What Is Basal Joint Arthritis?

Arthritis is a disease that causes inflammation, pain, and stiffness in the joints. The disease gradually gets worse. It often affects the joint at the base of the thumb (basal joint). Basal joint arthritis is most common in women over 40, but anyone can get it. Often it happens in both thumbs.

Image of a thumb with a diseased basal joint.


Basal joint arthritis occurs as a result of wear and tear on the joint. It is commonly called osteoarthritis or degenerative arthritis. It is more likely to occur and happen at a younger age if you have broken or injured your thumb. Repeatedly gripping, twisting, or turning objects with the thumb and fingers may make the arthritis worse.

Inside your thumb

The basal joint is formed by one of the wrist bones (trapezium) and the first of the 3 bones in the thumb (first metacarpal). This joint allows the thumb to move and to pinch with the fingers. When arthritis occurs in the basal joint, it slowly destroys the joint.

Arthritis irritates or destroys the joint

The ends of the bones are covered with cartilage. This covering acts like a cushion. This lets the bones move smoothly. Arthritis wears away or destroys the cartilage. Then the bones rub against each other when you move your thumb. This causes the joint to become stiff, inflamed, and painful. This makes pinching and grasping with the thumb and fingers painful. With time, the bone in the thumb may collapse. Then you can no longer straighten your thumb.

Image of a man pouring milk into a bowl of cereal. He is dropping the milk carton.


The most common symptom is pain in the lower part of the thumb. You may feel pain when you lift something with the thumb and fingers, unscrew a jar lid, grip an object, or turn a door handle or a key. You may find yourself dropping things. Weather may also make the thumb hurt. The joint may swell. With time the thumb may become stiff or deformed.