Thumb pain

[spokewench]

I have thumb pain just like you have. It was manageable when I'm riding my road bike because not too much pounding. It used to get real bad when I rode my mountain bike alot. Opening cans with a can opener was horrible. I went in the hand ortho doc and he took xrays and says I have thumb joint (dont know the technical term) instability. The bones overlap and rub. This was really bad for a couple of years. I avoid some things. I bought an electric can opener etc. For some reason, last year this started to get better, i.e. it does not hurt as much. I'm not sure why? I rode my road bike a lot. I don't like the shifters where you have to push the lever on mountain bikes, that will hurt my hand.

Oh, the doc's recommendation was to have surgery to take a ligament/tendon?? out of another place in my body and place it there at the thumb joint. Takes forever for it to heal and I just opted out of that since there was no way I wanted to be not able to use my hand for like at least a 6 month recuperation period!

I hope this is not what you have, but it could be. You can try different shifting on your bikes, i.e. grip shift, be careful about how you position your hands when you ride, etc.

[KnottedYet]

This company makes some nifty finger and thumb joint splints that work very well. SW - I'd look into these (through a hand therapist/occupational therapist) before getting the surgery.

http://www.silverringsplint.com/thumb_problems_pg2.html

I didn't get these splints, but the hand therapist who made my plastic splints wore a couple on her hands.

[rij73]

Ack! Spokewrench, you scared me! I also have a tough time with can openers. I bet I do have some kind of weakness in that joint. I always just put the thought out of my head, because it would wreak havoc on my life to have hand surgery. I do have the thumb lever shifters, and now I'm worried that I should have gone for a regular road bike setup. Hmmm...

[rij73]

KnottedYet: Thanks for your suggestions. A visit to LBS may be in order. I also like the look of those splints! I just emailed them to see if they could suggest a hand therapist in my area. I'm thinking this is something I should definitely get checked out. The more I think about it, the more I realize that I've always had a bit of a problem gripping things: umbrellas, can openers, etc. It's never affected my playing, though, so I never worried about it much.

[KnottedYet]

That joint bends inward, like for grip. It won't bend much sideways, like when you play or type, so it shouldn't mess with playing piano.

A hand therapist can also teach you hand posture (there really is such a thing!) and exercises to strengthen the muscles that support the joint.

Hand therapy is pretty cool stuff!

[copaiba]

I'm a painter/artist and my right thumb/forearm was in such pain when this post originated - oh my god - I couldn't support any body weight on the bike because of the radiating pain, let alone grip a brush or even turn my wrist either direction. With the help of a really good massage therapist, we were able to control the radiating pain until all that was left was an inflamed thumb joint. She theorized that the bursa in that joint was staying inflamed(almost a month!) and thought I should try regular Ibuprofren (I "did" 800 mg). I hate medicating and would rather go to the root of each evil but after 3 days of 800 mg 2 times a day, I can use my arm, wrist, thumb - I can grip and pull !
I'm still massaging and stretching the area. But sometimes pain just exacerbates the original problem, ya know?

[SadieKate]

I'm going to go back to my question in your previous post about when the pain occurs. Seems like when you are using the bar ends, no pain? And when you don't, there is pain? I'm wondering if your wrist and hand are not in a neutral position. I find the standard 3-5 degree bend bars excruciating. I'm also wondering if your customized bar set up is placing odd pressure on joints.

http://forums.teamestrogen.com/showt...hlight=pianist

[Kano]

So, MY thumbs, particularly the right hand one, which once upon a time got broken and torn ligaments, so isn't quite as mobile as the left one, get very sore when:

I ride down "MY" hill, which needs me to ride the brakes too much -- the reach is a bit much, and I tend to put more weight/pressure on my hands when descending.

Hurts like a bugger when I've been doing this, but it gets better if I avoid that particular ride for a while, until the next time I do it.

When it bothers me, cuz I'm using that hill for practice, so I need to come down it after I go up it, of course, I wear my bike glove on that hand while sleeping -- it keeps my hand warm, and supports the sore thumb. I could probably get some sort of splint for those painful days, but the glove is working for me, and I've already got it -- don't need to spend money on something else...

Soon, I'll find a few hours to go spend time with my LBS guys, and have something done with my brakes to make them fit my hands better! It'll also help to get better at riding down my hill -- so I'll practice, y'know?

Karen in Boise