a hard time getting a foothold. But none of the implants/replacements have really had the complication-free reputation that the tried and true tendon graft method has.

Not to discourage you, Ginadon, from the implant...there may be a reason that you as a typist need the implant. I would be wary of trying something that doesn't have a lot of history behind it. Just my 2 cents. I may be singin' a different tune after my procedure/recovery.

 
Old 03-05-2010, 04:58 PM   #54
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Re: Basal joint surgical treatment..Effective???

Quote:
Originally Posted by fayster View Post
Had my appointment yesterday and surgery is scheduled for next Tuesday (March 9). I will be having the CMC arthroplasty with tendon graft. My doc has been doing this since '85 and has seen it evolve over the years. He used to use pins, now he doesn't. He used to use one long incision from base of thumb to wrist (for tendon graft), now he uses 2 (range of motion issues with the 1 incision). His comment about the joint replacement options was that the tendon graft surgery has been around so long and been so successful that anything new has a hard time getting a foothold. But none of the implants/replacements have really had the complication-free reputation that the tried and true tendon graft method has.

Not to discourage you, Ginadon, from the implant...there may be a reason that you as a typist need the implant. I would be wary of trying something that doesn't have a lot of history behind it. Just my 2 cents. I may be singin' a different tune after my procedure/recovery.

 
Old 03-05-2010, 05:00 PM   #55
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Re: Basal joint surgical treatment..Effective???

Keep me updated regarding your surgery Fayster. I'm going to make an appt to the Townley Group for a second opinion and will let you know what I learn.
Thanks for your 2 cents, it certainly gives me somthing to think about.
Gindon

 
Old 03-10-2010, 06:13 AM   #56
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Re: Basal joint surgical treatment..Effective???

I'm going this am to meet with a surgeon regarding this surgery. Not sure how soon I want to do this. I'll have to be thinking about what's coming up in the next several months.

 
Old 03-10-2010, 09:07 AM   #57
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Cool Re: Basal joint surgical treatment..Effective???

So I just came back from the surgeon's office. I am greatly encouraged. I do have a displacement of my joint which is causing the pain. The surgeon feels that I am a good candidate and is ready to proceed. He has been doing these surgeries for over 26 years with no re-dos needed so there is great longevity of relief. 7-10 days post surgery of soft cast, 5 weeks hard cast followed by therapy. His words were that the surgery and subsequent recovery were "predictable" based upon his experience and that I should have 95% improvement in less than 6 months. I will not schedule the surgery until after the summer as we are fairly active during the summer months. No pins or screws are used.

 
Old 03-11-2010, 07:34 AM   #58
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Re: Basal joint surgical treatment..Effective???

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Originally Posted by dajo View Post
So I just came back from the surgeon's office. I am greatly encouraged. I do have a displacement of my joint which is causing the pain. The surgeon feels that I am a good candidate and is ready to proceed. He has been doing these surgeries for over 26 years with no re-dos needed so there is great longevity of relief. 7-10 days post surgery of soft cast, 5 weeks hard cast followed by therapy. His words were that the surgery and subsequent recovery were "predictable" based upon his experience and that I should have 95% improvement in less than 6 months. I will not schedule the surgery until after the summer as we are fairly active during the summer months. No pins or screws are used.
Excellent! I did not have pins or screws either. I have healed up nicely and most of my strength is back after almost 3 years. I had my surgery in July and I am also a very busy person but I barely missed a beat. I kept working with my cast (left hand) and pretty much doing everything I did before. I couldn't wait until after the summer because the pain was too severe! You'll do great!!!

Blessings,
SunnyR

Last edited by SunnyR; 03-11-2010 at 07:36 AM. Reason: repeated a sentence...oops

 
Old 03-12-2010, 07:24 AM   #59
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Re: Basal joint surgical treatment..Effective???

well, here i am - 3 days post-op. First time i've fet like typing though i've been online reading emails etc. Surgery went fine - doc said i was pretty much bone-on-bone in that joint. had some swelling and had to go in yesterday to have cast loosened. i'm just experiencing the post-surgical blahs...headache, tired, etc. much too soon to say much else. more later

 
Old 03-14-2010, 09:05 AM   #60
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Re: Basal joint surgical treatment..Effective???

Wow! only 3 days out and you're typing?! Just make sure to take it easy. I don't know where you live but, if possible, get out in the sun and take in some of that Vit D. you'll feel a little better. I pray for your continued good recuperation. Thanks for posting!

 
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