That dent in your thumb pad is basically a pressure bruise from death-gripping, and yeah, most of us have been there. I flew pinch for years and my early sessions on the sim looked exactly like that, sore pad, dented skin, whole forearm tight by the end of a pack. Two things fixed it for me. First, the tension is a throttle management problem, not a grip problem. When your thumbs are locked white-knuckle style, your inputs get choppy and that's why your lines get sloppy during rolls. The fix that actually helped was doing slow laps around the field or in the sim where the only goal is holding a smooth altitude line with the throttle. You can't white-knuckle that drill because it forces you to be loose. Once the relaxed grip became my default, the flips got cleaner too, because the tension was causing the overcorrection, not the other way around.
Second, the stick ends matter more than people admit. Aggressive knurling on the stock ends feels grippy at first but it chews up your thumb pad over a long session. I swapped to taller, smoother stick ends and it made a bigger difference than I expected. Taller ends also give your thumb more room so you're not digging the pad into the stick cap on every roll. Some guys run a light layer of grip tape on the ends, but honestly with smoother ends you probaly won't need it. Don't switch to thumb on top because of this. If pinch feels natural after months, that's your muscle memory talking, and relearning a grip will cost you weeks of progress. A few people in this thread allready made the case for pinch and I'd agree, it's the better style for precision once it's conditioned. And your thumbs do harden up. Same deal as guitar players building calluses, give it a couple weeks of flying and the soreness mostly goes away. Until then, stop the session when the dent shows up, pushing thru it just teaches your hands bad habits.