Thumb UCL sprains, also known as Gamekeeper’s thumb, are a common type of injury affecting the soft tissues of the thumb. This condition is usually caused by a sudden force or trauma applied to the thumb, causing it to bend abnormally and stretch the UCL ligament responsible for stabilizing the joint. Thumb UCL sprains may trigger significant pain, swelling, and loss of range of motion, which can significantly hamper your daily activities. To treat Thumb UCL sprains, it is crucial to diagnose the condition early and initiate the appropriate treatment options. In this article, we will provide you with a comprehensive guide to the different stages of Thumb UCL sprains and the most effective treatment options, such as physiotherapy and chiropractic care.
Stage 1: Mild Thumb UCL Sprains
Stage 1 Thumb UCL sprains are the least severe form of this injury. They usually cause mild to moderate pain, swelling, and tenderness around the base of the thumb. In most cases, you may still have full range of motion in your thumb. However, you may notice that your thumb feels weak and unstable, and you may have difficulty performing certain activities that involve gripping or pinching.
The most common recommended treatment options for mild thumb UCL sprains are rest, ice, compression, and elevation (RICE). This entails abstaining from any activities that may aggravate the condition, applying ice to the affected area for 15-20 minutes every two hours for 24-48 hours, wearing a supportive splint or brace, and elevating your hand above heart level to reduce swelling. You can also use over-the-counter pain relievers, such as ibuprofen or acetaminophen, to manage any pain or discomfort. Physiotherapy and chiropractic care may also help reduce inflammation, increase range of motion, and strengthen the soft tissues around the thumb.
Stage 2: Moderate Thumb UCL Sprains
Stage 2 Thumb UCL sprains are more severe than Stage 1, and they can cause more significant pain, swelling, and instability in your thumb. You may also have difficulty bending or straightening your thumb, and it may appear deformed, swollen, and bruised. In some cases, you may also hear a “popping” or “clicking” sound when moving your thumb.
The recommended treatments for moderate Thumb UCL sprains are similar to those for Stage 1, but they may need to be more aggressive. If RICE methods fail, your healthcare provider may recommend a corticosteroid injection to reduce inflammation and pain. You may also require physiotherapy and chiropractic care to improve range of motion, stability, and strength in your thumb. In some cases, surgery may be required to repair the torn ligament and restore proper alignment and function in your thumb.
Stage 3: Severe Thumb UCL Sprains
Stage 3 Thumb UCL sprains are the most severe form of this injury. They cause significant damage to the UCL ligament, resulting in severe pain, bruising, swelling, and deformity in your thumb. You may also experience numbness or weakness in your hand and arm, and you may have difficulty gripping or lifting objects.
Treatment options for severe Thumb UCL sprains may include immobilization of the thumb with a splint or cast, surgery to repair or reconstruct the torn ligament, and physiotherapy and chiropractic care to help restore function, range of motion, and strength in your thumb. It is essential to seek immediate medical attention if you experience severe pain, swelling, or deformity in your thumb to avoid complications or permanent damage to your hand and wrist.
Thumb UCL sprains can be a nuisance and significantly affect your daily life if not treated early and properly. The most effective treatments for Thumb UCL sprains, regardless of the stage, include rest, ice, compression, and elevation, and patients should consider attending physiotherapy and chiropractic care sessions. However, always seek medical attention, whether the matter appears minor or severe, to avoid complications that may affect your daily routines. Remember to always practice preventive measures to avoid injuries by exercising and conditioning your hands and fingers to improve their balance and coordination. Consult with a healthcare professional if you experience any symptoms or signs indicative of a thumb UCL sprain.
If you have any questions or would like to explore further, please book a free, no-charge online appointment. Sakshi Rupani, BPT, PT, is a physiotherapy practitioner in Kitchener.
