Inclusion Criteria:  Age >= 40 years old  Patients undergoing arthroplasty of the first CMC joint including:  Trapeziectomy with LRTI Simple Trapeziectomy Suspensionplasty (suture vs. APL)  Exclusion Criteria:  Patients < 40 years of age Patients who have undergone prior surgical procedures on the thumb base Patients with history of prior procedure at the base of thumb, or those with plan for concomitant carpal tunnel release or thumb metacarpophalangeal (MCP) arthrodesis, will be excluded. Concomitant carpal tunnel surgery may skew outcome surveys, and an arthrodesis procedure will warrant a longer length of immobilization following procedure. Those undergoing implant arthroplasty Patients with a diagnosis of inflammatory arthritis Patients with diagnosis of hypermobility syndrome