As the cartilage cushion wears away, the unprotected hand bones rub against each other. This friction slowly wears away the bone's surface, causing the damaged tissues to swell in an attempt to repair itself. This swelling causes the pain and loss of mobility that characterizes thumb arthritis.
Treatments aimed at reducing inflammation around the basal joint is an effective way to reduce pain with movement. These are the most common drug therapies for basal joint arthritis.
- Topical medications that contain numbing or pain-relieving ingredients are rubbed directly onto the affected joint.
- Over-the-counter medication reduces excess inflammation without a narcotic effect.
- In cases of severe pain or immobility, doctors may choose to inject a steroid directly into the joint.
For acute pain, a splint or brace helps reduce symptoms. These devices cradle the area around the basal joint and thumb. Like a cast over a broken bone, a splint immobilizes the affected joint, which gives it time to repair torn tissues and restores proper alignment.
Physical therapy and exercises strengthen the muscles that support the thumb. Stronger hand muscles reduce the strain on compromised joints. Successful physical therapy is also an integral part of restoring lost functions due to damaged joints.