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Most thumb sprains are from falling on an outstretched hand such as skiing or snow boarding. Most routine sprains are mild and respond to hand based splinting within 4-6 weeks. More severe sprains after 4 weeks tend to show no improvement. All of these injuries need an early x-ray to rule out a fracture. More severe sprains often need surgical attention as symptoms persist despite bracing.
Physiotherapy for a thumb sprain can hasten the healing process, ensure an optimal outcome and reduce the likelihood of recurrence. 1  Treatment may comprise: 2  thumb taping. 3  thumb bracing. 4  soft tissue massage. 5  electrotherapy (e.g. ultrasound) 6  anti-inflammatory advice. 7  joint mobilization. 8  ice or heat treatment.