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Is UCL thumb surgery painful?

Author

Mia Kelly

Published Jan 16, 2026

You will generally have no pain, and the numbing medication usually lasts about 8 or more hours, so you will leave the surgery center with no pain.

How long does pain last after UCL thumb surgery?

You will be limited for the first 6 weeks with pain, weakness, and stiffness in the hand and thumb. Most patients have minimal pain by 6 weeks after surgery, with nearly full thumb and hand motion by 3 months. Your symptoms will continue to improve by working in therapy.

How long does it take to recover from UCL thumb surgery?

Grip and hand strength may come back as early as 3 - 4 months after surgery, but it can take up to 6 - 12 months to fully recover and obtain maximum improvement. In most cases, you will be transitioned to a cast at your follow up appointment and then a removable brace at approximately 6 weeks post-surgery.

How long does it take to recover from thumb ligament surgery?

With traditional surgery, the ligament is sutured, and the thumb is immobilized in a cast for four to six weeks. "Athletes particularly dislike being in casts, and on top of that they can't return to play for sometimes up to 10-12 weeks," Shin notes. Internal brace augmentation cuts that time in half or less.

How long does UCL repair surgery take?

Tommy John Surgery is typically an outpatient procedure. This means you can usually return home the same day. It is performed under general anesthesia and may last anywhere from 60 to 90 minutes.

34 related questions found

Does UCL tear require surgery?

If your UCL tear can be treated without surgery, the recovery may last anywhere from several weeks to several months. It depends on the range of motion you'd like to achieve in the elbow. Your physician and physical therapist will work together to monitor your progress.

Where is Tommy John pain?

A Tommy John injury is an injury to the ligament on the medial (inside) part of the elbow. It most commonly occurs in overhead throwing athletes such as baseball pitchers and quarterbacks but can also occur in other sports such as gymnastics, javelin throwing, tennis, volleyball, and softball.

Do they put you to sleep for thumb ligament surgery?

After the block is placed, you will be given more medication in the operating room by the anesthesia team to make you sleepy. Generally they do not put you completely asleep, but rather you will drift off to sleep and can be completely unaware of the surgery, if you want.

Can you move your thumb with a torn UCL?

This injury is sometimes called “skier's thumb” because skiers are prone to this injury when they fall with their hand strapped to a ski pole. A thumb UCL injury can be very painful and make the thumb feel unstable. The injury can limit movements, such as squeezing and gripping, needed for many sports.

How long does a thumb operation take?

The operation usually takes an hour to 90 minutes. Your surgeon will make a small cut on the back of your hand at the base of your thumb, and remove the trapezium. Your surgeon may construct a ligament to connect the thumb to your wrist using a tendon that runs over the trapezium.

How long does the pain last after a Trapeziectomy?

It is not uncommon for you to have some pain after a trapeziectomy. This pain may last up to six months after surgery. A splint should help reduce your pain, but if it carries on please discuss this with your consultant surgeon or GP who may advise you on medicines to help.

Can a UCL thumb tear heal without surgery?

Non-surgical Rehabilitation

If the thumb ligaments are only partially torn, they usually heal without surgery. Your thumb will be immobilized for four to six weeks in a special cast, called a thumb spica cast.

How much does thumb ligament surgery cost?

Ligament reconstruction/tendon interposition was most expensive in the US-W, costing an average of US $5232 compared with THDA costing an average of US $4550.

What does a UCL thumb tear feel like?

SIGNS AND SYMPTOMS

Symptoms of thumb UCL injuries usually include one or more of the following: Pain and tenderness over the joint at the base of the thumb. Thumb joint swelling / stiffness / bruising. Sensation of weakness or “giving way” of the thumb when pinching or gripping.

What does a torn UCL in thumb feel like?

If the ulnar collateral ligament is completely torn, the end of the ruptured ligament may cause a lump or swelling on the inside of the thumb. Your thumb joint may also feel loose or unstable. You may have difficulty grasping items between your thumb and index finger.

How do I know if I tore my UCL thumb?

Symptoms of a UCL tear include pain in the webbing between thumb and index finger, bruise-like discoloration on the thumb's skin, and swelling of the thumb that develops over the hours immediately following the injury.

How do you fix a broken UCL in your thumb?

UCL repair surgery is a procedure to treat an injury to the UCL, the soft tissue that connects the bones of the thumb and provides stability to the thumb joint. In this minimally invasive technique, the surgeon makes a small cut over the back of the thumb joint and examines the area around the injury for damage.

Is Tommy John surgery painful?

After your surgery, you will have some pain. However, you can take over-the-counter pain and anti-inflammatory medications, to keep the swelling down. You should also have your elbow in an elevated position. During your physical therapy is when you'll experience the most pain.

How does Tommy feel?

Most commonly, it's a slow onset of elbow soreness, loss of velocity and/or location, or tingling into their fingertips. The epidemic of Tommy John injuries has freaked out most pitchers. They automatically think they've blown their elbow out if they even feel a slight hint of pain or soreness.

How long is the recovery for Tommy John surgery?

Rehabilitation from Tommy John surgery usually takes about a year. In some cases, up to 2 years are needed for athletes to return to their previous level of ability. Other types of UCL surgery may not need this much rehabilitation.

Is your UCL stronger after surgery?

Athletes Are Stronger Post-Procedure

The UCL repair boasts a very high return to play rate. Athletes will find themselves pitching and throwing faster than they were capable of in the past. The added support reduces the stress of overhead throwing due to the aggressive rehab program mentioned above.

How long are you out with a UCL tear?

Patients can expect the entirety of Phase I recovery to take about 6 weeks. Phase II. Approximately 6 weeks following the surgery, elbow and shoulder strengthening exercises are advanced.

Can a partially torn UCL heal?

Minor ulnar collateral ligament (UCL) injury can heal itself with nonsurgical treatments. However, if you want to perform any strenuous overhead or throwing activity or if the ligament has an advanced grade tear, then your doctor may recommend surgical repair for the torn UCL.

How long does pain last after thumb surgery?

The first 6 weeks are tough with pain, weakness, and stiffness in the thumb. Most patients have minimal pain by 3 months after surgery. Your symptoms will continue to improve with improvements in ability to do more activities every 3 months.

How much does UCL surgery cost?

On MDsave, the cost of a Gamekeeper's Thumb Treatment (UCL Repair) ranges from $4,944 to $6,617. Those on high deductible health plans or without insurance can save when they buy their procedure upfront through MDsave.