Finger tip swelling and pain may be gout, but also may be peripheral circulatory disorders as well as inguinitis and other causes. 1. Gout: mainly because of the long-term deposition of uric acid, the formation of inflammation or damage to the joints, the most common symptom for patients is pain, and its performance can be red, swollen and hot pain in the fingertips. 2. Peripheral circulatory disorders: because the tip of the finger is the end of the body’s circulation, the distribution of more dense nerve endings, when subjected to local microcirculation or nerve compression, it is easy to finger tip swelling and pain. 3. Nail groove inflammation: mostly caused by tiny puncture wounds, contusion, impingement or nail clipping, trimming too deep and other injuries, can also be caused by nail fungal disease secondary to bacterial infection. Infection of the nail and the surrounding soft tissues, manifested as swollen and painful fingertips. If the patient has a swollen and painful fingertip, it is recommended to go to the hospital in time to identify the cause of the disease and follow the doctor’s instructions for targeted treatment.