Monday, April 15, 2019

Ouch!!--Pain at the Base of the Thumb

  Pain and soreness at the base of the thumb may be De Quervain’s tendonitis. Tendons at the bottom of the thumb are irritated, inflammed, and constricted.
There may be swelling, tenderness to touch, and moving or using the thumb is painful. Turning the wrist or gripping something will hurt.
This is called De Quervain’s tendonitis, and it is often caused by repetitive motions or overuse of the hand, wrist & thumb. Tendons attach muscles to bone; repetitive uses of the hand / wrist / thumb, such as gripping, twisting, wringing, chopping, etc., irritates the tendons & causes the inflammation.  
As with other inflammatory conditions, ice is your friend. Protecting the inflammed tendons is key, so limit usage to allow healing. Application of anti-inflammatories such as arnica, as well as ice, is helpful.

Monday, April 8, 2019

Medicare Advantage Plans

Medicare recipients have an option of buying private insurance outside of Medicare, often called “Advantage” plans. These plans are offered by private companies that contract with Medicare, and often include benefits not provided by regular Medicare, such as vision, dental, etc.
This type of private insurance plan must conform to the rules of Medicare--such as limiting charges for certain services--but is administered by Blue Cross, United Health, or other private companies. Patients still have the rights and protections provided under original Medicare.