Conversation: The conversation between human and AI assistant.
[|Human|] I was in an autombile accident and my thumbs were sucked throught the airbags on impact. Besides a brain injury I have aching and at times sharp pain in the base of both my thumbs and to the wrists large arthritic lumps like arthritus I have little strength its hard to maneuver zippers and buttong. I live with pain and am not sure if their is homeopathic remedies and excercise I can do it hurts to press down. Please help me.
[|AI|]  Hi, thank you for providing the brief history of you. As mentioned that you had a brain injury in the past and now the pain is in the base of the thumb a thorough neuromuscular assessment is advised. Also, since the pain is in the base of the thumb, after a Neuromuscular assessment it will be possible to comment if it was due to the brain injury or a pathology of the tendon. Also, for this, you can take a physical therapy which will help improve in the functional ability of your hand to function. The therapist will provide you Therapeutic ultrasound therapy and TENS therapy for reducing the inflammation and pain. As hand is a complex structure it needs a precise understanding of the injury and also the precise rehabilitation plan to get the maximum functional Mobility of the hand. You may have pain which can be related to neuropathic or may be just a tendonitis. For both of it, physical therapy can help you to regain the strength and mobility. RegardsJay In Chat Doctor.