Evaluation of the Effects of High Intensity Laser Therapy and Exercise in Hand Thumb Osteoarthritis

Inclusion Criteria: * Patients diagnosed with stage I, II, or III carpometacarpal joint osteoarthritis in their dominant hand based on radiographic findings according to the Eaton-Littler-Burton classification system * Patients experiencing pain equal to or greater than 4 on the Visual Analog Scale during activities of daily living * Patients who agree to complete the provided clinical evaluation scales to assess treatment efficacy and who can sign the informed consent form Exclusion Criteria: * Patients with a history of neurological diseases affecting the upper extremity * Patients with a history of rheumatological diseases * Patients who have received any treatment for hand problems (including intra-articular joint injections) within the last six months * Patients with severe hand and wrist injuries (such as fractures) * Patients with a surgical history related to the thumb * Patients diagnosed with hand or finger tenosynovitis, Dupuytren's disease, or Carpal Tunnel Syndrome * Patients with conditions contraindicating laser therapy (cardiac pacemaker, cancer, pregnancy, uncontrolled diabetes mellitus, uncontrolled hypertension)