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Osteoarthritis of the First CMC Joint - PT05

Osteoarthritis of the First CMC Joint

A Pain in the Thumb

by Hildy D. Reich, PT,CHT
(4.4 / 1649 ratings )

This course is credentialed for:
Physical Therapy (1.00 Hour(s))

Price: $19.00
CE-PRO Price: $9.50


We tend to take our thumbs for granted; that is, until they hurt. The thumb’s important functional role is evident in its 20% whole person impairment rating, which measures the impact of impairment and loss of function on a person’s ability to perform activities of daily living. With a loss of use of a thumb, there is a 20% loss of ability to perform normal activities such as opening lids, tying shoes and even shaking someone’s hand. A painful thumb restricts a person’s independence. Because there is no cure for arthritis, the primary treatment is patient education. Patients need to learn techniques to manage symptoms and perhaps slow the progression of joint changes.


The goal of this osteoarthritis/CMC joint continuing education program is to provide therapists with information about the pathophysiology, incidence, operative and non-operative treatment options, as well as postoperative management of osteoarthritis of the CMC joint of the thumb. After you study the information here, you will be able to:
  • Recognize three clinical findings commonly seen in CMC osteoarthritis
  • Discuss four conservative treatment options
  • Describe four joint-sparing techniques

Approval Information
OnCourse Learning is an approved sponsor by The NY State Education Department of CE for PT and PTA from 10/21/09 to 10/20/21.
This activity is provided by the TX Board of PT Examiners Accredited Provider GED012010TPTA2012004 for 1/1/10 to 1/31/13; 1601004 for 2/1/13 to 1/31/16; and 1902004TX for 2/1/16 to 1/31/19 and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in TX. The assignment of TX PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE.
As of 4/5/10, OnCourse Learning is recognized by The PT Board of CA as an approved reviewer and provider of continuing competency courses for the state of CA.
OnCourse Learning was approved as a provider of CE by The NC PT Association (provider no. 09-0215-001PR) from 3/8/2009 through 3/8/2010.
OnCourse Learning is a licensed PT CE sponsor (#216.000275) with The IL Department of Financial and Professional Regulation from July 2013 through 9/30/2018.
This course has been approved as meeting the CE requirements for PTs and PTAs by:
The OH PT Association (approval no. 08S0968, exp. date 8/20/09; approval no. 10S0273 for 1/5/10 to 1/5/11; 11S0702 for 1/6/11 to 1/6/12; 12S0170 for 1/7/12 to 1/7/13; 13S0246 for 1/8/13 to 1/8/14; 14S0346 for 1/9/14 to 1/9/15; 15S0588 for 1/10/15 to 1/10/16; 16S0790 for 1/11/16 to 1/11/17; 17S0132 for 1/12/17 to 1/12/18).
The FL PT Association (approval no. CE80012670, exp. date 12/31/08; approval no. CE90112674, exp. date 12/31/09; approval no. CE100015093, exp. date 12/31/10; CE110017106 for 1/1/11 to 12/31/11; CE120117116 for 1/1/12 to 12/31/12; CE130019612 for 1/1/13 to 12/31/13; CE140021527 for 1/1/14 to 12/31/14; CE150023661 for 1/1/15 to 12/31/15; CE16-27110 for 01/01/16 to 12/31/16; CE17-518213 for 1/1/17 to 12/31/17; CE18-518213 for 1/1/18 to 12/31/18). Approval of this course does not necessarily imply the FL PT Association supports the views of the presenter or the sponsors.
The TX Board of PT Examiners (approval no. 44183A; exp. date 10/13/09).
The IL Board of PT Examiners (approval no. 437-2591, exp. date 10/1/09; approval no. 437.3174 for 2/1/10 to 2/1/11).
The TN PT Association for Class 1 CE Requirement (approval no. 3751 for 4/18/11 to 04/17/12; 4249 for 4/18/12 to 4/17/13, 4990 for 4/18/13 to 4/17/14, 5478 for 4/18/14 to 4/17/15; 6039 for 4/18/15 to 4/17/16; 2016-157 for 4/18/16 to 4/17/17; 2017-058 for 4/18/17 to 4/17/18).
The PA Board of PT (approval no. PTCE003845 for 1/1/13 to 12/31/14; PTCE007094 for 1/1/15 to 12/31/16; PTCE010230 for 1/1/17 to 12/31/18).
The NJ Board of PT Examiners (approval no. 434-2008, exp. date 1/31/10; 240-2010 for 2/1/10 to 1/31/12; 113-2012 from 2/1/12 to 01/31/14; 232-2014 for 2/1/14 to 1/31/16; 2016-256 for 2/1/16 to 1/31/18).
This course has been approved by:
The MD State Board of PT Examiners for 0.1 CEU for 4/5/11 to 4/5/15; 2/13/15 to 2/13/19.
The NV State Board of PT Examiners for 0.1 units of CE for 7/26/11 to 7/31/13; 7/31/13 to 7/31/15; 7/31/15 to 7/31/17; 11/29/17 to 7/31/19.
The IL Chapter CE Committee has certified that this course meets the criteria for approval of CE offerings established by The IL PT Association (approval no. 437-2591, exp. date 10/1/09; approval no. 437.3174 for 2/1/10 to 2/1/11; 437-3794 for 2/1/11 to 2/1/12; 437-4069 for 2/1/12 to 2/1/13; 437-4636 for 2/1/13 to 2/1/14). According to the Rules for the Administration of the IL PT Act (section 1340.61) published by the IL Dept. of Professional Regulation, a PT or PTA applying for re-licensure in IL can earn a maximum of 50% of their required CE hours from self-study. The hours awarded of this course are designated for self-study CE credit.
Other states may accept this course for meeting their CE requirements. Check with your state association or board.
Please note: The Orthopaedic Nurses Certification Board has designated this educational activity to receive 1.0 contact hour in Category A and 0 contact hours in Category B toward recertification.

