- Arthritic pain in thumbs and wrist likely caused by osteoarthritis due to wear and tear in cartilage.
- Steroid injections are not significantly more effective than a placebo for this type of pain, but topical NSAID treatments have shown to be helpful.
- NSAID gel containing ibuprofen or diclofenac has been shown to be safe in the long-term, even for high-risk patients.
- Surgical options to replace damaged joints may be considered as a last resort, but this could lead to advising early retirement.
- VO2 max measurement is a test of cardiovascular fitness that measures how efficiently the body takes up oxygen during exercise, and low levels may be influenced by medical conditions or medications.
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Rheumatology, Family Medicine