Conversation: The conversation between human and AI assistant.
[|Human|] hi ... i have pain in my left hand on the base of my thumb i belive it is called thenor ... i even have a hard time to pick anything up or open a bottle ... it started 4-5 month ago but i thought it is maybe a pinched nerve and will go away ,... but last couple pf days got more pain.... i work 7 days a week using my hand every day .. i have a cleaning business scrubb all day long... anything i can do ? i have put my hand in paraffin wax looks like the heat helps...
[|AI|]  Dear patient what is your age? Pain at the base of thumb if happens in elderly patients above 60 years of age likely cause is 1st carpometacarpal joint arthritis. This is age related degenerative arthritis. If you are younger age likely cause of pain is dequervains tenosynovitis. In this condition there is inflammation of the synovial layer of first dorsal wrist compartment. Hot wax bath relieves pain in both conditions. Diagnosis can be confirmed on X-ray of the hand. If there is arthritis joint space reduction will be seen on X-ray. You need to consult hand specialist for detailed assessment.Meanwhile, start tab attract twice a day for pain relief. Continue hot wax bath.