What Arthritis Problems Cause Severe Pain in the Thumb?

There are dissimilar problems seen in a rheumatologist's office that can cause thumb pain.

Trigger Finger Surgery

Probably the most common is what is called De Quervain's tenosynovitis. This kind of tendinitis is due to repetitive motion lively the thumb. Actions such as using pruning shears, writing, pinching, knitting, lifting weights, and typing can cause this.

Another situation is that of new mothers. Because of the repetitive motion involved in lifting and carrying a baby, new mothers can also invent this condition.

Symptoms of De Quervain's contain swelling, pain, and tenderness lively the radial (thumb side) of the wrist and thumb. The pain can be so severe that the inpatient cannot use their thumb at all.

On examination, there is tenderness noted along the thumb side of the wrist. Also, there is a distinct Finkelstein's maneuver. The physician has the inpatient bring the thumb across the palm of the hand. Then the inpatient is asked to fold their fingers over the thumb. The hand is then pushed towards the petite finger side of the wrist. This stretches the tendons along the thumb side of the wrist and causes severe pain.

While the diagnosis is often made on clinical grounds, it can be confirmed by whether diagnostic ultrasound or magnetic resonance imaging (Mri).

There is a straightforward theorize for production sure the diagnosis is correct. That theorize is because there is an additional one type of tendinitis that looks like De Quervain's tendinitis. This health is called intersection syndrome.

Intersection syndrome involves tendons that are very near the tendons that cause De Quervain's disease. Intersection syndrome also arises from repetitive motion and is often seen in very active people.

One other health that can be confused with De Quervains disease is osteoarthritis at the base of the thumb. Location of symptoms is very similar in both conditions.

One other type of tendonitis can occur on the palm side of the thumb. This is called stenosing tenosynovitis- or" trigger thumb." The inpatient may have difficulty bending and straightening their thumb because it catches.

Once the diagnosis of DeQuervain's disease or intersection syndrome is established, rehabilitation of this set of conditions- which are carefully forms of arthritis- can begin. rehabilitation of these disorders contain splinting, anti-inflammatory medication, bodily therapy, and sometimes, corticosteroid injection. Steroid injection should be administered using ultrasound guidance. This commonly provides rapid relief.

In those patients who do not sass to the above measures, needle tenotomy with platelet rich plasma (Prp) management using ultrasound advice is often each effective.

For trigger thumb, steroid injection commonly works. In those patients who continue to trigger, a publish of the small pulley that causes trapping of the thumb tendon can be complete using a small needle with ultrasound guidance. In rare instances, open surgery is required.