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Osteoarthritis in upper thumb joint

27 replies

PositivelyGlowing · 01/03/2024 20:41

Confirmed by my physio (who has many years of experience with all kinds of issues and has seen arthritis an awful lot).

Usually osteoarthritis affects the lower thumb joint but of course I have to be different and it's in the upper joint.

Any tips on treatment please? Or should I see a Rheumatologist?

OP posts:
GiantFootTinyHead · 01/03/2024 22:33

I have osteoarthritis in those joints (&others) on both thumbs, confirmed by ultrasound requested by the rheumatologist, who promptly discharged me because it’s osteo rather than rheumatoid.
naproxen can help when it’s really bad, painkillers, some gel filled tube dressings (will find a link) and there are some hand exercises on the arthritis uk site. Strengthening helps support the joints which means there’s less pain.

GiantFootTinyHead · 01/03/2024 22:36

This kind Gel tube .
Boots, Amazon, ebay all sell them. It gives quite a bit of relief.

Mumaway · 01/03/2024 22:42

Rheumatology won't help you, a hand surgeon (ortho or plastics) might. First stop though should be splint (often easy to find one to suit for less than £10 on Amazon), activity modification (if it hurts try not to do it), painkillers and physio, then next step up the ladder is steroid injection in the joint. Ultimately surgical options are available but they usually sacrifice range of motion (movement) for pain relief.

Moier · 01/03/2024 22:48

No not a rheumatologist.. is osteoarthritis not Rheumatoid arthritis.
Pain killers/ 12 hour voltarol.. heat/ cold patches..
Steroids injections..but can only have so many a year.
My body is just about riddled with it.. hands/ neck/ shoulders/ hips ( worse) had injections in hips last year.. hoping to have some more.. strongest pain meds l can take is paracetamol.. so l have marijuana in a dry herb vape.( not those vapes everyone uses ..this is a dry herb vape and not cheap).

IthinkIamAnAlien · 02/03/2024 08:31

Someone told me the other day that her life was being wrecked by widespread osteoarthritis until she tried CBD capsules from Holland and Barrett. Worked a treat for her.

I have various painful joints and tried glutamine recently, it's made a real difference. I think different things work for different people.

PositivelyGlowing · 02/03/2024 10:50

IthinkIamAnAlien · 02/03/2024 08:31

Someone told me the other day that her life was being wrecked by widespread osteoarthritis until she tried CBD capsules from Holland and Barrett. Worked a treat for her.

I have various painful joints and tried glutamine recently, it's made a real difference. I think different things work for different people.

Thanks for the advice, which Glutamine supplement do you use?

OP posts:
PositivelyGlowing · 02/03/2024 11:06

GiantFootTinyHead · 01/03/2024 22:33

I have osteoarthritis in those joints (&others) on both thumbs, confirmed by ultrasound requested by the rheumatologist, who promptly discharged me because it’s osteo rather than rheumatoid.
naproxen can help when it’s really bad, painkillers, some gel filled tube dressings (will find a link) and there are some hand exercises on the arthritis uk site. Strengthening helps support the joints which means there’s less pain.

Thank you. My main issue with the thumb is stiffness, more limited movement in that upper joint and varying degrees of pain depending on what I've been doing. I think it's flared up lately because I've been doing a lot of gardening: cutting a lot of brambles and digging up the roots, also some planting.

It's quite recent, I've only had it since December (2023) - initially I though it was an infection related to a bramble thorn that grazed my thumb (nothing broke off, there's no foreign matter in the thumb) and with that in mind my doctor prescribed an antibiotic ointment (he didn't even mention arthritis!). It made no difference.

As mentioned in my first post, it was my physio who diagnosed osteoarthritis due to the two slightly red areas and obvious slight swelling at the sides of and across that upper joint. The slightly swelling is also more obvious because the creases in the skin aren't as visible on that thumb.

Funnily enough it had been easing off a bit this past week or two, it's the type of gardening that I've just switched to over the past few days which I think is causing the recent issues. I think that the excessive digging and pulling up of bramble roots has been the trigger.

I should also mention that the skin is sometimes sore too, specifically at the aforementioned red areas.

It's in my left thumb and I'm right handed so I'll need to adjust my way of working and hope that the right thumb holds up. Or just take a break for a few days (not easy, there's a lot of gardening that needs doing at the moment).

