Any form of arthritis may cause pain, limited range of motion and weakness in the joints of the body. Arthritis in the thumb joint is common in the elderly and makes tying shoes, opening doors and buttoning clothes difficult. Physical therapy may help relieve the pain and stiffness of the thumb joint, improving quality of life for those afflicted with the condition.
Description
Basal thumb arthritis is a condition that describes swelling and inflammation of the thumb joint where it meets the bottom of the hand at the wrist joint. Pain and swelling is caused by breakdown of cartilage protecting the joint as well as weak or porous bone in the base of the thumb itself. The carpometacarpal joint is often affected by arthritis and osteoarthritis, making any movement of the thumb difficult and painful.
Physical Therapy
Physical therapy is designed to help restore function and motion in damaged or injured body parts. You can do basal thumb arthritis exercises at home or work. Follow instructions regarding exercises and motions by your physical therapist in order to improve joint mobility, reduce pain, and help prevent further damage or loss of function in the affected joint.
Range of Motion
Perform the thumb slide exercise by extending your affected hand in front of you, elbow bent and held close to the body. Hold your hand straight out, fingers together and thumb facing upward toward the ceiling. Slowly move your thumb downward, trying to touch it to the base of your little finger. Only go as far as you can without causing pain. Repeat the exercise 10 to 20 times several times a day. You can also make simple circular and counter-clockwise circles with your thumb several times through the day to help maintain strength, function and mobility of the basal thumb joint.
Inside and Out
Hold your affected hand out away from your body, elbow bent. Gently press your fingers together. Position your thumb along the inside of your hand. Slowly extend the thumb away from the hand, hold for a second or two and then return to its starting position. During the entire exercise, your thumb should remain level with your index finger. Repeat 10 to 20 times.
Make a Fist
Lift the affected hand to shoulder height, palm facing you. Spread your fingers and thumb as wide as you can without causing pain. Curl your fingers and thumb inward to make a fist, curling your thumb across the top of your fingers. Hold for several seconds and then relax. Repeat this exercise 10 times several times a day to help relieve pain and stiffness and to encourage adequate blood flow to the finger and thumb joints.


