Thumb Arthritis Surgery with Dr. Brian Butzen in Durango, Colorado

Living with thumb pain can make everyday activities, like writing, opening jars, or even buttoning a shirt, unnecessarily difficult. Basal joint arthritis, also called thumb base arthritis or trapeziometacarpal arthritis, is a common culprit behind this pain. Since 2013, Dr. Brian Butzen, a fellowship-trained, board-certified orthopedic surgeon, has been helping patients in Durango, Colorado, and the surrounding areas regain their mobility and improve their quality of life.

Dr. Butzen specializes in treating thumb arthritis with both non-surgical and surgical options. Patients from Durango, Farmington, Pagosa Springs, and Cortez trust his expertise and dedication to personalized care. His focus is always on achieving the best outcomes, helping his patients return to their daily lives pain-free.

What Is Basal Joint Arthritis?

Basal joint arthritis occurs when the cartilage at the base of the thumb (in the trapeziometacarpal joint) wears away, causing pain, swelling, and stiffness. This condition is common in people over the age of 40 and can make tasks requiring grip or pinch strength particularly challenging.

Symptoms of Thumb Base Arthritis

  • Pain at the base of the thumb, especially during activities like gripping or pinching.

  • Swelling or tenderness around the base of the thumb.

  • Weakness in grip strength.

  • A grinding or clicking sensation when moving the thumb.

Check out this video that Doctor Butzen made on this topic. You can watch the same video on his YouTube channel by clicking here.

 
 



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When Is Thumb Arthritis Surgery Needed?

While many patients manage thumb arthritis with non-surgical treatments like splinting, injections, or therapy, surgery may be necessary if:

  • Pain persists despite non-surgical treatments.

  • Thumb movement is severely limited.

  • The joint has significant structural damage.

Dr. Butzen evaluates each patient carefully to determine whether surgery is the right choice.

Types of Thumb Arthritis Surgery

Dr. Butzen offers several surgical options for treating basal joint arthritis, each tailored to the patient’s condition and goals.

1. Ligament Reconstruction and Tendon Interposition (LRTI)

This surgery involves removing the damaged trapezium bone and using a tendon from the patient’s wrist to stabilize the joint. LRTI is one of the most common procedures for thumb arthritis and effectively relieves pain while preserving mobility.

2. Trapeziectomy and tightrope

A trapeziectomy involves removing the trapezium bone entirely. This procedure is often combined with other techniques to stabilize the thumb and reduce pain. Doctor Butzen prefers the “tightrope” procedure to suspend the thumb, which allows early range of motion and reliable healing with improved function and pain.

3. Thumb Joint Fusion

In cases where stability is the primary concern, Dr. Butzen may recommend fusing the bones in the thumb joint. While this procedure eliminates motion in the joint, it provides long-term pain relief and strength for activities like gripping.

Why Choose Dr. Brian Butzen for Thumb Arthritis Surgery?

Extensive Experience

Dr. Butzen has been practicing in Durango since 2013 and has treated countless patients with thumb arthritis. His fellowship training in hand and upper extremity surgery ensures he has the specialized knowledge needed to perform complex procedures with precision.

Personalized Care

Dr. Butzen takes the time to understand each patient’s unique challenges and goals. Whether you’re an artist in Durango or a rancher in Pagosa Springs, he tailors his treatment recommendations to your lifestyle.

Advanced Techniques

Dr. Butzen stays at the forefront of surgical advancements, using the latest techniques to provide effective, minimally invasive care. His goal is always to reduce pain, improve mobility, and help patients return to the activities they love.

Success Stories from Patients in the Four Corners Region

Dr. Butzen’s patients consistently share how his care has transformed their lives.

  • A retiree in Durango said, “I couldn’t hold a coffee cup without pain before surgery. Dr. Butzen’s care was excellent, and now I can enjoy my mornings again.”

  • A Farmington teacher shared, “Thumb arthritis made writing on the board unbearable. After surgery, I’m back to teaching without any discomfort.”

  • A Pagosa Springs rancher noted, “Dr. Butzen helped me get back to work quickly. I haven’t felt this strong in years.”

What to Expect from Thumb Arthritis Surgery

Before Surgery

Dr. Butzen begins with a thorough evaluation, including a physical exam and imaging studies. He’ll explain your surgical options in detail, answer your questions, and help you feel confident about your care plan.

During Surgery

Thumb arthritis surgery is typically performed under regional anesthesia, allowing patients to remain comfortable while avoiding general anesthesia. Most procedures take 1-2 hours, and patients can often go home the same day.

Recovery

Recovery times vary depending on the procedure, but most patients can resume light activities within a few weeks. Physical therapy is often recommended to restore strength and mobility. Dr. Butzen and his team will provide clear instructions to support your recovery.

Convenient Care for Durango and Beyond

Dr. Butzen sees patients at his main office in Durango and his satellite clinic in Pagosa Springs, making it easy for residents of Farmington, Cortez, and other nearby areas to access expert care.

Schedule Your Consultation

Don’t let thumb pain keep you from doing the things you love. Dr. Brian Butzen offers advanced surgical options for basal joint arthritis and personalized care to help you get back to your life. Call (970) 259-3020 today to schedule your consultation or visit [Brian Butzen MD’s website] to learn more.

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