Course Originally Released on: 10/13/2008
Date of Most Recent Review: 10/8/2012
Course Termination/Update Date: 7/2/2021


Unless stated above, the planners and authors of this course have declared no relevant conflicts of interest that relate to this educational activity. OnCourse Learning guarantees this educational activity is free from bias.

Please see CE Course Instructions to learn how to earn CE credit for this module.


For Florida professionals:

This course completion will be electronically reported to CE Broker as required per Florida Statute 456.025(7). Click here to view your CE Broker transcript and check the status of your CE requirements with a FREE 7-day CE Broker trial subscription. It may take up to 24 hours for the course to appear on your CE Broker transcript.

It is now required that all CE is completed and reported to CE Broker before you renew your license. When you complete continuing education with us, OnCourse Learning will report your hours for you.

Read more about the new license renewal process at and claim your free Basic Account in CE Broker to see what has already been reported for you.

Please check the licenses/certifications section under my account (after logging in) to make sure you have entered a valid FL license number. This information is required for correct reporting of your course completions to CE Broker.

Reports to CE Broker

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Jean H - Ahoskie, NC  ·  Nov 16, 2018
Great balance between pathophysiology and practical therapy interventions. I've taken 4 courses today, and this has been the most practical, thank you.
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Joshua B - NORTH ROYALTON, OH  ·  Nov 13, 2018
Informative and thought provoking.
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Hassan M - Hamilton, NJ  ·  Nov 10, 2018
very helpful information ,my patient will get benefits from what I learning today .
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Rebecca M - Downingtown, PA  ·  Nov 09, 2018
good review of the CMC... something almost every therapist will have a problem with at some point
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Pamela M - Portsmouth , NH  ·  Nov 05, 2018
This was a good review for management of oa in a very common patient population seen o In the clinic
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Price: $19.00
CE-PRO Price: $9.50