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THUMB BASE ARTHRITIS


WHAT YOU SHOULD KNOW

The term arthritis simply refers to the condition of a joint losing its smooth cartilage surface. When this happens the two bones that make up the joint begin to contact each other. This friction and grinding causes pain, swelling, stiffness and further cartilage loss. Osteoarthritis has no special cause other than use of the joint for many years throughout life. Other types of arthritis are special inflammatory conditions such as rheumatoid arthritis or post-traumatic damage to the joint causing arthritis.

MEDICAL HISTORY

The symptoms usually set in slowly over time. Eventually patients complain of lost function, pain, stiffness, swelling, weakness, and sometimes deformity. The doctor will ask questions to determine whether the arthritis is post-traumatic, osteoarthritis, or a special inflammatory arthritis.


EXAMINATION

The joints are tested for range of motion, stability, alignment, and any grinding during movement.

ADDITIONAL TESTS: Plain x-rays show the degree of arthritis and any bone loss or erosion that may have happened.

TREATMENT OPTIONS

Suspension
Thumb Arhthritis Suspension

Prosthesis
Thumb Arthritis Prosthesis

  NON-OPERATIVE SUSPENSION PROSTHESIS
CONSISTS OF Oral pain medications, cortisone injections Removal of the small bone under the thumb; tendon used to suspend thumb from collapsing Prosthesis replaces the damaged joint surface at base of the thumb; keep the small bone underneath
FEATURES Limited number of injections is allowed Rearrangement of the joint using only the body's own tissues Smooth surface of the prosthesis replaces one side of the joint
ADVANTAGES Avoids surgery Result is durable for over a decade Solid support for the thumb, joint contact surfaces control thumb position
DISADVANTAGES Only treats the symptoms, not the underlying bone contact Lose direct bony support for thumb, no actual joint to control movement Long-term results are not known as this is a new treatment

RECOVERY

No sutures to be removed, below skin dissolvable. Initial splinting protects both the suspension and prosthesis procedures. No forceful pinch to thumb with either procedure in first 6 weeks. Motion started in the rest of the hand right away. Motion at the operated joint begins at 2 weeks for the prosthesis and 5 weeks for the suspension. Splint is discontinued entirely by 6 weeks for the prosthesis and 10 weeks for the suspension. Strengthening is an ongoing process after.


  • Dr. Henry is a tremendous doctor! - 05/22/18
  • you were very good, thank you very much - 05/17/18
  • The staffs here was GREAT!!!! - 06/21/17
  • love the circus de sole dvd. everything was amazing. rehab was the best too. - 02/23/18
  • MD was very thorough and spent a good amount of time with the patient (me). MD had good bedside manners which you do not see from a lot of doctors nowadays. He also made sure everything was understood and that I was given a chance to ask questions or address any concerns I had. Everyone was courteous and professional. Thank you for making mu visit a pleasant one. - 05/02/18
  • The doctor and staff are the best I have ever had. Very professionalism at its best. - 11/15/17
  • the whole group was very good, I had an excellent experience. - 11/09/17
  • Dr. Henry was very informative about the treatment and staff was pleasant. - 01/11/18
  • The staff is nice and everyone is up on the treatment. I feel confident that I am getting the best care and am glad I came here. - 10/30/17
  • Dr. Henry and his staff are phenomenal. Dr. Henry has a gift for not only treating health issues extremely effectively, but he is extremely thorough and very efficient at communication and explaining everything he is doing and all of clearly outlining your options for future procedures. - 05/11/18
  • no complaints hand is coming along very well - 11/06/17
  • very good team work, best clinic - 06/21/17
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
  • Very happy I came here for the surgery, etc. - 06/09/17
  • I am really happy with my experience. I always knew what was going on and over time got to know the staff based on how many times I've been here. Most importantly, I feel I got the right treatment for my injury. - 10/19/17
  • Outstanding service and results - 10/30/17
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • Thank you for sewing me back together and guiding me through my recovery!!! - 05/15/18
  • excellent! dr & staff! - 06/14/17
  • I appreciate the expertise and experience of Dr. Henry!!! I know I had the BEST hand surgeon!!! - 05/02/18
  • With the severity of my injury I am amazed at how functional my wrist is with the amazing team work shown at the office. From the very start the service and care have been outstanding!! I can't thank everyone enough! - 02/23/18
  • Great Doctor and staff. Luis is a wonderful asset to the staff - 12/18/17
  • very helpful. staff was very helpful and outstanding. Dr. Henry explained everything to me - 06/19/18
  • best place for treatment of hand and wrist problems. Dr. Henry was recommended to me by a friend who is a medical care professional. - 10/06/17
  • :) - 06/01/17
  • Very nice staff and surgeon. Thumb looks good now after surgery, hopefully thumb continues to heal and stays healed. Thank you - 01/30/18
  • Dr. Mark Henry is a true healer; the finest most competent doctor I've ever encountered. I am forever grateful to Dr. Henry and the entire staff for saving my finger and facilitating my complete recovery with grace and seriousness of intent. Thank you. - 01/10/18
  • dr henry does an excellent job of explaining the problem and solution, seems extremely competent - 02/07/18
  • Thank you for repairing my injury and being kind in the process. - 01/10/18
  • Dr. Henry and his staff are amazing! I was able to get an urgent new patient appointment immediately with surgery that same afternoon. Dr. Henry does an excellent and thorough job explaining my injury and the healing process. Very impressed with his plan of early mobility and physical therapy, which helped restore my function back to normal within 8 weeks of surgery. I would 100% recommend Dr. Henry and his staff! Very pleased and grateful for his help. - 03/23/18
  • an experience beyond expectation - 10/06/17
  • Very efficient practice - 10/19/17
  • every body was excelent - 01/09/18
  • The staff and the Dr. are very helpful and understanding .I have not yet seen a better staff like this office . I will recommend any one here . - 11/06/17
  • outstanding knowledge and gets you into the hospital if needed the same. - 02/09/18
  • I was very impressed with how I was treated by the doctor as well as the Medical assistant. All my questioned were answered and I was treated with care and respect. Luis was Awesome! Doctor Henry was very informative. I will recommend him to friends and family - 06/09/17
  • I couldn't be more pleased with the level of service I received while in Dr. Henry's care. The level of detail in which my injury was explained and resolved, and the level of competency that was displayed throughout the healing was truly outstanding. - 01/30/18
  • thank you - 10/16/17
  • Great job your staff is the best,thank you &GOD Bless all of you! - 06/15/18
  • all excellent care - 07/12/17
  • Dr. Henry was able to salvage my hand to make it usable again. I have already sent my Father here and he no longer has any pain in his wrist. - 11/13/17
  • every thing was really great - 10/19/17
  • great doctor - 05/23/18










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