Welcome to Veda Medical, a leading healthcare provider dedicated to delivering comprehensive care for various medical conditions. Among the conditions we specialize in is Carpometacarpal (CMC) Boss, a unique and often challenging condition affecting the hand.

Carpometacarpal Boss, also known as carpal bossing or carpal boss syndrome, is characterized by a bony prominence or bump on the back of the hand near the base of the thumb. This bump is caused by the enlargement of the carpal bones, specifically the metacarpal bone and the trapezium bone.

Individuals with Carpometacarpal Boss may experience localized pain, tenderness, swelling, and limited mobility in the affected hand. The condition can interfere with daily activities and reduce overall hand function, causing discomfort and impacting the quality of life.

At Veda Medical, our team of skilled physicians, surgeons, therapists, and support staff specializes in diagnosing, treating, and managing Carpometacarpal Boss. We understand individuals’ challenges with this condition and are dedicated to providing personalized and evidence-based care to alleviate symptoms and restore hand function.

Our approach to Carpometacarpal Boss begins with a thorough evaluation, including a comprehensive medical history review and a physical examination. We may also employ diagnostic imaging, such as X-rays or magnetic resonance imaging (MRI), to assess the structural abnormalities and confirm the diagnosis.

Once diagnosed, our team will work closely with you to develop a customized treatment plan that addresses your needs and goals. Treatment options for Carpometacarpal Boss may include conservative measures, such as pain management, splinting, and hand therapy to improve hand strength and function.

In cases where conservative treatments do not provide sufficient relief or if there are significant functional limitations and persistent symptoms, surgical intervention may be recommended. Our experienced surgeons specialize in various surgical techniques, including excision of the bony prominence, to alleviate pain and restore hand function.

Our team will provide comprehensive support throughout your treatment journey, including post-operative care, rehabilitation, and guidance on lifestyle modifications to promote optimal healing and recovery. We believe in a patient-centered approach, prioritizing your well-being and ensuring you are actively involved in decision-making.

By choosing Veda Medical, you entrust your care to a compassionate and skilled team committed to improving your quality of life. We strive to deliver exceptional care, utilizing the latest advancements in medical technology and tailoring our treatments to your unique needs. Experience our commitment to excellence as we work together to alleviate symptoms, restore hand function, and help you regain the comfort and mobility you deserve.

What is Carpometacarpal Boss

Carpometacarpal (CMC) Boss, also known as carpal bossing or carpal boss syndrome, is characterized by a bony prominence or bump on the back of the hand near the base of the thumb. This condition typically occurs at the joint where the metacarpal bone of the thumb connects with the trapezium bone of the wrist.

The exact cause of Carpometacarpal Boss is not fully understood. It is believed to result from repetitive stress or trauma to the joint, leading to excess bone formation. The bony prominence that forms can vary in size, ranging from small and barely noticeable to larger and more pronounced.

Individuals with Carpometacarpal Boss may experience localized pain, tenderness, swelling, and limited mobility in the affected hand. The bump may be sensitive to touch or pressure and can interfere with activities involving gripping or grasping objects. The symptoms can vary in intensity and may worsen with certain movements or activities.

While a Carpometacarpal Boss can be visually noticeable, it is important to differentiate it from other conditions that may cause a similar appearance, such as ganglion cysts or joint osteoarthritis. A proper diagnosis is essential to determine the most appropriate treatment approach.

Treatment options for Carpometacarpal Boss depend on the severity of symptoms and their impact on daily activities. In mild cases where symptoms are minimal, conservative measures may be recommended. These may include pain management techniques, such as over-the-counter pain medications or localized corticosteroid injections to reduce inflammation and alleviate discomfort.

Splinting or bracing the affected hand can also provide support, relieve pressure, and improve symptoms. Additionally, hand therapy exercises and stretching can help strengthen the hand muscles and improve overall hand function.

In cases where conservative measures do not provide sufficient relief or if there are significant functional limitations and persistent symptoms, surgical intervention may be considered. The goal of surgery is typically to remove the bony prominence and alleviate pain. Surgical techniques can vary, and the specific approach will depend on factors such as the size and location of the prominence, as well as the individual’s overall hand health and functional goals.

If you suspect you have Carpometacarpal Boss or are experiencing symptoms in the base of your thumb, it is important to consult with a healthcare professional for an accurate diagnosis and appropriate treatment options. They can evaluate your condition, provide a personalized treatment plan, and guide you toward the most effective interventions to relieve your symptoms and improve your hand function.

