An orthopaedic surgeon has highlighted a simple 'pinch' test that could help identify arthritis symptoms in the hands, a condition he describes as 'very debilitating'. Dr Tom Naylor, speaking on BBC Morning Live, explained that while arthritis is commonly associated with hips and knees, the hands are often overlooked despite causing significant daily disruption.
Dr Naylor focused on the Carpometacarpal (CMC) joint at the base of the thumb, where cartilage can wear away over time, leading to pain, stiffness, and even deformity. He noted that this type of arthritis affects everyday activities such as holding a mug or plate. The 'pinch' test involves pressing the thumb and index finger together; if this causes soreness, it may be a sign to consult a GP.
For those experiencing thumb pain, Dr Naylor recommended a 'stepwise approach' to treatment, starting with non-surgical options like hand therapy or altering grip techniques. He suggested using a 'power grip' instead of pinching—for example, holding a mug with the whole hand and supporting it with the other hand underneath, taking care to avoid burns.
Dr Naylor distinguished between osteoarthritis, often linked to cartilage wear and genetic factors, and rheumatoid arthritis, an inflammatory condition where the immune system attacks the joints. He stressed the importance of an accurate diagnosis, as symptoms vary between types. The test and advice aim to help people identify potential issues early and explore conservative treatments before considering surgery.
