Pain at the base of the thumb

Analgesia 1 : -Paracetamol and topical non-steroidal anti-inflammatory drugs (NSAIDs) are first line analgesics -When paracetamol and topical NSAIDs prove ineffective, consider oral NSAIDs. Because of the risk of side effects, these drugs should be used at the lowest effective dose for the shortest...

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Bibliographic Details
Published in:BMJ (Online) 2015-02, Vol.350 (feb03 5), p.h182-h182
Main Authors: Dickson, David Robin, Dickson, Claire C L, Farnell, Robert
Format: Article
Language:English
Subjects:
10-MINUTE CONSULTATION
Analgesics
Arthritis
Carpal tunnel syndrome
Female
Finger Joint
Fingers & toes
Humans
Joint Diseases - complications
Joint Diseases - diagnosis
Middle Aged
Pain - etiology
Pain Management - methods
Patients
Physical Examination - methods
Surgery
Thumb
Trauma
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Summary:Analgesia 1 : -Paracetamol and topical non-steroidal anti-inflammatory drugs (NSAIDs) are first line analgesics -When paracetamol and topical NSAIDs prove ineffective, consider oral NSAIDs. Because of the risk of side effects, these drugs should be used at the lowest effective dose for the shortest possible time -Use topical capsaicin as an adjunct Steroid injections provide at least short term benefit in 76% of patients, 3 so consider as an adjunct to non-operative management in patients with moderate to severe pain. 1 Referral to a hand surgeon may be needed for this.
ISSN:0959-8138
1756-1833
1756-1833
DOI:10.1136/bmj.h182