Pyrocarbon thumb joint replacement

Posted by var122 @var122, Jan 15, 2018

I do not know anyone who has had a cmc thumb joint replacement….anyone have any insight? I am 5 days post op.

@mapleskoff

var122: did you have your treatment/surgery done at Mayo Eau Claire, or Roch? I live in NE WI and go to Roch, with my wife, a Mayo Scottsdale retiree, for chronic problems we have. Is a trip to Eau Claire worthwhile for evaluation and possible surgery? I have appt. with hand clinic in Roch end of May, but EC is a shorter drive and I wonder about the jhand surgery there. TIA.

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I would like to find a good surgeon in the Phoenix/Scottsdale/Mesa AZ area. I was scheduled for this surgery in Sonoma County (CA) and decided against it at the time. Now I realize I need it. I just moved to AZ and have no idea who to go to. Any help would be very much appreciated.

I hope that someone will have some advice for me. I contacted Stablyx to see if there was a surgeon near me that handled their pyrocarbon implants. The response was a surgeon right here and little old Laramie Wyoming. I saw the same guy 2 years ago for the same condition. On our very first visit he wanted to set a date for surgery. If I hadn't already had a date set for a total knee replacement I probably would have accommodated. It is convenient to have a surgeon here locally but he doesn't do just wrist and thumbs. He also does knee Replacements and other surgeries. One of my questions is should I hold out and only have the surgery done by somebody that does the implants exclusively? How do I find out how much experience this guy actually has with implants? Will it be proper for me to just come right out and ask him? Is there any other way to find out?

@stoney

It's my 2nd one. I too am recently post-op (4 days). I kept notes from my first op so I know what to expect. Pain pump has been my best friend. I've got a compassionate supply of oxy but have not had to use them due to the bullseye expertise of my anesthesiologist's aim of the nerve block/pain pump. I type one-handed and slow, but if you have specific questions, feel free to contact me.

i

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Hello @stoney… curious as to how recovery is going. Looking at having my first surgery, starting with my left thumb, August 15. Any advice you could offer would be appreciated.

@stoney

It's my 2nd one. I too am recently post-op (4 days). I kept notes from my first op so I know what to expect. Pain pump has been my best friend. I've got a compassionate supply of oxy but have not had to use them due to the bullseye expertise of my anesthesiologist's aim of the nerve block/pain pump. I type one-handed and slow, but if you have specific questions, feel free to contact me.

i

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My doc said I'd have whatever results at the one year mark. I am so wishing he's right. As it stands right now, I am in at least double discomfort compared to pre-op. Everyone heals differently. Follow your therapy and keep the joint mobile and stretched. Hydration is your friend. Improvement comes fast initially, then slows to hardly noticeable improvement. Be patient but don't give up. Good luck.

@gordoapa

I have had similar problems with my thumbs, and Naproxen was not helping at all. It was, as if the medication was hurting instead. A friend recommended tart cherry juice and turmeric pills. After few months of eating better ( more vegetables) and following friends advice my thumbs are completely pain free. I’m 68.

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@gordoapa great my thumbs are both bad right now my left thumb is ready for an injection Last one for this thumb was 7 yrs ago My rheumatologist at that time of injected with something else not cortisone I will try the tart cherry juice I do take Tumeric and drink a ginger-Tumeric tea which is good get at Trader Jo,s Thanks for letting nfo

I am a 66 year old female retired pharmacist. I've had bilateral CMC arthritis for years due to positioning child proof caps for prescriptions. I had a pyrocarbon implant done in my left thumb in 2009 with great success. When my right thumb went beyond bad 2 years ago I had injections about every 3 months that really helped but I knew it wasn't the answer. The original implant was no longer made and I had no interest in the tendon implant. Saw too many patients that weren't happy with the results. So I traveled back to Chicago to my original hand surgeon. He had been to a hand conference and called me about the Stablyx implant. He did several practice surgeries and I am his first candidate. I am 12 days out and in a splint for 4 weeks. Doing OT twice weekly for 12 weeks. I also have several hobbies that require my thumbs so I am very hopeful. When the splint is off for showering the pain is minimal. However I am not to use any pinch force for 3 more weeks, hence the splint.. I will post again in a few weeks and update my progress. Thanks.

