Welcome to Just Answer
I am sorry to hear about your problem.
1-Since when you have got this problem?
2-The problem is only in thumb?
3-Is there some stiffness as well?
Thanks for the detailed info
Some of the possibilities are discussed below.
1-The exact cause of thumb arthritis, as with osteoarthritis in general is not known,most of the time this is due to aging,overweight patients,muscle weakness can cause these symptoms.
Treatment is focused on two things
a-Splints which decrease pain, encourage proper positioning and give your joint some much-needed rest. Depending on your needs, you may wear a splint overnight or throughout the day.
b-Medications like NSAIDs for the pain(In case there would have been no contraindication as in your case)
2-The other possibility which comes to my mind is De Quervain's tenosynovitis,in which the sheath of the tendons on the thumb side of your wrist becomes inflamed or swollen, restricting the tendons' movement.
Treatment if started early should result in improvement in 4-6 weeks and includes as follows.
Immobilization same as splint method i described above.
Minimize repeated thumb movements whenever possible,
Heat or ice therapy is better AVOIDED.
Now in your cases like yours there is likelihood that you will get benefit from local corticosteroid injection,it will subside the tendinitis and bursitis around the involved joint and will help you alot.
I hope the info helps.
Thanks for the input.
Yes that is in fact what i mentioned,as you are running out of the basic conservative measures like NSAIDs and Splints,what next in the management comes is the use of local Corticosteroid injections and you need to get consultation with your rheumatologist for considering this option as the next plan.
I hope that helps.
If you have any questions feel free to ask
If the info helps,Kindly click ACCEPT,Thanks.