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Posted Monday, August 14, 2006 2:42 PM


 

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I've had pain in my rt thumb for about 2years. For the longest time my Dr treated it as tendinitis. She finally sent me to an ortho when both hands began swelling and became too painful to open jars, cans, etc. Turns out it's severe arthritis. The ortho injected both thumbs and I walked out a new woman.

Well, here we are 4 months later and my thumbs are hurting a lot. They've been hurting for 2months. So today I had one thumb injected--ortho didn't want to do both this time. He suggested surgery, for the second time.

my dilemma is this--I'm allergic to advil, really allergic, like call-911-allergic. So all I can take is Tylenol. the pain isn't excruciating. Its about a 2 all the time, with some days 3-4. Unless someone grabs my hand--then I'm immediatley at 7-8. My thumbs are stiff and swollen all the time. Its hard to open cans & jars, hold a book open hurts, anything with pincer grasp is hard.

I don't want to rush into surgery. And I dn't want to look like a weenie either. When did you know you had had enough?
Post #4082725
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Posted Friday, November 10, 2006 1:13 PM


 

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I hd my right thumb done two years ago and my left last year. I had the shots that only lasted a couple of weeks. I AM VERY GLAD I DID IT.
Post #4096917
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Posted Wednesday, December 20, 2006 8:57 AM


 

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You've had enough when you get to your point. I too was diagnosed with tendinitis, had injections twice and then was referred to plastic surgeons. They did a fairly new procedure (at least new to my area) basal joint excision with tendon repositioning. Basically they remove the diseased portion of the basal joint of the thumb and take a tendon coming down the underside of your arm, split it, and push it into the space created from bone removal. This then forms scar tissue and hardens similar to bone. It is far less invasive than total joint replacement and recovery time is much shorter. There was no pain whatsoever with the surgery. The only bad thing has been having to do strengthening exercises as my thumb is very weak. It has been two months and I have regained all my range of motion, pinch strength, but still lack strength. I notice improvement every day now and look forward to a pain free future. Anything beats being up all night crying. I recommend this surgery.
Post #4096918
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Posted Thursday, December 21, 2006 9:33 AM


 

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I'm having this surgery on January 31st and I'm wondering what I'm in for. Biker I'm going to have exactly what you are talking about. To those of you who have done this- any tips for recovery? how long after the surgery before you were able to feel like being up and doing things, with one hand of course? my other thumb is showing the begining signs any tips on how to prolong the "life" of that joint? any comments, suggestions would be appreciated. I'm going to go a bit crazy not being able to work with my hands for awhile. Thanks!
Post #4096919
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Posted Thursday, December 21, 2006 1:12 PM


 

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I am scheduled for this same surgery 1/9/07 and have gotten some good info from this thread as well as the CMC artelon spacer thread - I will definitely report on my experiences. Patience is what I gather I will need most!!
Post #4096920
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Posted Friday, December 22, 2006 2:11 AM


 

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I just had the surgery to the basal joint with tendon to formulate a joint. I don't understand this fully, but I had gotten to the point that I could barely grip things, open doors, open jars--became impossible. They also fused the next joint up and put in a screw because that joint had dislocated as a result of the metacarpal basil joint deterioration. I am one week and two dayspost-op; the cast was removed after one week, and I am now in a removable cast and am supposed to do range of motion exercises for one month before starting physical therapy. Does it hurt? Ow is the right word. I am having nerve pain, sharp stabbing and burning like pain that comes and goes. I was told I would have this for a time and that it is due to having to move the nerves over during surgery, causing irritation for a time. Otherwise no pain but am still taking Vicodin at least before be so I won't wake up with the pain. Does it hurt? yes; was there an alternative? No. I have to have the other thumb done as well in six months after full recovery of this thumb.
Post #4096921
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Posted Friday, October 03, 2008 12:20 PM


 

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karen,

I also had the same surgery in August.  I still cannot touch all of my fingers with my thumb.  Did you have this problem?  I do my therapy three times a day at home and still ice it for the swelling.  Hurt?  Absolutely!!  Did you also have some numbness in your fingers especially the thumb.  When the doctor said I had to go through therapy I never imagined it would be so painful.  I think the worse is the stiffness and not being able to use my hand like I want, know my left one is doing the same from using it so much.  Would I  have my left one done?  I think I would wait until I didn't have a choice before I have that done agian.

Post #4162180
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Posted Friday, October 03, 2008 3:20 PM


 

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Wow, I guess I was lucky - in a way!
My arthritis started with my thumb (and ankle) too. Dr did the little "Finkelstein test" - oh, you have deQuervain's tendinitis. I'll give you a cortisone shot - I gave myself one 2 weeks ago (surgeon with thumb problems? oooeee! Well, he's a rock climber too.) To make a long story short, the shot hurt like holy hell (was told by another medical practitioner later, that it shouldn't have if he did it right). The pain went up my arm and stayed there for 3 weeks (I survived thanks to Bextra). Then it went away and my wrist swelled halfway up my arm. THEN my primary care doctor said, oh - maybe we should do those arthritis tests again? (He didn't believe them the first time! Well, now the inflammation had doubled...)
Why don't orthopedists ever consider RA as a possibility?
Good luck with yours
Ellen
Post #4162220
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Posted Wednesday, December 10, 2008 8:28 PM


 