@pharmd

I am a 66 year old female retired pharmacist. I've had bilateral CMC arthritis for years due to positioning child proof caps for prescriptions. I had a pyrocarbon implant done in my left thumb in 2009 with great success. When my right thumb went beyond bad 2 years ago I had injections about every 3 months that really helped but I knew it wasn't the answer. The original implant was no longer made and I had no interest in the tendon implant. Saw too many patients that weren't happy with the results. So I traveled back to Chicago to my original hand surgeon. He had been to a hand conference and called me about the Stablyx implant. He did several practice surgeries and I am his first candidate. I am 12 days out and in a splint for 4 weeks. Doing OT twice weekly for 12 weeks. I also have several hobbies that require my thumbs so I am very hopeful. When the splint is off for showering the pain is minimal. However I am not to use any pinch force for 3 more weeks, hence the splint.. I will post again in a few weeks and update my progress. Thanks.

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@pharmd welcome to our group its great to hear of your successful thumb implant my thumbs are both bad maybe because of my nursing .Im interested in hearing your update I went to hand ortho he said to use volteran cream if that doesn't help he,ll inject

@pharmd

I am a 66 year old female retired pharmacist. I've had bilateral CMC arthritis for years due to positioning child proof caps for prescriptions. I had a pyrocarbon implant done in my left thumb in 2009 with great success. When my right thumb went beyond bad 2 years ago I had injections about every 3 months that really helped but I knew it wasn't the answer. The original implant was no longer made and I had no interest in the tendon implant. Saw too many patients that weren't happy with the results. So I traveled back to Chicago to my original hand surgeon. He had been to a hand conference and called me about the Stablyx implant. He did several practice surgeries and I am his first candidate. I am 12 days out and in a splint for 4 weeks. Doing OT twice weekly for 12 weeks. I also have several hobbies that require my thumbs so I am very hopeful. When the splint is off for showering the pain is minimal. However I am not to use any pinch force for 3 more weeks, hence the splint.. I will post again in a few weeks and update my progress. Thanks.

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Hi @pharmd – Welcome to the group and thank you for a very informative post. I'm very interested in this. I have increasingly painful arthritis in my thumbs. My two big hobbies are quilting and stained glass so I need my thumbs in working order. I'm wishing you the best in your recovery – and it sounds as if you are approaching the 2 week mark and doing very well. Are you right handed? If so, I imagine the loss of use of that right hand is more intrusive than your previous surgery. Please do post updates. I'm going to follow your recovery!

@var122
Hi! I want to ask you how are you feeling? How is your pain? I also have arthritis of the cmc joint. I have had two steroid shots with pain relief lasting five days with the first shot, three weeks from the second one. The doctor I am currently being treated by wants to perform the anchoring procedure which I will not consider having. Are you pain-free now? I am a surgical tech, and it’s becoming harder every day to put on gloves due to the pressure they cause on my joint. I usually wear a size seven glove. I am up to a size 8 and wrapping my hand with coban to give me some support during long cases. The most crucial question are you happy with your results?

@marysol

@var122
Hi! I want to ask you how are you feeling? How is your pain? I also have arthritis of the cmc joint. I have had two steroid shots with pain relief lasting five days with the first shot, three weeks from the second one. The doctor I am currently being treated by wants to perform the anchoring procedure which I will not consider having. Are you pain-free now? I am a surgical tech, and it’s becoming harder every day to put on gloves due to the pressure they cause on my joint. I usually wear a size seven glove. I am up to a size 8 and wrapping my hand with coban to give me some support during long cases. The most crucial question are you happy with your results?