OP posts:
CheshireCat1 · 02/03/2024 11:11

I have rheumatoid arthritis and also osteoarthritis. My rheumatologist told me that you don’t get rheumatoid arthritis in the top joints of your fingers. I was referred to an upper limb surgeon as the osteoarthritis caused trigger thumb, he advised against steroid injections into small joints, I did wear a splint for awhile, which I also do on my little fingers, the splints have remedied them. Other than that I don’t use any treatment or medications for osteoarthritis but I have had surgery on my toes for it. Everyone is different, I’d speak to your GP.

PositivelyGlowing · 02/03/2024 11:15

Mumaway · 01/03/2024 22:42

Rheumatology won't help you, a hand surgeon (ortho or plastics) might. First stop though should be splint (often easy to find one to suit for less than £10 on Amazon), activity modification (if it hurts try not to do it), painkillers and physio, then next step up the ladder is steroid injection in the joint. Ultimately surgical options are available but they usually sacrifice range of motion (movement) for pain relief.

Thanks, so a hand surgeon is my best option when seeking out a specialist? Are there any other medical areas that I should be looking into when it comes to consultants?

OP posts:
K0OLA1D · 02/03/2024 11:19

I have both RA and OA. All over my body. I've had 3 joint replacements already and on the list for 3 more. My hands are bad at the moment. I can tell if I don't take Naproxen, but if you take it regularly you need to take omeprazole or similar to protect your gut.

Splints help, never found a rub that does

TheBackingSinger · 03/03/2024 14:42

I have OA and RA. Hand joints are dreadful.
It can't be cured but you can treat the symptoms. You will find that it comes and goes. Months will go by symptom free then it will hurt again.
A hand physiotherapist was helpful to me.
Also compression gloves - google "arthritis gloves". Or bind it with cohesive bandage.
Beware of snake oil. If it worked it would be on prescription.

Chewbecca · 03/03/2024 15:11

Voltarol gel is the best treatment when my finger arthritis is playing up.

IthinkIamAnAlien · 03/03/2024 15:57

'Beware of snake oil, if it worked it would be on prescription'
I put up a product as requested, it worked for me.
Fine if you trust the pharmaceutical industry with their financial interest, biased trials and skewed results. However, some of us like to do our own research, try things out and make up our own minds.
Half the time, GPs won't prescribe things for their own reasons, won't investigate, rarely know the latest research and leave you on damaging drugs that wreck your system.
I take it you know that drugs are designed with men in mind? Their physiology size and weight?

PositivelyGlowing · 03/03/2024 17:33

Thanks to you all for your help and advice, I really do appreciate it. :-)

OP posts:
RedBellEnd · 03/03/2024 17:43

@CheshireCat1 what splints do you use? I also have this in certain fingers but my little finger on my left hand is very sore but I'm not sure which splint would be best for this

RedBellEnd · 03/03/2024 17:43

@PositivelyGlowing I also have this in my right thumb. It's so annoying isn't it!

PositivelyGlowing · 03/03/2024 17:57

RedBellEnd · 03/03/2024 17:43

@PositivelyGlowing I also have this in my right thumb. It's so annoying isn't it!

Very much so! :(

OP posts:
neilyoungismyhero · 03/03/2024 17:58

I wear a hand splint from Amazon. It really helps at work and out and about.

PositivelyGlowing · 03/03/2024 19:11

I've been looking at the following splint for my particular problem:

https://www.amazon.co.uk/Arthro-Eze-Peach-Thumb-Splint-Trigger/dp/B0BL89M758/

OP posts:
CheshireCat1 · 03/03/2024 19:29

@RedBellEnd
I got mine from occupational therapy at the Rheumatology clinic, they come in varying sizes and are comfortable to wear. They also did a made to measure resting splint for my wrist.

CheshireCat1 · 03/03/2024 19:30

@PositivelyGlowing
That splint is similar to the ones I’ve got

Calderadust · 03/03/2024 22:10

I have steroid injections which take the edge off but aren't all that effective. I'm contemplating CBD oil.

PositivelyGlowing · 04/03/2024 08:36

Calderadust · 03/03/2024 22:10

I have steroid injections which take the edge off but aren't all that effective. I'm contemplating CBD oil.

I've read that steroid injections aren't a good idea because they primarily block the pain so resulting in even more damage, also that they become less effective as time goes by.

OP posts:
Chewbecca · 04/03/2024 11:30

Splints can also be damaging so it's best to get advice on splints from a physio or NHS services (I know, not often easy to access!).