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Pain in left thumb moment
Hello, I am 8th month pregnant....I m facing pain in my left thumb moments around 1wk .. I feel something stucking in my thumb during moment .. I used ointment and massages oil .. m avoiding to visit hospital during this Covid pendmic.. please suggest .. I m attaching pic also for better understanding
Answers (5)
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Trigger thumb / dequervain. Needs clinical evaluation.
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You have marked large area.
Press and find out where exactly is most painful spot(tenderness). If it is at side of wrist, then it is De Quervain's. If it is at base of thumb, on outer side, it is joint synovitis, MCP or CMV. If it is at front or inside at joint crease, it is flexor tenosynovitis.
Also, find out which movement causes pain and at which spot. That helps diagnosis
Next Steps
Initially give frequent local heating, ROM Exercises, local analgesic Ointmemt like Aaram. If still no relief, local injection can help
Health Tips
Avoid pain killers in Pregnancy. But can take Paracetamol in 2nd Trimester. But always verify from your obstetrician
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It can be either tenosynovitis at the back of thumb or trigger thumb as you are complaining of something getting stuck. Avoid holding mobile, put less pressure on the thumb while doing daily activities.
Next Steps
use thumb spica splint, rest, stretching exercises.
Health Tips
we can do a teleconsultation if you want.
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Dr. D. Shrinivas
Orthopedist
22 yrs exp
Mumbai
It is de Quervain's Tenosynovitis of thumb....meaning swelling of the tendon sheath which moves the thumb.
Usually there is pain and swelling is on the wrist at the base of the thumb.
It is common to have this problem in pregnancy.
Next Steps
Since you don't want to go out to see a a doctor in this pandemic,you can..
1.Use a THUMB SPICA SPLINT.
2. Don't apply or massage the area with gels or hot water.
3.Elevate the hand as much as you can.
Regards,
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Dr. Manjunath Gopal
Orthopedist
25 yrs exp
Bangalore
It’s is probably DeQueverain tenosynovitis
Needs to rest
Mobilise in warm water
Need more history
Next Steps
Consider online consultation to confirm e we other orthopaedic doctor
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.