Signs and Symptoms of Carpometacarpal Boss

The signs and symptoms of Carpometacarpal (CMC) Boss can vary from person to person, depending on the size and location of the bony prominence. Here are some common signs and symptoms associated with Carpometacarpal Boss:

1. Visible Bump or Lump: The most apparent sign of Carpometacarpal Boss is the presence of a visible or palpable bony bump on the back of the hand near the base of the thumb. This bump can vary in size and may be more noticeable when the hand is flexed or extended.
2. Localized Pain or Discomfort: Many individuals with Carpometacarpal Boss experience pain or discomfort at the site of the bony prominence. The pain may be described as a dull ache, tenderness, or throbbing sensation. It can be aggravated by activities that involve gripping, grasping, or repetitive hand movements.
3. Limited Range of Motion: The bony prominence associated with the Carpometacarpal Boss can restrict the normal range of motion of the thumb and hand. Individuals may experience stiffness or reduced flexibility, making performing certain movements or tasks challenging.
4. Swelling and Inflammation: In some cases, Carpometacarpal Boss may cause localized swelling and inflammation around the bony prominence. This can result in a visible redness or puffiness in the affected area.
5. Tenderness to Touch: The bony prominence may be sensitive to touch or pressure. Pressing or applying pressure to the bump may elicit discomfort or pain.
6. Weakness or Difficulty with Gripping: In more advanced cases, Carpometacarpal Boss can lead to weakness or decreased grip strength. This can affect the ability to hold objects firmly or perform tasks that require manual dexterity.

It’s important to note that some individuals with Carpometacarpal Boss may not experience symptoms or only have mild discomfort. Others may have more pronounced symptoms that significantly impact hand function and quality of life. If you suspect you have Carpometacarpal Boss or are experiencing any of the mentioned signs and symptoms, it is advisable to consult with a healthcare professional for an accurate diagnosis and appropriate treatment options. They can evaluate your condition, provide personalized advice, and recommend interventions to alleviate your symptoms and improve your hand function.

Treatment Options For Carpometacarpal Boss

The treatment options for Carpometacarpal (CMC) Boss depend on the symptoms’ severity and impact on daily activities. Treatment aims to alleviate pain, improve hand function, and enhance overall quality of life. Here are some common treatment options for Carpometacarpal Boss:

Conservative Measures:

• Pain Management: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) or prescribed pain medications can help alleviate pain and reduce inflammation in the affected area.
• Splinting or Bracing: Wearing a splint or brace may help support and immobilize the thumb and wrist, reducing strain on the bony prominence. Splinting is often recommended during activities that exacerbate symptoms or at night to alleviate discomfort.
• Hand Therapy: Working with a certified hand therapist can improve hand strength, range of motion, and overall hand function. Therapists may recommend exercises, stretches, and techniques to relieve pain, enhance grip strength, and optimize hand function.

Corticosteroid Injections:

• A healthcare professional can administer corticosteroid injections to reduce inflammation and alleviate pain in the affected area. These injections are typically used for short-term relief and may be repeated if necessary.

Surgical Intervention:

• Surgical intervention may be considered when conservative measures do not provide sufficient relief or if symptoms are severe. The surgical procedure will depend on factors such as the size and location of the bony prominence, the individual’s symptoms, and functional goals.
• Excision of the Bony Prominence: This surgical procedure involves removing the bony prominence from the hand. It aims to alleviate pain, reduce pressure on surrounding tissues, and restore hand function. Depending on the specific case, the surgery can be performed using minimally invasive techniques or open surgery.

Treatment choice will depend on the severity of symptoms, functional limitations, and individual preferences. It is important to consult a healthcare professional specializing in hand conditions for an accurate diagnosis and personalized treatment plan.

In addition to these treatment options, lifestyle modifications and ergonomic adaptations may be recommended to reduce stress on the hand and minimize symptoms. This may include practicing good hand and wrist posture, avoiding repetitive or excessive hand movements, and using ergonomic tools and equipment.

Working closely with your healthcare provider to determine the most appropriate treatment approach for your Carpometacarpal Boss is important. They will consider your specific symptoms, functional goals, and overall health to develop a treatment plan that addresses your needs and enhances your quality of life.

Question & Answer

Question: What is Carpometacarpal (CMC) Boss? 

