Swelling of the hands in the morning can be caused by the following reasons: 1, rheumatoid, rheumatoid can involve both hands, resulting in symmetrical onset of both fingers. There can be swelling of the fingers in the morning, accompanied by morning stiffness, which should be examined to check the X-ray of the finger joints, blood rheumatism series and other laboratory tests to early diagnosis and treatment; 2, ankylosing spondylitis, ankylosing spondylitis can also have symptoms involving both hands, resulting in swelling of both hands and pain symptoms, there can be morning stiffness, accompanied by the sacroiliac joints and lumbar spine pain. At this time, it is necessary to check the X-ray film of sacroiliac joints and lumbar vertebrae as well as blood tests for early diagnosis and early treatment; 3. Cervical spondylosis, when serious cervical spondylosis compresses the nerve roots on both sides, it can have the symptom of swelling of both hands after waking up in the morning. At this time, we need to check the cervical spine X-ray, CT, MRI for diagnosis and treatment.