Thumb arthritis: Did anyone have carpometacarpal (CMC) surgery?

Posted by dmk @dmk, Oct 5, 2022

Has anyone had CMC surgery where the trapezium bone is removed and your tendons are knotted to sit in the space to cushion your thumb? If so what was your experience? Thanks in advance

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@pacer3702

I agree. I was headed for CMC joint surgery, but managed to avoid it through physical therapy and wearing a brace when using the computer mouse. I also changed to an ergonomic vertical mouse. The exercises suggested by the hand therapist didn't help. However, another physical therapist suggested weekly hand exercises with 3 pound weights. That worked by building muscle and relieving stress on the CMC joint. I wear the CMC joint brace when doing these exercises.

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Great! My fix was the Rocobado 6, a new mouse, and minding ergonomics while sitting at my computer--shoulders also have an effect, of all things! I wear a splint at night as I tend to curl my hands when sleeping, which is bad.

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@marye2

Please go to physical therapy first. It is so much better than surgery if it works. Like KT tape (you tube directions) and various stretches. I've had the shots but they only last so long; have to keep up the stretches to keep the flexibility once the inflammation is gone. It has been a few years since a shot. Also, look at how you use your hands as it can be ergonomic, too.

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Several years ago, a specialist made thumb splints for me to sleep in. The thumbs were rested by the splints and the pain lessened. Now, I tape my thumbs and wrists at night. Often I just use masking tape. So helpful and not incapacitating or uncertain like surgery. My best to you. Sandra Bush

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@pacer3702

I agree. I was headed for CMC joint surgery, but managed to avoid it through physical therapy and wearing a brace when using the computer mouse. I also changed to an ergonomic vertical mouse. The exercises suggested by the hand therapist didn't help. However, another physical therapist suggested weekly hand exercises with 3 pound weights. That worked by building muscle and relieving stress on the CMC joint. I wear the CMC joint brace when doing these exercises.

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Have you tried using voice activation on your computer? I think it can be set up in Accessibility. It saves wear and tear on hands. Blessings, Sandra

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@sandscript02

Several years ago, a specialist made thumb splints for me to sleep in. The thumbs were rested by the splints and the pain lessened. Now, I tape my thumbs and wrists at night. Often I just use masking tape. So helpful and not incapacitating or uncertain like surgery. My best to you. Sandra Bush

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I use a lot of KT tape, too. You tube says how to use it--probably the same as you are doing now! Great to hear your "fix".

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@sandscript02

Have you tried using voice activation on your computer? I think it can be set up in Accessibility. It saves wear and tear on hands. Blessings, Sandra

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Thank you for this suggestion!

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Had CMC surgery Nov23 long recovery finally discharged from therapy in mid May. Awesome success still not greatest strength to open cans jars etc but apparently with my RTS on same side makes things more difficult but have learned how to use can opener with opposite hand using utube video

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@tms

Hi, I had Trapizium surgery on my right thumb a month ago. I had severe swelling in all my fingers 2 days after. I still have swelling and stiff fingers. My PT says it’s from keeping my hand in a protective state. I did move fingers the best I could due to the swelling. Now I’m scared to death I won’t get the movement back in these fingers. I’m bending them to pain limits several times a day now. Holding them up icing. Etc. it’s also my dominant hand.

Is this normal? This pic was taken 2 days after surgery.

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It looks like you wrap/bandage was wrapped to tight. I had to loosen mine after surgery because of this.

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@tms

Hi, I had Trapizium surgery on my right thumb a month ago. I had severe swelling in all my fingers 2 days after. I still have swelling and stiff fingers. My PT says it’s from keeping my hand in a protective state. I did move fingers the best I could due to the swelling. Now I’m scared to death I won’t get the movement back in these fingers. I’m bending them to pain limits several times a day now. Holding them up icing. Etc. it’s also my dominant hand.

Is this normal? This pic was taken 2 days after surgery.

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I was hospitalized for 2 days, 4 days after surgery. My hand looked the same. Now 3 months after surgery my fingers are still swollen and stiff. It appears the radial nerve was damaged and also carpal tunnel which I did not have prior to surgery. I will be going in for a second surgery after seeing a neurologist to repair the damage. My hopes are that I will regain usage of my hand after the second surgery.

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I had my right thumb done in 2012. The doc used a cadaver’s tendon but my body rejected it. Finally, he used one of my own tendons and it has been ok.

My hands have given me much trouble over the last 20 years.

Trigger fingers (2)
Carpel tunnel
Sagittal band repair

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@gregv

There are alternatives to loosing your FCR tendon (the LRTI procedure) - Tightrope uses biosynthetic string instead of your tendon, Bio Pro and Stablyx are implants that keep your trapezium in place, although cutting the FCR may be required. Each of these procedures offer different outcomes, and are designed to accommodate your needs. What do you want to be able to do after the surgery? With LRTI and Tightrope, you usually get great pain relief, keep your grip strength, but lose your pinch strength - so 4 of the surgeons in my area have explained to me. I had the Stablyx implant (had to go to San Fransisco because all of the surgeons here refused). I had my pinch strength back and stronger in 1 month, but the rest is taking longer. For me, doing the pt exercises post-op is critical, and after almost a year, I still take a moment to do mine, to keep up my strength. Pinch strength is important to me because of my woodworking hobbies - gripping odd-shaped pieces between thumb and forefinger.
Anyway, check out the blogs on these other procedures for other opinions. Hope they help you decide, and hope you get relief from your pain.
Good luck
GregV

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Hello! I had the Stablyx implant (prosthesis) surgery in 2018 on my left thumb. Although I had great hand therapy, I had to get another surgery to "clean up scar tissue" in order to relieve significant pain. To this date, motion is limited, with mild pain. However, if I accidentally bump it, the pain is intense. One side effect I don't like, is the feeling that my thumb is disconnected, for lack of a better term. It's difficult to handle small items, due to the tactile insensitivity. I am a woodworker as well! I believe that because this is a prosthesis, that's the reason for the strange sensation. No phantom pain (bc some nerves preserved), but not ideal.
Fast forward to today, and the wear-and -tear- arthritis of doing things I love, has taken it's toll on my right dominant hand. I've been putting it off, but now, it's time. I have decided to NOT go the implant route and to trust my new surgeon with her 26 years of anchovy experience.
I am curious about the "tightrope" option, versus sacrificing a tendon, as tendons are there for a reason. I've heard good and bad, regarding the anchovy procedire. If you had to get your other thumb fixed, which option would you choose?

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