Hand & Wrist Center of Houston Home If you suspect broken bones, dislocated joints, lacerated tendons, lacerated nerves, infection, or have an open wound below the elbow, then call us immediately.
 
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.


  • 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
  • Great friendly staff - 10/28/16
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • I have never doubted I was in the best possible hands here. I cannot correctly express my gratitude. Thank you all very, very much for everything you've done for me. - 11/09/16
  • The staff was great. David was very helpful with my surgery scheduling and questions. Luis was fabulous when I needed help with changing my dressing. Joel was nice helping me with the undoing of the dressing. Great group to be a patient of. - 12/13/16
  • At every interaction with your office: consultation with Dr. Henry, day of surgery, need for prescription refills, all follow-up visits, I felt comfortable, welcome, and well informed. On the day of my last visit, I am very optimistic about the function of my left hand. Thank you. - 09/07/16
  • Very professional - 03/30/17
  • Love the Doctor and his staff. - 02/08/17
  • thank you - 02/09/17
  • 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
  • Great work. - 02/03/17
  • Thank you to everyone here with my surgery and healing process! I really felt comfortable with everyone on the staff and feel as though I came to the best place possible for my surgery. THANK YOU!!!! - 09/09/16
  • Very pleased with everyone and the procedures I have had done with Dr. Henry and his staff. - 12/28/16
  • Amazing services and results. Unique experience - 10/31/16
  • I will definitely recommend your practice to my friends and family. Thank you very much for seeing me and for the very detailed explanation! - 10/14/16
  • Thank you! - 03/08/17
  • Luis was very kind and helpful with all of my questions and concerns. He also assisted me with obtaining supplies for my brace and hand until I can get to therapy. - 10/21/16
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Great detailed information. - 11/03/16
  • Awesome as always! - 10/11/16
  • only wish I would have come here before having surgery done elsewhere. - 11/30/16
  • 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
  • David, Teresa, Luis, Joel, and Karen have all worked with me. They were all outstanding and I highly recommend them all. - 11/30/16
  • Always a pleasure working with Dr. Henry and his awesome staff! - 10/07/16
  • :) - 05/11/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • 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
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • thank you for helping me - 02/03/17
  • Great Appoitnment - 05/11/17
  • Great staff and speedy process! - 04/14/17
  • 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
  • Staff exceptional and Dr. Henry is as well. - 11/15/16
  • always outstanding service! - 04/12/17
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • very impressed with the whole experience. - 02/28/17
  • ;) - 09/08/16
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • 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
  • Awesome staff.. - 09/26/16
  • I was impressed at how fast I was able to get an appointment. The staff was very helpful and the doctor was amazing! - 12/08/16
  • very helpful staff - 01/16/17
  • Dr. Henry has the best verbal skills I have witness on a physician; and, I have been a physician myself for decades! - 12/01/16
  • Dr. Henry and each and every one of the staff we met exhibited a spirit of excellence in every area. From the first visit we were comfortable and confident that we would be well taken care of. - 09/28/16
  • Great center with friendly staff and very competent physician. I would definitely recommend to others. - 10/20/16
  • great job! - 03/20/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • Excellent treatment by the physician and friendly service by the staff. Will definitely recommend to friends and family. - 09/12/16
  • Excellent care and service! I would highly recommend Dr Henry and his staff! - 09/14/16
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • 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
  • The Doc is awesome and his staff is on their game, the wait can be a little long but you get that when you are dealing with elite care. - 09/19/16
  • Luis was great as well. - 01/04/17
  • 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
  • This was only a consult, but I felt that I was leaving with enough information and a plan on the next step needing to be taken. - 09/26/16
  • great - 10/06/16
  • thank you, you all were very helpful - 03/03/17
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • Amazing people. Luis, Joel and Teresa, and Dr. Henry... I appreciate all of you. Your staff is outstanding. - 09/14/16
  • Luis and all the staff have been great each time I've come in. - 09/22/16
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • Wonderful work no issues - 11/17/16
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • I enjoyed my visit - 11/14/16
  • Very pleased with the staff and Dr. Henry. Would highly recommend Dr. Henry to my family and friends in the future. Love this place!!! - 09/07/16
  • Everyone was great and very helpful. Our family really appreciates the medical attention my son received from his injury. Thank you so much. - 11/01/16
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • Very pleased with the staff and Dr Henry during my treatment. - 12/15/16
  • 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
  • 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
  • Great staff. - 05/02/17
  • Everyone is always nice - 12/14/16
  • joel was also my assistant but everything was great - 03/07/17
  • Everyone here has been awesome. We appreciate everything you all have done. thank you! - 12/05/16
  • 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
  • Thank you so much for all your support and help! I have benefited a lot from this facility! - 10/13/16
  • Mark is great and so is Luis (I would give Luis a raise!!) - 09/27/16
  • I am feeling so much better! My hands do not fall asleep and I do not drop things anymore. Yah! Thank you so much! - 09/16/16
  • 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
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • I was very pleased with the entire process from first visit to last visit - 09/08/16
  • Awesome experience. Luis rocks! - 04/06/17
  • Great Appoitnment - 05/11/17
  • Thank you for the help. - 11/10/16
  • Amazing Doctor and staff. - 11/16/16
  • All the staff and Doctor Henry were great! - 05/01/17










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