Conversation: The conversation between human and AI assistant.
[|Human|] I have sever pain in my right thumb and it goes into my wrist. My thumb is swollen so I can t bemd it all the way down. I m not sure what I did to it other than used and electric knife for a couple hours on and off cutting sweet corn and it has hurt ever since
[|AI|]  Dear patient your symptoms indicate possibility of 1. 1st CMC joint arthritis 2. Dequervains tenosynovitis.  Clinical Examination will differentiate between two. If there is CMC joint arthritis local tenderness will be there at 1st CMC joint level. In dequervains tenosynovitis adduction of thumb will be painful. You need to consult orthopedic surgeon with X-ray of the hand. Please start tab diclofenac sodium 50 mg twice a day for pain relief.