The treatment of middle finger joint pain and swelling should choose different treatments according to different causes, the common causes are tenosynovitis, gout, rheumatoid arthritis, etc. The treatment includes general treatment, physical therapy, medication, surgery and so on. 1. tenosynovitis: rest, avoid cold; local hot compresses, acupuncture, etc.; apply medicines to activate blood circulation and remove blood stasis, such as Yunnan Baiyao Cream, safflower oil, etc.: the more serious cases can be closed or surgical treatment. 2. Gout: in daily life, we should pay attention to abstaining from alcohol and smoking, preventing from sudden exposure to cold, and reducing the entry of high-purine food, etc.; in the acute stage, we should take non-steroidal drugs such as diclofenac, colchicine and glucocorticoid to alleviate the pain. 3. Rheumatoid arthritis: usually pay attention to massage, heat therapy, activity fingers; oral non-steroidal drugs such as ibuprofen, anti-rheumatic drugs such as methotrexate. Caused by middle finger joint pain and swelling, there may be other reasons, it is recommended to go to the hospital in a timely manner, improve the examination to clarify the cause of the disease, standardized treatment under the guidance of the doctor, the above drugs can not be taken on their own.