Answer: Carpometacarpal Boss, also known as carpal bossing or carpal boss syndrome, is characterized by a bony prominence or bump on the back of the hand near the base of the thumb. This bump is caused by the enlargement of the carpal bones, specifically the metacarpal bone and the trapezium bone.

Question: What are the symptoms of Carpometacarpal Boss? 

Answer: The symptoms of Carpometacarpal Boss can vary but commonly include localized pain, tenderness, swelling, limited range of motion, and potential weakness or difficulty with gripping. The severity of symptoms may vary among individuals.

Question: What causes Carpometacarpal Boss? 

Answer: The exact cause of Carpometacarpal Boss is not fully understood. It is believed to result from repetitive stress or trauma to the joint, leading to excess bone formation. Other factors, such as genetic predisposition or underlying conditions, may also play a role.

Question: How is Carpometacarpal Boss diagnosed? 

Answer: Diagnosis of Carpometacarpal Boss typically involves a physical examination by a healthcare professional, including an evaluation of the hand and thumb area. In some cases, imaging tests such as X-rays or magnetic resonance imaging (MRI) may be ordered to confirm the presence and extent of the bony prominence.

Question: Can Carpometacarpal Boss be treated without surgery? 

Answer: Yes, in many cases, conservative measures such as pain management techniques, splinting, and hand therapy exercises can help manage symptoms and improve hand function. These non-surgical treatments are typically recommended as initial approaches before considering surgical intervention.

Question: When is surgical intervention recommended for Carpometacarpal Boss? 

Answer: Surgical intervention for Carpometacarpal Boss is considered if severe, persistent symptoms significantly impact hand function and quality of life. It may also be recommended if conservative treatments fail to provide adequate relief or if there is evidence of worsening symptoms or structural damage.

Question: What does the surgical procedure for Carpometacarpal Boss involve?

Answer: The surgical procedure for Carpometacarpal Boss typically involves removing the bony prominence through surgical excision. The specific technique used will depend on factors such as the size and location of the prominence, as well as the individual’s overall hand health and functional goals. The procedure can be performed using minimally invasive techniques or through open surgery.

Please note that the answers provided are for informational purposes only and should not replace professional medical advice. It is important to consult with a healthcare professional for an accurate diagnosis, personalized advice, and appropriate treatment options based on your specific condition and needs.

Other Services We Provide

• Bursitis
• Carpal Tunnel Syndrom
• Cubital Tunnel Syndrome
• Dupuytren’s Contracture
• Fingers
• Ganglion Cysts
• Nail Bed Injuries 
• Nerve and Tendon Injuries
• Power Saw Injuries
• Psoriatic Arthritis and Rheumatoid Arthritis
• Scaphoid Union and Non-Union
• Stiffness in the Hand and Wrist
• Thumb
• Trigger Finger, and Jammed and Mallet Finger
• Wrist Facture
• Wrist Sprain

Meet Dr. Mohan

Board Certified in Plastic and Reconstructive Surgery Fellowship Trained in Hand, Wrist, and Microsurgery. Dr. Pradeep S. Mohan is a highly-skilled, Board Certified Plastic and Reconstructive Surgeon. After completing his General Surgery Residency at Seton Hall University, he attended Yale University and Southern Illinois University to complete fellowships in Hand and Microsurgery and Plastic and Reconstructive Surgery. He has received extensive training in all aspects of Cosmetic Surgery and Non-Surgical Rejuvenation. 

Dr. Mohan takes pride in his work, and his patients love him for his transparency, excellent bedside manner, and ease of explanation of the procedures. He believes in having educated and informed patients. Dr. Mohan is known for his individualized and comprehensive treatment plans and dedication to perfection, resulting in total patent satisfaction. He is here to help you achieve your desired goals.

Contact Us Today!

Are you ready to regain optimal hand and wrist function, alleviate pain, and enhance your quality of life? Look no further than Veda Medical, where our experienced team of hand specialists is dedicated to providing exceptional care and personalized treatment options. We are committed to delivering outstanding outcomes with our expertise in hand and microsurgery, state-of-the-art facilities, and compassionate approach. Contact Veda Medical today to schedule a consultation and take the first step towards restored hand and wrist health. Let us be your trusted partner on your journey to improved function, comfort, and a brighter future.

Phone: 210-566-8332/210-361-6617

Email: office@vedamedical.com