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Reviewed By: Varnada Karriem-Norwood,
SOURCES: 2010 Medical Reference from Medstar Television. Lisa Mandl, MD, MPH, Rheumatologist, Hospital for Special Surgery, New York.
© 1999-2011 Medstar Television
A chronically achy thumb made daily tasks a challenge for Mary Ann Oklesson (oh KLESS enn).
You know, if I would grab a bottle or something, I'd always have to use two hands.
The source of Mary Ann's pain - osteoarthritis at the base of the thumb.
There's two higher joints, but the one we're talking about is that one that really is almost down near the wrist.
Mild cases of this wear and tear condition are treated with over the counter pain relievers, cortisone shots, or stabilizing splints.
The problem is not everyone gets better with those treatments, and some people, especially older people, they can't take medicines like non-steroidals.
Doctor Mandl (MANNdle) is exploring an alternative - injections of hyaluronic acid, a treatment approved for arthritic knees.
Here's another injectable therapy that you don't have to take throughout your system, that's a local treatment that might work in this joint.
It's a placebo controlled study, so neither doctor nor patient knows who gets what.
It's great if you feel good a week or two later, but we really want to know does this work for some months? So we follow you for six months to see how you are doing.
After that six month phase, all patients are guaranteed an injection of the real thing. It's a shot Mary Ann recently got.
If I'm carrying a heavy bag or a package or, you know, fiddling around with the key in the door, I can tell the difference.
With hope that this injection earns a thumb's up for thumb pain relief. For WebMD, I'm Damon Meharg.
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