Osteoarthritis of the First CMC Joint: What a Pain in the Thumb! - PT05

Osteoarthritis of the First CMC Joint: What a Pain in the Thumb!

by Terri Buck Glass, PT and Ann Elsasser-Root, PT, DPT and Laurel Koss, MS, OTR/L
(4.4 / 1852 ratings )

This course is credentialed for:
Physical Therapy (1.00 Hour(s))

Price: $19.00
CE-PRO Price: $9.50


We tend to take our thumbs for granted; that is, until they hurt. With an injury or loss of use of a thumb, there is a 20% loss of ability to perform normal activities such as opening lids, tying shoes, and even shaking someone’s hand. A painful thumb restricts a person’s independence. Osteoarthritis (OA) of the thumb, specifically of the carpometacarpal (CMC) joint, is a common cause of pain and functional limitations. Because there is no cure for arthritis, the primary treatment is patient education. This module outlines techniques for physical and occupational therapy professionals to employ to manage symptoms and perhaps slow the progression of joint changes.


The goal of this educational program is to provide PT and OT professionals with information about the pathophysiology, incidence, treatment options, and postoperative management of first CMC joint OA.
After taking this course, you should be able to:
  • Describe the anatomy of the CMC joint of the thumb.
  • Recognize three clinical findings commonly seen in CMC osteoarthritis.
  • Describe four joint-sparing techniques.
  • Discuss four conservative treatment options.
  • Describe how therapy practice can increase the risk of thumb injury and methods to reduce this risk.

Approval Information
Relias LLC (formerly OnCourse Learning) is an approved sponsor by the New York State Education Department of CE for physical therapists and physical therapist assistants from 6/11/2019 to 6/10/2022.
This activity is provided by the TX Board of PT Examiners Accredited Provider 2202008TX for 02/01/2019 to 02/28/2022 and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE.
OnCourse Learning is recognized by the Physical Therapy Board of California as an approved reviewer and provider of continuing competency courses for the state of California for 4/5/10 to 12/31/18. Relias LLC is recognized by the Physical Therapy Board of California as an approved reviewer and provider of continuing competency courses for the state of California as of 1/1/2019.
Relias LLC (formerly OnCourse Learning) is a licensed physical therapy continuing education sponsor (#216.000290) with the Illinois Department of Financial and Professional Regulation from October 2018 through September 30, 2020.
Other states may accept this course for meeting their CE requirements. Check with your state association or board.

Course Originally Released on: 10/13/2008
Date of Most Recent Review: 3/27/2020
Course Termination/Update Date: 4/30/2023


Unless stated above, the planners and authors of this course have declared no relevant conflicts of interest that relate to this educational activity. Relias LLC guarantees this educational activity is free from bias.

Please see CE Course Instructions to learn how to earn CE credit for this module.


For Florida professionals:

This course completion will be electronically reported to CE Broker as required per Florida Statute 456.025(7). Click here to view your CE Broker transcript and check the status of your CE requirements with a FREE 7-day CE Broker trial subscription. It may take up to 24 hours for the course to appear on your CE Broker transcript.

It is now required that all CE is completed and reported to CE Broker before you renew your license. When you complete continuing education with us, OnCourse Learning will report your hours for you.

Read more about the new license renewal process at AreYouRenewalReady.com and claim your free Basic Account in CE Broker to see what has already been reported for you.

Please check the licenses/certifications section under my account (after logging in) to make sure you have entered a valid FL license number. This information is required for correct reporting of your course completions to CE Broker.


Reports to CE Broker


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Kenneth S - Ceresco, MI  ·  May 27, 2020
It was clear and straight forward.
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Natnael A - BALTIMORE, MD  ·  May 22, 2020
excellent source of information
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Linda D - Philadelphia, PA  ·  May 21, 2020
Very. Informative course.
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Scott D - Sunnyvale, CA  ·  May 20, 2020
Learned a great deal.
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Monique B - Baltimore, MD  ·  May 19, 2020
Very informational and informative
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Price: $19.00
CE-PRO Price: $9.50