The common causes of fingertip pain are coronary atherosclerotic heart disease, cervical spondylosis, rheumatism, trauma and other reasons, a small number of patients with coronary artery disease will appear fingertip pain, but often combined with chest, back discomfort, shortness of breath, palpitations, etc., the pain is radioactive, can be radiated to the fingertips, need to improve the electrocardiogram, infarction four and other related tests, coronary angiography can be a clear diagnosis. The more common cause of fingertip pain is cervical spondylosis, often accompanied by back discomfort, upper limb pain, etc., serious patients may be combined with lower limb activity disorders, through the cervical spine X-ray, cervical spine MRI and other related examinations to confirm the diagnosis, fingertip pain can also be seen in rheumatic diseases, often combined with other joints, pain, low-grade fever, and other clinical manifestations, through the joint ultrasound, arthrogram, rheumatism factor and other related examinations to confirm the diagnosis. The diagnosis can be clarified by joint ultrasound, joint X-ray, rheumatism factor and other relevant examinations.