Thumb CMC Arthritis: Relief for Thumb Base Pain

Pain at the base of your thumb when gripping, opening jars, or turning keys is often caused by thumb CMC (carpometacarpal) arthritis. Dr. Jesse Dashe provides personalized treatment options with same- or next-day availability in San Leandro.

Do these symptoms fit you?

Pain at the base of your thumb, especially with gripping

Difficulty opening jars, bottles, or turning keys

Swelling or tenderness at the base of the thumb

Thumb feels weak or unstable

Pain that worsens with activity and improves with rest

When to see a surgeon

If pain interferes with daily activities or work

If splints, medication, or therapy haven't provided relief

If you're avoiding activities because of thumb pain

If your thumb is becoming deformed or unstable

What Dr. Dashe does differently

Same-/next-day access — don't suffer with thumb pain for weeks

Evidence-based care — Dr. Dashe use proven treatments with the best outcomes

Outcome-focused — Dr. Dashe stays with you until your thumb function is restored

Treatment options

Non-surgical

Thumb splints, anti-inflammatory medication, activity modification, steroid injections, therapy.

Surgical

CMC arthroplasty (joint reconstruction), arthrodesis (fusion), or other procedures based on your specific needs.

Recovery timeline

Splint or cast protection for 4–6 weeks after surgery

Therapy begins around 6 weeks to restore motion and strength

Full recovery and return to all activities typically 3–4 months

What to bring

Any X-rays or imaging of your thumb (if available)

Insurance card and medication list

List of activities that cause the most pain

Frequently Asked Questions

What is the most common symptom of thumb arthritis?

Pain at the base of the thumb when pinching, gripping, or twisting objects is the hallmark symptom.

Do thumb braces actually work?

Yes. Braces or splints can reduce pain and support the joint during activities, especially in early to moderate cases.

Are cortisone injections safe for thumb arthritis?

Cortisone injections can temporarily relieve pain and inflammation. Most patients tolerate them well, but repeated injections over time may be less effective.

When should I consider surgery for thumb arthritis?

Surgery is considered when pain remains severe despite splints, injections, and activity changes, and daily life is significantly affected.

Will I lose thumb strength after surgery?

Most patients maintain or improve their grip strength after surgery, especially with proper hand therapy and rehabilitation.

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Frequently Asked Questions

What is thumb CMC arthritis?

Thumb CMC arthritis affects the joint at the base of the thumb where it meets the wrist, causing pain with gripping and pinching activities.

Who gets thumb arthritis?

It's most common in women over 40, especially those with a family history, but can affect anyone who uses their hands repetitively.

Can thumb arthritis be cured?

While arthritis cannot be reversed, symptoms can be effectively managed with splinting, injections, and surgery when needed.

How long does thumb arthritis surgery recovery take?

Recovery varies by procedure, but most patients return to light activities in 2-4 weeks and full use in 2-3 months with hand therapy.

Will I lose thumb strength after surgery?

Most patients maintain or improve their grip strength after surgery, especially with proper hand therapy and rehabilitation.

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