If elderly people develop hand stiffness, rheumatic diseases, cerebrovascular diseases and other diseases should be considered. There are many clinical causes of hand stiffness in the elderly, so it is necessary to combine the specific symptoms and improve the relevant tests to make a clear diagnosis. If the symptoms of hand stiffness in the elderly are mainly joint stiffness, which decreases in the morning after obvious activities, and may be accompanied by joint swelling, pain and limitation of flexion and extension, rheumatic diseases should be considered, such as rheumatoid arthritis and osteoarthritis are the main causes of morning stiffness in the elderly, and rheumatoid factor, blood sedimentation, C-reactive protein and hand joint X-ray should be improved. In addition, cerebrovascular disease can also cause hand stiffness in elderly people, mostly on one side of the symptoms, which can be accompanied by symptoms such as restricted movement, distorted mouth and eyes, tongue extension, and even unfavorable speech. Therefore, elderly people with symptoms of hand stiffness should consult a physician as soon as possible and improve the relevant tests under the guidance of a physician.