If you play THPS3 like me, you hold down the 'A' button most of the time, but on the Xbox controller, the 'A' button is quite "pointy" and it REALLY hurts your thumb joint. (I place my thumb in the middle of the 4 action buttons, then the thumb joint will sit right on top of the 'A' button.
This is my Fix. TAKE OFF THE POINT!
Dismantle the controller, take out the 'A' button and start sanding it down.
After you are done, polish it with a nail polishing stick, to make it look new again.
Here is a comparison shot.
It makes most game more comfortable too....
Just make sure you dont shave off too much of the button.
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