Dr. Mohd Suhaib Mudabbir
Orthopedician and Traumatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I would like to ask for your advice about the pain at the base of my right thumb. I suspect this is the result of what I did back before two months, I always squeeze a lemon fruit using my hands. This pain started last month and still continues to this day. I feel pain when I stretch open my palm. The thumb is in pain when I use it. I do not feel so good because I cannot play table tennis and the piano because of this. Can you help? Your advice is greatly appreciated.
Hi,
Welcome to icliniq.com.
I totally understand that you are suffering from first metacarpophalangeal joint arthritis. This condition occurs when you involve in repeated twisting motion of the thumb. This is partly confirmed by the vague bulge at the joint region. I would suggest you to get an x-ray of the hand once to confirm the same. Meanwhile, I would suggest you with treatment protocol.
You can always come back and reach me at icliniq.com.
Thank you for consulting me.
The Probable causes
Investigations to be done
Differential diagnosis
Probable diagnosis
Treatment plan
Preventive measures
Regarding follow up
Patient's Query
Hi doctor,
Thank you for the reply.
I have attached my X-ray and uric acid test results. Kindly suggest. I have not purchased the prescribed medicines yet.
Hello,
Welcome back to icliniq.com.
I hope you are doing fine. All the reports look normal (attachment removed to protect the patient's identity). Kindly take the suggested medications as advised and do not involve in activities with the involved hand.
You can always come back and reach me at icliniq.com.
Thank you for consulting me.
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