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I am at day 18. I can touch my fingertips on my right dominant hand with my operated thumb. I'm only allowed passive therapy through next week. I'm only taking acetaminophen (APAP) 500mg, 2 tabs twice daily and 1 hydrocodone/APAP plus 1 APAP at night. Still wearing my splint through next week as well. My surgeon made it clear I was not to use any pinch motion with thumb and forefinger. I'm following directions to ensure my recovery. I continue to be very hopeful. If this doesn't work I can still do the LRTI procedure. I can write very poorly but using a roller ball pen is much easier since not a lot of pressure required. I even filled out my own election ballot. After thanksgiving I'll move to more aggressive therapy. I can't open anything with twist off cap. My husband will be glad when I'm back to normal. Hoping to be able to make Christmas cookies with branch. I'll send pictures with next post. Thanks for all your positive thoughts.

@pharmd

I am at day 18. I can touch my fingertips on my right dominant hand with my operated thumb. I'm only allowed passive therapy through next week. I'm only taking acetaminophen (APAP) 500mg, 2 tabs twice daily and 1 hydrocodone/APAP plus 1 APAP at night. Still wearing my splint through next week as well. My surgeon made it clear I was not to use any pinch motion with thumb and forefinger. I'm following directions to ensure my recovery. I continue to be very hopeful. If this doesn't work I can still do the LRTI procedure. I can write very poorly but using a roller ball pen is much easier since not a lot of pressure required. I even filled out my own election ballot. After thanksgiving I'll move to more aggressive therapy. I can't open anything with twist off cap. My husband will be glad when I'm back to normal. Hoping to be able to make Christmas cookies with branch. I'll send pictures with next post. Thanks for all your positive thoughts.

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@pharmd

Liked by lioness

Thank you for your update. I wish you the best in your recovery. I am still staying to find a surgeon in San Antonio or Austin that work with the implant.

I wonder why my surgeon opted to just take the offending bone out for me and replace it with my tendon rather than this way ? I had my left one done with no probs but my right is still giving me probs after 7 yrs.I still have pain and a lot less strength than my left which is a problem cos I'm right handed. I hope this is successful for u.

@anniebrook

I wonder why my surgeon opted to just take the offending bone out for me and replace it with my tendon rather than this way ? I had my left one done with no probs but my right is still giving me probs after 7 yrs.I still have pain and a lot less strength than my left which is a problem cos I'm right handed. I hope this is successful for u.

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Hi – Sorry if I am not doing this right but I am trying to comment on the group discussion, not one in particular. Has anyone had nerve pain after the stablyx implant. I am two weeks out and everything seems good except for a very painful burning sensation along the outside of my thumb that the dr. says is nerve pain. She says it should go away but my research is showing it might not.

I'm finally back!! and finished with 12 weeks of OT for my right dominant CMC Stablyx procedure. It's doing great. I had final range of motion measurements taken and they meet or even exceed my left hand (pyrocarbon, 2009). I still need more strengthening but I can do that at home. To the writer about the nerve pain…I have no pain but I did have serious bruising that went from wrist to elbow post-op. My surgeon explained that he had to lift a specific nerve out of the way so that it would not get caught in the scar tissue. Whatever he did the bruise disappeared and I have no nerve pain. Not sure this is your problem, just a thought. Would I do this again? You bet. If this new implant fails for whatever reason I can still have the LRTI. But I feel confident this will last. As with any implant it takes a year before your mind forgets you have something in that joint (had both knees replaced and speak from experience). I just have to use it responsibly. I was baking and decorating cakes before Christmas and sewing/quilting by the same time. I still have trouble opening caps on stubborn bottles but I've sent for a device I hope will help. In the meantime I still rely on the wonderful husband. You need to have confidence in the hand surgeon you choose. Although I was his first patient for the Stablyx my surgeon did a conference with the inventing doctor from Miami and performed several dry surgeries before attempting mine. He also had an assistant from the Stablyx during the surgery in the event of any complication, which did not happen thankfully. He had performed my first implant in 2009 and removed a glomus tumor from my left finger nail that had caused excruciating pain for nearly 20 years. Both of those surgeries are still great. Not everyone should have this procedure but it's worth looking at your options. Thanks for reading this long post. I'm sorry but I could not get any photos to load.

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