Osteoarthritis Clinic · Condition guide

Thumb base osteoarthritis (CMC)

Osteoarthritis at the base of the thumb, a common and often painful spot.

What it is

The joint at the base of the thumb, the carpometacarpal or CMC joint, takes a lot of load and commonly wears with age. It can make pinching, gripping, opening jars, and turning keys painful.

Common symptoms

  • Pain at the base of the thumb with pinching or gripping
  • Weakness or difficulty with jars, keys, and door handles
  • Swelling or tenderness at the thumb base
  • An aching thumb after use

What can help

  • A thumb splint (a spica), especially for activities and at night
  • Hand therapy and thumb-strengthening exercises
  • Topical anti-inflammatories
  • Joint-protection strategies and adapted tools

Where an injection fits

A corticosteroid injection into the thumb-base joint can settle pain, though the benefit is often short-lived and the evidence is modest. It can be a useful step alongside a splint and hand therapy. For thumb bases that stay painful despite these measures, surgery is an option.

Home exercise program after your injection

!When to seek urgent care. See a doctor promptly if you notice a hot, red, swollen joint with fever; sudden severe pain or loss of thumb use; numbness or tingling spreading into the fingers.
This is general information, not medical advice. Your assessment and plan depend on your own situation, and your clinician will guide you.