I had one steroid shot in my right thumb joint. It did not help. Doctor said if first steroid shot did not help,no use in repeating same shot so that meant surgery.
I was very limited in hand use because my thumb joint was out on my right hand, my good hand. I did have the surgery and have no problems now, however, the recovery was extremely inconvenient as I had a cast on for weeks. Could not use my right hand to do hair, put on socks, etc....very inconvenient. Thankfully, I had a husband who could help me!
My left thumb joint is out as well. Doctor said I would need surgery on that hand as well down the road This was in March 2009 and I've not had any problems with the left hand -- it is obvious that the thumb is out of joint, but until it prohibits my use, I am not fooling with it. It is causing no pain.