{"id":84622,"date":"2025-08-04T15:58:57","date_gmt":"2025-08-04T21:58:57","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=84622"},"modified":"2025-08-04T15:59:27","modified_gmt":"2025-08-04T21:59:27","slug":"es-artritis-del-pulgar-que-hacer-cuando-las-actividades-cotidianas-son-dolorosas","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/es-artritis-del-pulgar-que-hacer-cuando-las-actividades-cotidianas-son-dolorosas\/","title":{"rendered":"Artritis del pulgar: Qu\u00e9 hacer cuando las actividades cotidianas son dolorosas"},"content":{"rendered":"
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\"La
La artritis del pulgar, que puede comenzar incluso a los 40 a\u00f1os, causa dolor en el pulgar y la palma de la mano. Sin embargo, existen medidas sencillas que pueden aliviar las molestias. Foto: Getty Images.<\/figcaption><\/figure>\n

Si las actividades cotidianas, como abrir un frasco, se han vuelto dolorosas, es posible que usted padezca artritis del pulgar.<\/p>\n

\u201cLa artritis del pulgar afecta a una de cada tres mujeres\u201d, dijo el Dr. Patrick Johnston<\/a>, cirujano ortop\u00e9dico en Steamboat Springs y miembro del personal m\u00e9dico en UCHealth Yampa Valley Medical Center<\/a>. \u201cTambi\u00e9n afecta a los hombres, aunque con menor frecuencia. En general, es una de las afecciones m\u00e1s comunes que lleva a los pacientes a la consulta”.<\/p>\n

A continuaci\u00f3n, Johnston describe lo que necesita saber sobre la artritis del pulgar.<\/p>\n

\u00bfCu\u00e1les son las causas de la artritis del pulgar?\u00a0<\/strong><\/h2>\n

La base del pulgar y la mu\u00f1eca se unen en la articulaci\u00f3n basal o CMC (articulaci\u00f3n carpometacarpiana), com\u00fanmente llamada articulaci\u00f3n en forma de silla de montar.<\/p>\n

\u201cCuando se pellizca con las yemas de los dedos, la fuerza en esa articulaci\u00f3n es trece veces mayor que en las yemas de los dedos\u201d, dijo Johnston. \u201cCon el paso de los a\u00f1os, se estira el ligamento que sujeta el pulgar a la articulaci\u00f3n del sill\u00edn, de modo que el pulgar ya no queda en el centro del sill\u00edn\u201d.<\/p>\n

Esto genera una carga adicional en el cart\u00edlago articular, el tejido fuerte y flexible que proporciona amortiguamiento a las articulaciones. Con el tiempo, ese cart\u00edlago puede desgastarse.<\/p>\n

\u201cLa artritis es la p\u00e9rdida progresiva de cart\u00edlago y es irreversible\u201d, dijo Johnston. \u201cComo la banda de rodadura de los neum\u00e1ticos, una vez que se desgasta, no se puede volver a colocar\u201d.<\/p>\n

La artritis del pulgar no se puede prevenir, pero la gen\u00e9tica influye: si uno de sus padres tuvo artritis del pulgar, usted tiene m\u00e1s probabilidades de padecerla.<\/p>\n

\u00bfC\u00f3mo se siente la artritis del pulgar?\u00a0<\/strong><\/h2>\n

La queja m\u00e1s com\u00fan es dolor en la base del pulgar al pellizcar objetos, especialmente al intentar abrir un frasco. El dolor tambi\u00e9n puede sentirse en la palma de la mano.<\/p>\n

La artritis del pulgar puede comenzar incluso a los 40 a\u00f1os. Con el tiempo, el dolor puede desaparecer por s\u00ed solo.<\/p>\n

\u201cCon el tiempo, el dolor de la artritis del pulgar tiende a mejorar\u201d, dijo Johnston. \u201cPuede tardar varios a\u00f1os, pero ese dolor puede desaparecer gradualmente. Sin embargo, no todos logran deshacerse del dolor\u201d.<\/p>\n

\u00bfEn qu\u00e9 consiste el tratamiento para la artritis pulgar?\u00a0\u00a0<\/strong><\/h2>\n

