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the thumb carpal metacarpal joint is where the metacarpal attaches to the trapezium bone if arthritis occurs here it can cause docHub pain discomfort stiffness and loss of strength it can also cause docHub functional problems particularly with pinching activities the following exercises have been designed to help strengthen and increase the range of movement of your thumb for starting your thermic societies massage the first web space in between your index finger and thumb to loosen off the tight muscle then move into the exercise are shown moving the thumb out to the side for a stretch this exercise we want to try and avoid using the long thumb extensor which causes a tip of your thumb to extend and hyperextend causing further joint deformity at the mCP joint as shown and I will firm to rest down lift your thumb out of your palm at the level of the mCP joint as shown keep the tip of your thumb bent throughout the movement to avoid using the longer extensor muscle keeping you