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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.


  • Great Appoitnment - 05/11/17
  • thank you, you all were very helpful - 03/03/17
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • The doctor was very informative and provided me with a solution quickly and I really appreciate that in this day and age. This is an awesome institution. - 03/02/17
  • excellent! dr & staff! - 06/14/17
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • 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
  • thank you for all you have done! I recommend you foranyone that is having any problems via hand wrist. Amazing surgon and doctor!!! - 02/01/17
  • very impressed with the whole experience. - 02/28/17
  • Love the Doctor and his staff. - 02/08/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Great staff and speedy process! - 04/14/17
  • We have had the best experience here. The staff has always accommodated us and since Tyler is only 10, they always go out of their way to make sure we are comfortable. I have and will continue to recommend Dr. Henry and his staff to anyone I know. Thanks! - 02/28/17
  • The staffs here was GREAT!!!! - 06/21/17
  • Awesome experience. Luis rocks! - 04/06/17
  • very helpful staff - 01/16/17
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • some of the most friendly staff and the doctor always explained the information in a manner in which I could understand which always made it very helpful. will definitely recommend this location to family and friends. - 05/31/17
  • :) - 06/01/17
  • All the staff and Doctor Henry were great! - 05/01/17
  • Very professional - 03/30/17
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • thank you - 02/09/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • Very happy I came here for the surgery, etc. - 06/09/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • thank you for helping me - 02/03/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • Great Appoitnment - 05/11/17
  • Luis was great as well. - 01/04/17
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • :) - 05/11/17
  • Great work. - 02/03/17
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • Thank you for the hard work and excellent care. If ever I need this type of care again I will be knocking on your door. I've already recommended your services to others. Thanks Again! - 03/07/17
  • always outstanding service! - 04/12/17
  • Great staff. - 05/02/17
  • I have enjoyed this facility and Dr. Henry has been more than helplful. All questions answered, as well as answers I didn't even know I had! The staff is always helpful. - 03/03/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • The entire team at the Hand and Wrist Center is outstanding. They made the recovery so smooth and comforting from the courteous receptionists, excellent occupational therapist, attentive medical assistants, and brilliant doctor. Thank you! - 03/31/17
  • Had a wonderful experience overall. Breaking my arm was tough but the staff here was always very, kind and helpful. Especially Dr. Henry, Mary, Karen, Luis, Joel, Teresa and David. I'll miss them all but hopeful won't have to see them any time soon :)Thank you! - 05/04/17
  • great job! - 03/20/17
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • Great staff, Great Doctor, Great surgery, recovery, and follow up. Thank you for the time and attention with helping me through the entire process. I felt very comfortable and safe with the entire process. - 02/10/17
  • Staff is always friendly and helpful. I will definitely recommend this office. Dr. Henry is a very skilled surgeon and went out of his way to make sure I understood my procedure and the rehabilitation process. - 03/24/17
  • I have enjoyed this facility and Dr. Henry has been more than helplful. All questions answered, as well as answers I didn't even know I had! The staff is always helpful. - 03/03/17
  • all excellent care - 07/12/17
  • joel was also my assistant but everything was great - 03/07/17
  • very good at explaining how I should take care of my thumbs and always answered any question I had regarding my health issue I was very pleased with my visit and the care I got at both visits - 03/07/17
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • Thank you! - 03/08/17
  • very good team work, best clinic - 06/21/17
  • Very knowledgeable about the possible procedures the could be preformed! Dr. Henry is a very honest person and I appreciate that in a man more than anything. He gave me truth and not what I wanted to hear! Thanks - 04/04/17










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