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I had both thumb joints reconstructed 14-15 months ago using the tendon from each forearm.  The right in Sept. 2007 and the left in Oct. 2007.  I have worked in dentistry for 24 years.  I took 2 months off work.  I had been to the point of dropping instruments and gasping in pain in front of patients.  Enough is enough.  It took a long time, I mean a really long time, to be able to say for sure that I did the right thing.  I have experienced a higher level of healing just in the past 3 months (1 year post op).  My left was done second and has never been quite as good as the right.  Maybe because I am right handed and rely on it more therefore under using the left hand.  Even still, I am able to do my job.  My wrists are still weak.  I notice it most when I go to take something like a pan of cookies out of the oven one handed.  It's not easy.  More weakness than pain though.  I took Celebrex for about 4 months earlier this year.  It helped me exercise my hands better while still healing.  I knew it wasn't good to stay on it.  The first time I went off it after about 2 months I couldn't function well.  After 2 more months I could go off it and do well.   My chief complaint is weakness but doesn't effect my life much.  My right hand has almost no pain the left hand some days maybe a 1 or 2 if I have worked hard at work or on something else.  If I did heavy work like scraping off wallpaper I might have greater issues.  Bottom line: for everyday life I function quite well with very little pain and am glad I had the surgeries.  My husband can scrape the wallpaper!
Post #4174515
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Posted Monday, January 05, 2009 4:15 PM


 

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Wow. I can not imagine having both thumbs done so closely together. I had my right done 12/12/08. I wore a bulky surgical dressing for 2 weeks and have now been in a cast since 12/26/2008.

The first couple of days was pretty painful and there was allot of swelling. Surgery was on a Fri and by Sunday night I was getting comfort from advil.

 I took 1 week off from work and every thing is going pretty well right now. I'm right handed and this is my right thumb so I have the whole left handed awkwardness thingy going on.

What bothers me most now is that I still have swelling off and on everyday. Pain also comes and goes depending on how long it's been since I've had advil. Pain is sorta a "burning pain that I think must be in the incision area. It's not bad, but enough is enough already.

I'm a nurse, and a good nurse but a lousy patient! I have been eyeing the cast saw once or twice per week with evil thoughts of premature cast removal, but trying to be good.

I am scheduled back to the MD on 1/27/2009 for cast removal and the onset of rehab......looking forward to washing my hands really well. Glad to hear everyone is basically glad they did this because I am only 24 days post-op and still in the OMG what have I done stage.................Thanks, Jill

Post #4177658
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Posted Tuesday, January 27, 2009 1:07 PM


 

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Hello I am a 45 year old female Hairdresser I was diagnosed with arthritis in my basal joint in the thumb, it has become so painful and swollen, my surgeon wants to do the surgery. I cannot take longer than 2 weeks off from work....my question is, could I possibly go back to work in 2 weeks and do a light work load? or am I going to be out of commission for 4 weeks? My surgeon said the soonest I would be able to go back to haridressing is 2 weeks but a LIGHT hairdressing...please help with advice.. thanks so much.
Post #4181747
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Posted Thursday, February 12, 2009 2:23 PM


 

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Hello!  Boy do I wish I would've found this forum before now!!!

I had CMC arthroplasty with ligament reconstruction on Dec. 16.  I thought I would be going back to work a couple days later, but couldn't go back for almost 5 weeks........probably should've taken a few more weeks before returning.

Any how, I had the half cast with all the thick dressing for the first 2 weeks after surgery.  Then I went back to see my doc and he had the stitches removed from my forearm and thumb/wrist.  I had a k wire and that hurt more than anything!  It rubbed against the removable splint and I could feel it sticking against my index finger bone in my hand. 

At 4 weeks post op, I went back to see my doc and he pulled the k-wire out - OUCH!  I continued to wear the splint and was given PT exercises to do.  I also could take to splint completely off to shower and of course to do the PT.

At 6 weeks, I only saw the PT staff.  They cut my splint way down to just cover my hand - before it was halfway up my arm.  I was told to continue the PT exercises at home and come back in 2 weeks to also see the doc.

There was lots of confusion between the PT staff and my insurance over the past 2 weeks.  The PT staff submitted 3 requests for me to continue PT and my insurance kept saying that they were not completing the form right, did not include correct codes and I got stuck between my surgeon's office's PT staff and my insurance.  Both refused to pick up a phone and talk to each other to fix the problem!!! Before surgery, my doc said I would require 3 months of PT.

To make matters worse, I went yesterday to my 8 week checkup with my doc and his attitude was basically that if I didn't have a new referral for the PT, then I was on my own and didn't need to see him anymore - even though I have authorization to see him for 3 more months as my specialist.  Uhhhhhhhhhggggg! 

So, I have no idea what progress I've made, what PT exercises to do, when I can stop wearing this hard splint, etc.  However, if my primary doc can get the referral for me to get back to PT, I don't think I want to go back to my hand surgeon's PT staff.  Trying to get proper care to rehab from this surgery is much more frustrating than the ups and downs have been of actually having the surgery. 

Has anyone here had to rehab on their own before?

Thanks for any suggestions you may have.

Post #4184388
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Posted Friday, February 13, 2009 7:24 PM


 

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I think your treatment both by the Dr. and your Insurance co. has been disgraceful, not putting you first at all.  I suppose I should count myself lucky I live in Canada and your situation would never happen.  Hope you get some answers very soon.

I would do light Physio at home, don't overdo it thinking you will get better faster, take it really easy. 

Keep on to your own Dr. to get you some help.   Good luck and let us know how you get on.

Post #4184594
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