Arthritis of the Hand and Wrist

Who does this affect? Like arthritis elsewhere in the body, it is usually seen in middle age and onwards.

Symptoms It is commonly seen at the base of the thumb, but can be in any of the joints in the hand and wrist. It can be painful and very restricting. It may be due to a previous injury, however, often it is just "wear & tear".

Investigations Careful clinical examination and X-ray is necessary.

Non-surgical Treatment Initially, injection and splints are the usual first-line treatments. 

Surgical Treatment is usually offered if symptoms do not settle following non-surgical treatment. For base of thumb arthritis,  Excision of the worn bone (Trapeziectomy) is very beneficial. This is done under a general anaesthetic as either a day case or overnight stay. A splint / plaster cast is worn for 4 to 6 weeks post surgery.