Cuando se trata de los tratamientos para la artritis<\/a>, el objetivo es aliviar el dolor.<\/p>\n

\u201cNo me ocupo de la radiograf\u00eda, sino del paciente\u201d, dijo Johnston. \u201cSi un paciente tiene artritis en la radiograf\u00eda, pero no siente dolor, nos alegramos. Me preocupa su nivel de dolor y c\u00f3mo afecta su vida. Quiero que los pacientes puedan vivir el estilo de vida que desean y har\u00e9 todo lo posible para ayudarlos a lograrlo\u201d.<\/p>\n

Para aliviar el dolor, Johnston recomienda sumergir la mano en agua tibia, tomar antiinflamatorios si se toleran y probar suplementos naturales como el jugo de cereza \u00e1cida y la c\u00farcuma, ambos con propiedades antiinflamatorias.<\/p>\n

Otra opci\u00f3n es usar una f\u00e9rula para el pulgar, dise\u00f1ada para sujetar el pulgar durante actividades que lo agravan, como la jardiner\u00eda y arrancar maleza.<\/p>\n

Si esos pasos no son suficientes, la inyecci\u00f3n de esteroides puede ayudar<\/a>. Y finalmente, se considera la cirug\u00eda.<\/p>\n

\u201cLa cirug\u00eda es una buena opci\u00f3n para pacientes que experimentan dolor lo suficientemente intenso como para afectar sus actividades diarias y su calidad de vida, y que no mejoran con las opciones de tratamiento conservador\u201d, afirm\u00f3 Johnston.<\/p>\n

Si bien existen muchas t\u00e9cnicas quir\u00fargicas para la artritis del pulgar, Johnston prefiere una que se utiliza desde la d\u00e9cada de 1940.<\/p>\n

\u201cEs una t\u00e9cnica de eficacia comprobada con excelentes resultados a largo plazo\u201d, afirm\u00f3 Johnston. \u201cTiene una tasa de \u00e9xito muy alta y una baja tasa de complicaciones\u201d.<\/p>\n

En el procedimiento de 45 minutos, Johnston realiza una peque\u00f1a incisi\u00f3n en la mu\u00f1eca para extirpar el hueso peque\u00f1o que causa el dolor y luego utiliza un tend\u00f3n del antebrazo para reconstruir el ligamento distendido. El paciente usa una f\u00e9rula removible durante seis semanas y luego puede reanudar sus actividades seg\u00fan lo tolere.<\/p>\n

\u00bfSi me duele el dedo pulgar, significa que tengo artritis? <\/strong><\/h2>\n

No necesariamente. Otros problemas pueden causar un dolor similar, pero la artritis del pulgar es la causa m\u00e1s com\u00fan.<\/p>\n

“Si siente dolor en la base del pulgar, probablemente valga la pena hacerse una evaluaci\u00f3n”, dijo Johnston. “Podemos hacer una radiograf\u00eda y ayudar a determinar qu\u00e9 sucede”.<\/p>\n

Este art\u00edculo fue publicado originalmente en Steamboat Pilot & Today.<\/em><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Si las actividades cotidianas, como abrir un frasco, se han vuelto dolorosas, es posible que usted padezca artritis del pulgar. \u201cLa artritis del pulgar afecta a una de cada tres mujeres\u201d, dijo el Dr. Patrick Johnston, cirujano ortop\u00e9dico en Steamboat Springs y miembro del personal m\u00e9dico en UCHealth Yampa Valley Medical Center. \u201cTambi\u00e9n afecta a […]<\/p>\n","protected":false},"author":2163,"featured_media":84546,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[9192],"tags":[9259,9132,9212],"class_list":["post-84622","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-espanol","tag-manejo-del-dolor","tag-traducciones-en-espanol","tag-vida-saludable"],"acf":[],"yoast_head":"\nArtritis del pulgar: Qu\u00e9 hacer cuando las actividades cotidianas son dolorosas - UCHealth Today<\/title>\n<meta name=\"description\" content=\"La artritis del pulgar causa dolor en el pulgar y la palma de la mano. 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