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Thumb osteoarthritis

Does anyone want to talk about arthritis in the thumb joint?  I have it very bad!  I go to a rheumatologist and get steroid shots every 3 months.  I have just learned that this isn't a great idea.  Every time I go she asks me if I'm ready for surgery and I say no.  I've heard bad things about surgery and previously thought shots were better.  Now I'm not sure what to do.  I can't use my thumbs if I don't get the shots so I've got to do something.  I was taking tramadol and gabapentin but my Dr. took me off gabapentin and put me on cymbalta.  Seems it helps better for other pain( I also have osteoarthritis all over and fibro pain) .  It does not help my thumbs.  Any advice?  Anyone with thumb arthritis?

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