Osteomalacia of neck and cervical vertebrae usually cannot cause swelling and pain of ten fingers. After the neck and cervical vertebrae osteophytes, it may cause pressure on the nerves that innervate the upper limbs, which usually leads to pain in the neck and shoulder area, radiating pain in the upper limbs, inactivity of the fingers, difficulty in fine movements, etc., but it does not usually lead to the symptoms of swelling in the ten fingers. When the symptoms of swelling and pain in the index finger appear, it may be related to other diseases, such as rheumatoid arthritis, gouty arthritis, etc., which may be accompanied by redness, pain, limited movement, morning stiffness and other symptoms, and in serious cases, it may lead to deformity of the joints. When the symptoms of swelling and pain in the ten fingers appear, it is recommended to go to the orthopedic department of the hospital for appropriate examination and treatment to avoid delaying the condition.