7 doctors weighed in:
Will basilar thumb arthritis get better over time?
7 doctors weighed in

Dr. Hill Hastings
Orthopedic Surgery
3 doctors agree
In brief: Not likely, sorry
Basilar joint arthritis (tmc arthritis) develops from ligament damage and laxity which impairs stability.
Cartilage surfaces do well under compression but not shear forces. The instability with grasp and pinch leads to cartilage breakdown and arthritis. Many patients benefit from a supporting splint. Treatment depends upon symptoms, not severity of x-ray changes.

In brief: Not likely, sorry
Basilar joint arthritis (tmc arthritis) develops from ligament damage and laxity which impairs stability.
Cartilage surfaces do well under compression but not shear forces. The instability with grasp and pinch leads to cartilage breakdown and arthritis. Many patients benefit from a supporting splint. Treatment depends upon symptoms, not severity of x-ray changes.
Dr. Hill Hastings
Dr. Hill Hastings
Thank
1 comment
Dr. Christopher Henley
Sometimes we see patients with terrible-looking joints on x-rays but no pain. Usually these patients went through a time when their thumbs hurt a lot, then it "burned out" and stopped hurting. The bad news is that this process can take years and most active patients don't tolerate waiting that long for pain relief.
Dr. F. Thomas Kaplan
Surgery - Hand Surgery
2 doctors agree
In brief: Pain may
Sometimes with arthritis the pain will burn out.
The joint will still be arthritic, but it may not bother you much. This won't always happen, but it emphasizes that surgery is for when the conservative treatments are no longer effective at controlling pain.

In brief: Pain may
Sometimes with arthritis the pain will burn out.
The joint will still be arthritic, but it may not bother you much. This won't always happen, but it emphasizes that surgery is for when the conservative treatments are no longer effective at controlling pain.
Dr. F. Thomas Kaplan
Dr. F. Thomas Kaplan
Thank
Dr. Jana Tomsky
Family Medicine
2 doctors agree
In brief: It depends..
It depends how much you use this delicate joint - repetitive motion injury is most common cause - lie texting, computer work etc.
Initial treatment is ice, rest, splint, possible antiinflammatory drughs like ibuprofphen or simillar.

In brief: It depends..
It depends how much you use this delicate joint - repetitive motion injury is most common cause - lie texting, computer work etc.
Initial treatment is ice, rest, splint, possible antiinflammatory drughs like ibuprofphen or simillar.
Dr. Jana Tomsky
Dr. Jana Tomsky
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Dr. Jeffrey Wint
Surgery - Hand Surgery
In brief: Natural progression
Although symptoms may change for better or worse the natural history of an arthritis joint is to worsen over time.
Hoever sometimes this means decreased motin and pain subsides. In the thumb this is less common though and decreased motion at the basialr joint if positioning is poor, causes the adjacent thumb joints to fail as well. The time frame though is very variable, genetics, luck and.

In brief: Natural progression
Although symptoms may change for better or worse the natural history of an arthritis joint is to worsen over time.
Hoever sometimes this means decreased motin and pain subsides. In the thumb this is less common though and decreased motion at the basialr joint if positioning is poor, causes the adjacent thumb joints to fail as well. The time frame though is very variable, genetics, luck and.
Dr. Jeffrey Wint
Dr. Jeffrey Wint
Thank
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