A UCL (ulnar collateral ligament) thumb tear is a common injury that can occur as a result of sports activities or accidents. The UCL is a ligament that provides stability to the thumb joint, and a tear in this ligament can lead to pain, swelling, and limited range of motion in the thumb.
In some cases, a UCL thumb tear can heal without the need for surgery. Conservative treatment options include rest, ice, compression, and elevation (RICE), as well as wearing a splint or brace to immobilize the thumb and allow it to heal. Physical therapy exercises can also help to strengthen the thumb and improve range of motion.
It is important to follow the recommendations of a healthcare provider when treating a UCL thumb tear without surgery, as failure to properly care for the injury can lead to chronic instability and ongoing pain. Monitoring the thumb for signs of improvement or worsening is essential, and seeking medical attention if symptoms persist is advised.
Overall, while some UCL thumb tears may be able to heal without surgery, it is important to consult with a healthcare professional to determine the best course of treatment for individual cases.
Ice packs may be used during the first few days after injury to soothe pain and reduce swelling. The doctor will likely immobilize the thumb in a cast or splint which is worn continuously form the first 3 weeks or so. After that time the splint may be removed to perform hand therapy and strength exercises only.
A stener lesion occurs when there is forceful abduction of the thumb, leading to avulsion of the distal ulnar collateral ligament from its insertion at the base of the proximal phalanx of the thumb.
The most common ligament to be injured in the thumb is the ulnar collateral ligament. This helps connect the thumb to the hand on the side near the index finger. It allows the thumb to act like a post. Injury to this ligament is sometimes called “skier’s thumb” because it is a common injury from a ski pole.
The ulnar collateral ligament complex consists of a proper and an accessory ligament. In flexion, the dorsal capsule and the proper collateral ligament are taut. The proper collateral ligament runs from the middle of the metacarpal head to the palmar aspect of the proximal phalanx.
In one study, nearly 3 in 4 patients who had radiofrequency ablation reported their knee pain dropped by more than half 6 months after the procedure. Radiofrequency ablation usually takes about 30 minutes per knee. You will likely need almost no recovery time.
The physician uses x-ray guided needles that have a gentle electric current to “ablate” (or burn off) the nerves causing the pain. Nerves can regenerate after about six months. This procedure provides control over pain long enough for rehabilitation.
You may resume normal activities as your comfort level allows, but do not engage in any strenuous activities for the first 24 hours after the procedure.
Fact: Although genicular nerve RFA is generally considered a safe procedure, cases of septic arthritis, pes anserine tendon injury, third-degree skin burn, and clinically significant hematoma and/or hemarthrosis have been reported.
– Over-the-counter pain medication. Any medication that reduces inflammation can improve your symptoms, such as anti-inflammatories like ibuprofen and naproxen.
– Heat or ice. …
– Corticosteroid injection. …
– Orthotic boot. …
– Surgery. …
– Physical therapy.
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