Stemcelldoc's Weblog

January 25, 2010

Resolution of Thumb Pain with Stem Cell Therapy

LK is 60 y/o patient who presented with a 1 year history of bilateral thumb pain, constant in duration, 4/1o in severity, progressive in nature localized at the base of the thumb.  Pain was sharp and stabbing in character and preventing him from buttoning his shirt.  Prior therapies had included a trial of NSAID and chiropractic care.  MRI of the thumbs was significant for moderate to advanced arthritic changes at the base on the thumb(CMC joint).  LK was told that surgery was his only option:  fusion of one joint and tendon wrap at the other.  Both surgeries are significant with extensive rehabilitation and poor outcomes.

Patient elected to proceed with the Regenexx procedure which allowed him to use his own mesenchymal stem cells.  At six months post injection of his own stem cells,  LK reports a 90% reduction in pain and  increase in range of motion.  Friends and work associates have stopped asking him about his swollen thumbs.  Buttoning a shirt is no longer an issue.

 Through the use of his own stem cells, LK has had significant reduction in his thumb pain, increase his range of motion and avoided a significant surgery. The time has come to embrace joint restoration instead of all therapies directed at joint replacement.

March 18, 2009

Thumb Joint Pain and Diagnosis

The joint at the base of the thumb allows for the swivel and pivoting motions of our thumb which we take for granted.  The joint is referred to as the carpometacarpal joint (CMC) and is prone to arthritis and degneration of the cartilage. 

Arthritis of the Base of Thumb

Arthritis of the Base of Thumb

It is subjected to a large amount of stress as the thumb must be strong enough to conteract the force of four fingers put together.  Excessive wear on the joint can lead to disruption of the supporting ligaments with displacement of the joint(subluxation).

Displacement of Thumb Joint

Displacement of Thumb Joint

Commom symptoms of CMC arthritis include pain and swelling at the base of the thumb which are typically worse in the morning.

Diagnosis is made by physical examination and confirmed with plain x-rays.

Conservative Treatment options include anti-inflammatory medications, rest and splinting.  Surgical options include fusion of the joint or removal of the joint and insertion of a tendon or plastic spacer.  The disadvantage of surgery is loss of motion of the joint, extensive physical therapy, failure and the inherent risks associated with surgery and anesthesia.

Rather than cut the damaged joint out, patients now have the option of repairing the cartilage utlizing their own stem cells.  Regenexx is a simple needle-in, needle-out procedure which allows patients to use their own mesenchymal stem cells to repair damaged cartilage without the risk of disease transmission or rejection.

Please review testimonal of a patient who underwent Regenexx stem cell therapy for her thumb pain:

cmcarthritis.basalthumbpain.stemcelltherapyforthumbarthritis.

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