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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swelling And Soreness In Thumb. Done Physiotherapy. MRI Shows Subluxation Of Radial Basal Joint

I apologize as this post will be long d/t so much involved. I am a left-handed nurse who pops pills out of blister packs all evening long. 9 weeks ago, while passing meds, I felt a "pop" in my thumb, particularly in the flexor tendon area. Iced it finished my shift. The next day it was very swollen and extremely sore. I went to an urgent care center who diagnosed me with tendinitis . Put it in a simple splint followed by 3 weeks of pain control physical therapy with no improvement. Went to a hand specialist who xrayed it, negative for fracture, etc. She put me in a cast for 3 weeks to immobilize the area, told me it was tendinitis/sprain. Cast came off.. back to a soft glove type of splint and more PT. Some improvement but I still couldn't grasp, twist or flex my thumb or lean on my hand to get out of a chair, etc. without a lot of pain. Pressure to the area is sometimes so painful~however, goes away once hand is at rest. Last week I had an MRI done which shows subluxation of radial basal joint. I go back to the doc next Tuesday and am still attending PT sessions 2 times a week. I want to go back to work!! but it still hurts and my strength is minimal. Again, its my dominant hand.

My question is ... is this something I have to just suck up and live with? is there anything that can be done to get rid of this pain and weakness? I do take Mobic once a day and motrin if needed. I ice it and apply heat. PT is using ultrasound, ES. Feels good at the time, but once I manipulate my hand, voila ... pain
Thu, 24 Oct 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

After going through your description, I feel your concern towards the ailment.
Unfortunately, nothing much can be done for a SUBLUXATED joint in terms of either medications or any surgical intervention.

The only supportive form of treatment includes, Physiotherapy to keep the surrounding ligaments of the joint in good shape and strength, so that they maintain the integrity of the joint.

You should avoid any acitivity that produces strain over that particular joint which leads to pain.

Hope this information is helpful. Good day
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Swelling And Soreness In Thumb. Done Physiotherapy. MRI Shows Subluxation Of Radial Basal Joint

Hi, thanks for writing to HCM. After going through your description, I feel your concern towards the ailment. Unfortunately, nothing much can be done for a SUBLUXATED joint in terms of either medications or any surgical intervention. The only supportive form of treatment includes, Physiotherapy to keep the surrounding ligaments of the joint in good shape and strength, so that they maintain the integrity of the joint. You should avoid any acitivity that produces strain over that particular joint which leads to pain. Hope this information is helpful. Good day