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.

@var122

I still have pain 🙁 I think it's due to the carpal bones near the cmc joint having arthritic changes. I had a cortisone shot at the beginning of January '19 with minimal relief. I am back to taking Aleve twice daily to help with pain & keep inflammation at bay. I'm not sure what I'm going to do next, but will try conservative measures for now….I have at least 19 more years of work. I changed jobs so that I can manage my pain better. Not the sunny report I would have liked to have given 🙁

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@var122 I'm sorry your still in pain .I understand pain my thumbs aren't to the point where I need to consider surgery Seems like just resting them and braces help Of course being retired helps a lot .The only suggestions I can offer is ice ,turmeric it's anti inflammatory This is what I use when I overdo.Hope you feel better

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@lioness

@var122 I'm sorry your still in pain .I understand pain my thumbs aren't to the point where I need to consider surgery Seems like just resting them and braces help Of course being retired helps a lot .The only suggestions I can offer is ice ,turmeric it's anti inflammatory This is what I use when I overdo.Hope you feel better

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I just had the surgery 2 days ago and am in Excruciating pain and my doctor is not addressing it. Is it normal to have this level of pain after a 24 hour nerve block wears off. Only taking 1 5mg Oxycodone every 6 hours (Along with a rotation of Tylenol and ibuprofen)? I’m miserable.

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@var122

I had a regional block with sedation for the procedure & an ON-Q Pain Pump placed at the time of the block. I was very comfy for the procedure. I was told the block should last about 20 hrs & the pain pump would help with pain management for 2 days post op. Unfortunately, my block started wearing off 3 hrs after the procedure & the pain pump didn’t help. So, when I noticed the block first starting to wear off (around 12:30pm), I took Tylenol & my Rx pain reliever, I’m sure it helped somewhat, but ended up have to take more Rx pain about 1 hour thereafter.
I was in a lot of pain the first day & was surprised on how much pain I did have being that the pain pump was there & I maxed out on Tylenol & Rx pain reliever! Thankfully, the first 48 hrs were the worst!! By day 3, I was fairly comfortable with minimal Rx pain reliever. By Post op day 5, I wasn’t even taking Tylenol.
I’m 1 week out today & virtually pain free. I have some discomfort after the cast was placed, but not enough to take anything at all.
My biggest recommendation would be to elevate & ice as much as possible for the first few days, and stay ahead of the pain with the prescribed medications.
I though I was going to be “good” as I started pain meds when I first felt the initial block wearing off. I did call my care provider in regards to my pain several hours after my surgery & she said that what I was feeling is “bone pain” & sounded fairly normal.

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Is a pain pump standard? I just had the surgery done and am in excruciating pain and cannot seem to find if this is typical?? Help.

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@hnbmomof3

Is a pain pump standard? I just had the surgery done and am in excruciating pain and cannot seem to find if this is typical?? Help.

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@hnbmomof3, @var122, @lioness. As I recall this was a painful surgery. I had the tried and true anchovy surgery where they remove the thumb joint and replace it with a ligament harvested from your wrist. I too was miserable. My salvation was ice. They forgot that I lived at 6000 ft up on a mountain. The bandages became way too tight. I had to go back to the surgeon and have it refitted. And they gave me Percocet trying to be helpful. i just vomited……my sensitivity to opioids is pretty conclusive. Now you can use medical cannabis.
It is awful to be in unrelenting pain. May you begin to be free of suffering tonight. Chris

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@hnbmomof3

I just had the surgery 2 days ago and am in Excruciating pain and my doctor is not addressing it. Is it normal to have this level of pain after a 24 hour nerve block wears off. Only taking 1 5mg Oxycodone every 6 hours (Along with a rotation of Tylenol and ibuprofen)? I’m miserable.

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I had a pain pump which continued the nerve block for about 3 extra days. Why all facilities don't use them is beyond me. Meds are your friend and there is an uptake to get you to a tolerable level. Stay consistent with the meds. The pain is excruciating and quite normal. It does get better.

