Hand procedure information
Thumb arthritis
Thumb arthritis commonly affects the joint at the base of the thumb and can lead to pain, weakness and difficulty with gripping or pinching activities. Symptoms may gradually worsen over time and can affect everyday tasks such as opening jars, turning keys or lifting objects.
Assessment and diagnosis
Assessment begins with a discussion of symptoms, hand function, medical history and treatment goals, followed by examination of the thumb and hand. X-rays or other investigations may be recommended to assess the degree of arthritis and help guide treatment decisions.
Non-surgical options
Non-operative treatment may include activity modification, splinting, hand therapy, physiotherapy, pain relief medication or steroid injection depending on the severity of symptoms and the impact on hand function. Many patients achieve satisfactory symptom control without surgery.
Surgical treatment options
Thumb arthritis surgery aims to reduce pain and improve hand function. The most appropriate procedure depends on the severity of arthritis, the condition of the joint and the patient’s goals and activities. Surgical treatment options include fusion of the affected joints, removal of the arthritic joint, or joint replacement. Surgical treatment is commonly performed as a day-case procedure, although treatment plans and anaesthetic options vary between patients.
Recovery after treatment
Recovery varies between patients and depends on the type of procedure performed. Temporary swelling, stiffness and reduced hand strength can occur during the early stages of recovery. Splinting, exercises or hand therapy may be recommended to support recovery and improve movement and function over time.
Risks and considerations
All surgical procedures carry risks. Potential risks of thumb arthritis surgery may include infection, bleeding, stiffness, complex pain, nerve irritation or damage, scar sensitivity, ongoing pain, reduced strength, or the need for further treatment. Specific risks and expected outcomes are discussed during consultation.
Frequently asked questions
Does thumb arthritis always require surgery?
No. Many patients manage symptoms successfully with splints, activity modification, therapy or injections. Surgery may be considered if symptoms continue to significantly affect hand function or quality of life.
How long does recovery take?
Recovery varies depending on the type of surgery performed and individual healing. Improvement in comfort and hand function often continues gradually over time.