The diagnosis | Pain in the ball of the thumb

The diagnosis

In order to find the cause of the pain in the ball of the thumb, the doctor first conducts an interview (so-called anamnesis). During this interview, for example, the doctor will discuss when, how often and under what circumstances the pain occurs.If the pain occurs after a fall, it is important to describe the exact cause of the accident. This is followed by a physical examination in which the thumb is palpated and the range of movement of the thumb is tested.

If a fracture is suspected, an X-ray is requested. Torn tendons and ligaments are best assessed by MRI. The treating physician will decide which exact examination method is to be used.

The treatment

The treatment depends on the underlying cause. In general, pain can be treated with NSAIDs (non-steroidal anti-inflammatory drugs). NSAIDs also have an anti-inflammatory effect.

This can relieve both the inflammation and the pain. Cooling the thumb is recommended to reduce swelling. There are various treatment options for arthrosis of the thumb saddle joint.

Before considering an operation, there is the option of non-surgical treatment at the beginning of the disease. This can be done with a plaster splint or an orthosis (Rhizoloc splint), so that the thumb saddle joint is then immobilized for a short time and can recover during this period. An occupational therapy can also be helpful.

Often hyaluronic acid injections are also carried out under X-ray control to replace the damaged cartilage a little. However, this therapy does not work for all patients. Some doctors do not attribute any effect at all to this therapy.

If the symptoms increase or the functionality is too limited, an operation is performed. Gout is treated with the drug Allopurinol, which reduces the uric acid in the blood. In addition, a temporary immobilization of the thumb is useful.

Often an operation must also be performed, in which, for example, ligaments are refixed or, as in carpal tunnel syndrome, the retaining ligament on the wrist is split. A bandage is useful if the thumb joint is to be immobilized. It is particularly useful if the pain in the thumb is caused by overexertion so that relief can be achieved. Even when attempting conservative, i.e. non-surgical treatment of carpal tunnel syndrome, the hand or thumb should be restricted in its movement by a bandage.