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@artscaping

@hnbmomof3, @var122, @lioness. As I recall this was a painful surgery. I had the tried and true anchovy surgery where they remove the thumb joint and replace it with a ligament harvested from your wrist. I too was miserable. My salvation was ice. They forgot that I lived at 6000 ft up on a mountain. The bandages became way too tight. I had to go back to the surgeon and have it refitted. And they gave me Percocet trying to be helpful. i just vomited……my sensitivity to opioids is pretty conclusive. Now you can use medical cannabis.
It is awful to be in unrelenting pain. May you begin to be free of suffering tonight. Chris

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Thank you for the information on your thumb replacement my thumb is in to that extent yet and I don't think I'll be getting up replacement even if it gets to that point I'll have to make my mind up when and when and if it gets there president with all of my other aches and pains ice is my go-to as well as

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@hnbmomof3

I just had the surgery 2 days ago and am in Excruciating pain and my doctor is not addressing it. Is it normal to have this level of pain after a 24 hour nerve block wears off. Only taking 1 5mg Oxycodone every 6 hours (Along with a rotation of Tylenol and ibuprofen)? I’m miserable.

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@hnbmomof3 I had thumb joint replacement in Jan 2018 and had the tendon harvested from my forearm. I remember when the nerve block came out about 24 hours after surgery that the pain was moderate. I took the 5mg of Oxycodone for the first day and found it made me sick. After that I used ice and ibuprofen for a week and it was manageable. The first cast was open on the top and rigid on the thumb and bottom of forearm. At the 2 week check they put the permanent full cast on and it was fine the first 2 weeks, then for some reason it swelled so bad I felt my arm and hand were in a vice so they removed it and re-did the cast. That lasted a week and swelling came back so they molded the brace for my thumb and forearm which was open on the top again and I had that for 3 months. It is a long recovery of 3 months, you don't start to move it or do PT until the end of 2 months in a cast. I did not think the pain was as bad as you are experiencing, but not the exact same since you had Pyrocarbon. I hope you get some relief from the pain. And be patient during the 3 month recovery it will be over before you know it and your hand should feel much better each month. I felt like the 6 month mark was when I felt normal again.

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@doodles418

@hnbmomof3 I had thumb joint replacement in Jan 2018 and had the tendon harvested from my forearm. I remember when the nerve block came out about 24 hours after surgery that the pain was moderate. I took the 5mg of Oxycodone for the first day and found it made me sick. After that I used ice and ibuprofen for a week and it was manageable. The first cast was open on the top and rigid on the thumb and bottom of forearm. At the 2 week check they put the permanent full cast on and it was fine the first 2 weeks, then for some reason it swelled so bad I felt my arm and hand were in a vice so they removed it and re-did the cast. That lasted a week and swelling came back so they molded the brace for my thumb and forearm which was open on the top again and I had that for 3 months. It is a long recovery of 3 months, you don't start to move it or do PT until the end of 2 months in a cast. I did not think the pain was as bad as you are experiencing, but not the exact same since you had Pyrocarbon. I hope you get some relief from the pain. And be patient during the 3 month recovery it will be over before you know it and your hand should feel much better each month. I felt like the 6 month mark was when I felt normal again.

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Thank you for sharing your experience. I appreciate helping me navigate what to expect.

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@hnbmomof3

Thank you for sharing your experience. I appreciate helping me navigate what to expect.

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Have you turned the corner on the pain?

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I had the tendon replacement surgery in my right thumb in June of last year. I did so as my right hand is dominant. The regimen following surgery was tedious and not without pain, which after a couple of weeks became discomfort. Now, well over a year later, I still experience some discomfort in that thumb, and some numbness in the surgical site area. Yes, went through similar post-op protocol: splint, cast, another splint, only PT was instruction in exercises to do at home.
My left thumb is also in need of similar surgery. It is often quite painful and feels as if the thumb is out of joint. I'm hesitant because I don['t want to go through the entire thing again, and I'm trying to weigh the result vs. the discomfort now. Post surgery last year, the doctor gave me some pain med that really didn't do too much. The pump I went home with didn't do much either.
I'm struck by the fact that physicians are loathe to offer and write scrips for "opiods" as they "might" be habit forming in everyone. So what are folks to do? Most of my fingers, some of my toes, and some larger joints are quite painful from arthritis. Well, forgive my digressing. Frustrated.

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