After waking up in the morning, the fingers feel swollen and difficult to make a fist, generally divided into the following two cases: 1, tendon system diseases: generally occur in middle-aged and elderly women, mainly due to long-term strain leading to the synovial system around the tendon hyperplasia, manifested in the morning after the hand swelling and accompanied by a slight numbness of the fingers, most complaints of pain in the fingers near the interphalangeal joint area, pressure points are generally in the metacarpophalangeal joint palmar side. Most of them can be diagnosed as tenosynovitis, which is more frequent, and the treatment mainly includes rest, hot compresses, massage and oral anti-inflammatory and pain-relieving drugs; 2. Bone and joint diseases: the main manifestation is morning stiffness, morning stiffness is a serious swelling of the fingers after waking up in the morning, and it is very difficult to move at the beginning, with a feeling of stiffness, but after 1-2 hours of activity, the finger activity is basically normal. It can usually involve more than one joint. On examination at the clinic, the pressure points are mostly at the location of the interphalangeal joints, and later there may be deformities of the finger joints and loss of joint mobility. Rheumatoid arthritis is an autoimmune system disease, while osteoarthritis usually has a history of trauma or chronic injury, and x-rays can distinguish between the two diseases. In the acute stage, temporary braking is required to protect joint function, and when accompanied by significant pain, oral anti-inflammatory and pain-relieving drugs can be taken.