Laurel (73 years old)

Laurel is a 73-year-old widow who loves gardening and knitting. Since several months, she is experiencing pain in her thumbs, particularly in her right hand. Recently, she was diagnosed with trapezio-metacarpal OA through X-ray.

In her medical history, the following is noted:

• BMI: 25
• Osteoporosis (5 cm height loss), treated with calcium and vitamin D

Otherwise, she is healthy and vital.

Laurel consults you to define a pain management plan so that she can further enjoy her hobbies.