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DonO

Osteoarthritis Left Thumb - Dr. Mark

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Went to see a "thumb" specialist (hand specialist actually) and have my Left thumb checked out. He says I have OA bad and the X-ray showed bone on bone bad (I looked and was like hymm) and he says you must be in a lot of pain (I said it just hurts after MX'ing mainly). He proceeds to grab it and move it in/out and all around (now it is hurting constantly!!!).

I had asked him what the solutions might be and he says we do 2 things:

1. Cut the nerve at the base of the thumb (I was like so I'll have no feeling in thumb, "yep", well what happens when I jack my thumb up good and don't feel it?, "deer in headlights look")

2. Remove the trapezium bone (he says that could take up to a year to heal, rehab!!!)

I find it hard to believe those are the only 2 solutions??? (can the bone-s be ground away a bit to provide a gap??, can something be put in there for cushioning??, etc.)

I know I'm getting on near EOL (end of life for you non acronym types) but dang I can't believe we don't have more options.

BTW Dr. Mark, the ACL knee job is still going strong!! (13yrs now)

Edited by DonO

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I remove the trapezium and tailor the procedure to tolerate accelerated rehab. Like with the ACL. Return to sports in 2-3 months. Come visit me. It’s been a long time.

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Dr. Mark,

I just can't see where the removal of "that" bone is not going to be a problem riding? I have looked at where the hand/palm/thumb area sits at the grip and the forces that are placed on that area (say from jump landings, front end sticks, etc.) and it just (in my engineering mind) seems that removal is going to cause more trauma right at that spot and with no bone there I can "imagine" more issues arising???

So answer me why grinding a bit of each of the bones away at the joint where its bone on bone doesn't make sense? (all the tendons/muscles would hold the bones in place still)

And why there is nothing to simulate cartilage, meniscus, etc. that can go in there? (they got that crap for back vertebrae?)

Or is it that you can't get to that joint easily or ?????

Don

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On 1/31/2019 at 3:24 AM, DonO said:

And why there is nothing to simulate cartilage, meniscus, etc. that can go in there?

Bone broth? MSM, oral.

DMSO topical.

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I had this surgery about 3 years ago.  The bone was removed and I think it was replaced with a medical grade "fix a flat".  Some surgeons will use a tendon.  I"ve met people that have had the surgery when a tendon was used to "replace" the bone.  They had to stay in a cast for 6-8 weeks.  I didn't have a cast.  It took a while to get the strength and range of motion to turn a doorknob, turn the key to start the car, etc.

I still get bad cramps at the base of my thumb.  It will cramp/spasm such that my thumb will turn in towards the palm of my hand.   I have to take my other hand just to straighten out my thumb and pull it back.  Pushups and anything where I'm more weight bearing on my hand still bothers me as well.

So, even though the original pain is long gone, I'm dealing with other issues.  I'm left handed and I had the surgery on my right hand.

But, seeing that I just had my third hip surgery (on the same hip) in 2 years, maybe I am orthopedically doomed....

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