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Why Does My Thumb Hurt When I Overuse It?

Published in Thumb Pain 3 mins read

Your thumb hurts when you overuse it because repetitive motions can lead to inflammation in the thumb's joints and surrounding tissues. This inflammation is a primary cause of the pain and stiffness you experience.

Here's a more detailed explanation:

  • Inflammation: Overuse often causes inflammation, particularly in the tendons that move your thumb (tendonitis) or in the joints themselves (arthritis, capsulitis). This inflammation irritates the nerves in the area, leading to pain.

  • Repetitive Strain: Repeated actions, like texting, gaming, or certain work tasks, place excessive strain on the thumb. This strain can lead to microscopic tears and irritation within the tendons and ligaments.

  • Joint Overload: The thumb's carpometacarpal (CMC) joint, located at the base of the thumb, is particularly susceptible to overuse injuries. Excessive force or repetitive movements can overload this joint, leading to pain and potential cartilage damage.

  • "Texting Thumb" (De Quervain's Tenosynovitis): A common condition caused by overuse of the thumb is De Quervain's tenosynovitis. This involves the tendons on the thumb side of your wrist becoming inflamed and painful. This is often related to repetitive gripping, pinching, and twisting motions.

Factors Contributing to Thumb Pain from Overuse:

  • Poor Ergonomics: Incorrect posture or awkward hand positions while using devices or performing tasks can increase the strain on your thumb.

  • Lack of Rest: Not allowing your thumb adequate rest periods can prevent the tissues from healing properly, exacerbating inflammation and pain.

  • Underlying Conditions: Existing conditions like arthritis can make your thumb more vulnerable to overuse injuries.

What Can You Do?

  • Rest: Avoid activities that aggravate the pain. Give your thumb a break.
  • Ice: Apply ice packs to the affected area for 15-20 minutes several times a day to reduce inflammation.
  • Splint: Wearing a thumb splint can help immobilize the thumb and provide support.
  • Ergonomics: Improve your posture and hand positioning during activities.
  • Stretching and Strengthening: Perform gentle thumb stretches and strengthening exercises to improve its mobility and stability (after the acute inflammation subsides). Consider consulting with a physical therapist.
  • Medical Attention: If the pain persists or worsens, consult a doctor or other healthcare professional. They can assess your condition and recommend further treatment, such as medications or injections.

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