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To start, my surgeon couldn't say for sure if my years of bass playing contributed to or caused my thumb arthritis. However, he didn't rule it out either. He did say that the more joints get used over the years the more wear and tear can lead to these types of problems. On a more positive side he said that "IF" I could still play afterwards, it would possibly be good recovery therapy for me. Also, be advised that there are many different procedures for this and whatever is proposed to you may be different than what I had done. If so, you should discuss that with your surgeon.
For anyone suffering from Basal joint arthritis and is either considering or putting off surgery, I thought I'd post my journey here for anyone who wants to know about what's involved. I had my left thumb done on 06/13/2023. At age 71 I've played bass/guitar since 1969. Thumb arthritis in both hands, but worse in the left which because I'm a southpaw is my dominant hand. However, I play righty. Because thumb arthritis is always bilateral, I'll be facing another procedure for my right hand down the road. I got to the point where steroid injections. pills, and braces finally stopped providing relief so surgery was/is my only option left.
My surgeon used the
Hammock ligamentoplasty procedure.
The Trapezium bone is removed along with any bone chips or bone spurs and a "hammock" is built from surrounding tendons to support the rest of the thumb. From what I understand about that procedure, the recovery time is quicker than other methods and requires less harvesting of tendons. I was out during the procedure. I believe they used propofol for that. They also did a nerve block on my arm. I was given a choice of a full arm block from the shoulder down, or just the arm only. I went with arm only which was just above my elbow to the ends of my fingers. IOW ya can't feel nothing. That alone is strange. The surgery took roughly 90 minutes and was performed as an outpatient in a surgery center
After surgery a temporary cast is placed over the forearm, wrist, and hand leaving the fingers and just the tip of the thumb exposed. A big foam block is added to help in keeping the arm/hand elevated and also as a little bit of cushioning so that I don't bash it against things. Because of the nerve block your arm is pretty much it's going to be flopping around and you don't have any feeling in it so you could hurt yourself. At roughly 4 days post-op, I could remove the foam block and use a sling for limited periods of time. As you can imagine, being one handed is a big PITA. Also, it's not the easiest thing to deal with that big piece of foam around your forearm. Sleeping was difficult due to the size of the block. I think the block was made out of Barney recycled or a failed attempt by Minecraft Steve to develop a new arm type. The cast they put on after surgery will come off on around 7 days post-op. Apparently they will replace it with some type of removable splint that I can take off if I need to shower or whatever and I cannot wait for that. You can't get the temporary cast wet at all, so no showers.
*** Trust me when I say you WILL need help doing even the simplest things post-op. Full time help from Family or friends IS ESSENTIAL possibly for two or more weeks depending on your speed of recovery. If you are considering this type of surgery I highly suggest you spend a few days prior to making a decision by taking your dominant hand and putting it in a temporary sling and see how you do one-handed with almost every single everyday task. Even the most simple ones (like me typing this) will become difficult and show you why you'll need post-op help ***
Since you can't shower, I was able to find some very good no water shower wipes that worked great while I couldn't shower with water.
https://www.amazon.com/dp/B09KQTTP7W?psc=1&ref=ppx_yo2ov_dt_b_product_details
Or, you could use these cast covers and shower with them on. They also work real good. I used them after my cast was removed and they worked perfectly.
https://www.amazon.com/gp/product/B078Q7WJSG/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1
Be advised that these are not affiliate links, I make zero by suggesting these. Just trying to help others.
I Had my daughter use her spray dry shampoo on my long old hippie hair. She has to brush that mess out and get my hair tie on till I can use my hand again.
6 days post-op Hard cast removed, X-rays to check that everything is in the proper position. A SPICA splint was placed which I can remove to shower. YAY! Still have pain but can move my fingers into a fist fairly easily but not without pain and stiffness. Doctor says that's awesome for only 6 days post-op, but don't move the thumb too much as it needs to stabilize. FWIW, I started gently moving my fingers right after coming home from surgery. A little bit at a time, baby steps so to speak. I have some swelling around the incision area that's tender and painful. Which is to be expected after having a bone and bone chips removed and tendons moved and adjusted. I'm Restricted from grabbing motions or otherwise using that thumb or hand till the Doc clears it. No set time yet. Typing one handed sucks LOL I find myself Using my hand without thinking about it. You can't go decades of using your hand and then all of a sudden just stop without having a slip-up here and there.
**** disclaimer - some people, especially those with weak stomachs, might find these pictures difficult to view. But rest assured any horror movie or TV show is far worse than these pictures, but I feel the need to warn anyways. ****
Here's journey in pictures. I wanted to post them so if anyone needs to know what's involved, they can see.
The following are 6 days post-op. I bruise easily so it looks far worse than it is.
I'll keep everyone posted on my recovery. If you have questions feel free to PM me.
Thanks
60bass