Thanks for your question
Sorry to hear about your pain.
well first possibility is the arthritis as you said
can be secondary to some trauma, known or unknown
can be something like gout( i agree that hand finger is not the likely place to have gout but just a possibility as i said)
The ligamentous injury can also be a cause but really not likely
Arthritis also is not the first choice because its the only joint and not a big joint
so i suggest that get xray and blood workup done and best doctor to see is orthopedic
however can start with PCP
I hope this helps you
i wish you good luck for all
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you can try OTC advil tablet thrice daily and can use advil gel to massage till you see a doctor.
Since it has been there for quite a lot so seeing a doctor will be worth it.
But you can give a try by the products mentioned.