{"id":8857,"date":"2025-06-13T15:58:55","date_gmt":"2025-06-13T12:58:55","guid":{"rendered":"https:\/\/asayedissa.com\/trapeziometacarpal-tmc-osteoarthritis\/"},"modified":"2025-06-13T16:16:24","modified_gmt":"2025-06-13T13:16:24","slug":"trapeziometacarpal-tmc-osteoarthritis","status":"publish","type":"post","link":"https:\/\/asayedissa.com\/en\/trapeziometacarpal-tmc-osteoarthritis\/","title":{"rendered":"Trapeziometacarpal (TMC) osteoarthritis"},"content":{"rendered":"\n

Also known as rhizarthrosis, is a degenerative condition affecting the joint at the base of the thumb, between the trapezium bone and the first metacarpal. It’s a common form of arthritis, particularly in older adults and women. The condition causes pain, stiffness, and decreased function in the thumb, affecting activities like grasping and pinching. <\/p>\n\n

<\/p>\n\n

Here’s a more detailed look:<\/strong><\/p>\n\n

<\/p>\n\n

\"\"<\/figure>\n\n

<\/p>\n\n

Symptoms:<\/h2>\n\n

\u2022 Pain: The most common symptom is pain at the base of the thumb, which can worsen with use and movement. <\/p>\n\n

\u2022 Stiffness: Difficulty moving the thumb, especially during activities requiring fine motor skills. <\/p>\n\n

\u2022 Weakness: Reduced strength in the thumb, making it harder to grasp or pinch objects. <\/p>\n\n

\u2022 Swelling: The joint may become swollen and tender to the touch. <\/p>\n\n

\u2022 Crepitus: A grinding or cracking sensation when moving the thumb. <\/p>\n\n

\u2022 Deformity: In advanced cases, the thumb may develop a “Z-thumb” deformity, where the thumb joint is flexed at the base and the joint in the finger is hyperextended. <\/p>\n\n

<\/p>\n\n

\"\"<\/figure>\n\n

<\/p>\n\n

Causes<\/h2>\n\n

\u2022 Wear and tear:<\/p>\n\n

Over time, the cartilage in the joint breaks down, leading to pain and stiffness. <\/p>\n\n

\u2022 Genetics:<\/p>\n\n

Some individuals may be more prone to developing TMC osteoarthritis due to genetic factors.<\/p>\n\n

<\/p>\n\n

\"\"<\/figure>\n\n

<\/p>\n\n

\u2022 Trauma:<\/p>\n\n

Injuries to the thumb or wrist can contribute to the development of osteoarthritis.<\/p>\n\n

\u2022 Ligament laxity:<\/p>\n\n

Excessive looseness of the ligaments supporting the joint can increase the risk of cartilage damage.<\/p>\n\n

<\/p>\n\n

Diagnosis:<\/h2>\n\n

\u2022 Physical Examination:<\/p>\n\n

A doctor will assess the range of motion, tenderness, and any deformities in the thumb joint. <\/p>\n\n

\u2022 X-rays:<\/p>\n\n

X-rays can show signs of osteoarthritis, such as joint space narrowing, bone spurs, and changes in the joint surfaces. <\/p>\n\n

<\/p>\n\n

Treatment:<\/h2>\n\n

\u2022 Non-surgical:<\/strong><\/p>\n\n

\u2022 Pain management: Over-the-counter pain relievers (NSAIDs), topical analgesics, and corticosteroid injections. <\/p>\n\n

\u2022 Physical therapy: Exercises to strengthen the muscles around the thumb and improve range of motion. <\/p>\n\n

<\/p>\n\n

\"\"<\/figure>\n\n

<\/p>\n\n

\u2022 Splinting: Wearing a splint can help to rest the joint and reduce pain. <\/p>\n\n

\u2022 Activity modification: Avoiding activities that aggravate the pain. <\/p>\n\n

\u2022 Surgical:<\/strong><\/p>\n\n

\u2022 Trapeziectomy with ligament reconstruction: Involves removing the trapezium bone and reconstructing the ligaments to stabilize the joint. <\/p>\n\n

<\/p>\n\n

\"\"<\/figure>\n\n

<\/p>\n\n

\u2022 Arthrodesis: Fusing the joint to eliminate pain and improve stability. <\/p>\n\n

<\/p>\n\n

\"\"<\/figure>\n\n

<\/p>\n\n

\u2022 Arthroplasty: Replacing the joint with an artificial joint. <\/p>\n\n

Prevention<\/h2>\n\n

\u2022 Maintaining a healthy weight: This can help reduce stress on the joints. <\/p>\n\n

\u2022 Engaging in regular exercise: This can help strengthen the muscles around the thumb and improve joint function. <\/p>\n\n

<\/p>\n\n

\"\"<\/figure>\n\n

<\/p>\n\n

\u2022 Using assistive devices: Such as splints or ergonomic tools, to reduce stress on the thumb joint. <\/p>\n\n

\u2022 Protecting the thumb from injury: Taking precautions to avoid trauma to the thumb. <\/p>\n","protected":false},"excerpt":{"rendered":"

Also known as rhizarthrosis, is a degenerative condition affecting the joint at the base of the thumb, between the trapezium bone and the first metacarpal. It’s a common form of arthritis, particularly in older adults and women. The condition causes pain, stiffness, and decreased function in the thumb, affecting activities like grasping and pinching. Here’s […]<\/p>\n","protected":false},"author":4,"featured_media":8841,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[4],"tags":[],"class_list":["post-8857","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles"],"acf":[],"yoast_head":"\nTrapeziometacarpal (TMC) osteoarthritis - \u062f. \u0639\u0628\u062f \u0627\u0644\u062d\u0645\u064a\u062f \u0633\u064a\u062f \u0639\u064a\u0633\u0649<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/asayedissa.com\/en\/trapeziometacarpal-tmc-osteoarthritis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Trapeziometacarpal (TMC) osteoarthritis - \u062f. \u0639\u0628\u062f \u0627\u0644\u062d\u0645\u064a\u062f \u0633\u064a\u062f \u0639\u064a\u0633\u0649\" \/>\n<meta property=\"og:description\" content=\"Also known as rhizarthrosis, is a degenerative condition affecting the joint at the base of the thumb, between the trapezium bone and the first metacarpal. 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