I Have Synovitis In The CMC And 1st MCP Of My Thumb

Posted on Mon, 14 Dec 2020

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 14 Dec 2020 Answered on

Thu, 3 Apr 2025 Last reviewed on

Question : I have synovitis in the CMC and 1st MCP of my thumb. I have had a cortisone shot in each and they last about a week. 4 doctors have said I am out of options. So I am supposed to live with pain that is 300/10? I have a custom brace and have tried every cream out there and CBD.

Answered by Dr. Aashish Raghu (1 hour later)

Brief Answer:
Answer

Detailed Answer:
Hi there

If there is no relief with injections, the next best option is joint replacement.

Next to consult with hand surgeons proficient in hand joint replacement.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Aashish Raghu

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Aashish Raghu (10 hours later)

I was told no surgery since just inflammation and no signs or arthritis on xray or mri.

Answered by Dr. Aashish Raghu (1 hour later)

Brief Answer:
Answer

Detailed Answer:
There is recent evidence that Platelet rich plasma (PRP) has better effect on such conditions than corridor. Do discuss with your doctor about PRP infection.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Aashish Raghu (41 minutes later)

Ok what is corridor? And PRP infection?

Answered by Dr. Aashish Raghu (2 hours later)

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Detailed Answer:
Apologies, for the typo. It's not corridor. I meant to say 'for such conditions.'

PRP can be extracted from a sample of your own blood after spinning it in the laboratory. It yields powerful growth factors that help to regenerate degraded cartilage and offer relief in early arthritis.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Aashish Raghu (34 hours later)

Doctor said this isn’t an option for my inflammation. She said I have no options

Answered by Dr. Aashish Raghu (27 minutes later)

Brief Answer:
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Detailed Answer:
I believe that would not be the case. I suggest you get a second opinion or Rheumatologist opinion as well.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Aashish Raghu (8 hours later)

4 docs said they have no idea why it’s inflammation and so painful.

Answered by Dr. Aashish Raghu (24 hours later)

Brief Answer:
Answer

Detailed Answer:
You could give a trial of physiotherapy with Ultrasound therapy, TENS or IFT. They can treat various types of pain with good result.

Above answer was peer-reviewed by : Dr. Vaishalee Punj