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this pain could be a symptom of thumb injury or overuse, basil joint arthritis, or carpal tunnel syndrome. Additionally, pain at the base of your thumb can be caused by injuries to the ligaments. In the case of pain at the tip of your thumb, the trigger point that causes your pain is in your lower arm. The pain is called referred pain because it is referred to your thumb by a trigger point. There are muscles that allow you to move your fingers and thumb. Sprained thumb pain, swelling and stiffness at the base of the thumb that lasts a long time, may be hard to move your thumb, may have a lump tendonitis (de quervains disease) or arthritis aching pain thats worse at night, numbness or pins and needles, a weak thumb or. Thumb pain may be more serious than just a damaged ligament or small fracture, and as such, there are a host of complications that may arise. thumb pain is a common symptom of thumb osteoarthritis, along with thumb soreness, swelling, less strength when grasping or pinching objects, and less ability to move your thumb. If that sounds like you, physiotherapy can help reduce pain and prevent progression.