Patient: pain in the root of the right middle finger, the root of the hand surface swelling for three days, want to know what is the reason Beijing Xuanwu Hospital Orthopaedics Liu Limin: Hello, have you ever been injured, there is no redness, fever. The pain is persistent, the pain is obvious when you move, that posture will be better? If there are conditions can be photographed uploaded to see it, at present you can first symptomatic, with some fu-talin cream. If it doesn’t get better after three days, go to orthopedics. Liu Limin, Department of Orthopedics, Xuanwu Hospital, Capital Medical University Patient: often wash motorcycle with cold water in winter, no injuries, no redness, heat. The pain is continuous, the pain is obvious when clenching the fist, there is a feeling of swelling and pain, have used Futenugreek cream, rubbed safflower oil, Yunnan Baiyao tincture, oral Zuzhi Ma tablets, the swelling of the surface of the hand has been reduced, so far it has been more than half a month, the surface of the hand at the root of the middle finger joints on both sides of the small hard lumps of swelling, the pain worsens when clenching the fist, the pain at the root of the middle finger when snapping the fingers, weakness. I doubt if I have varicose veins. Liu Limin, Orthopaedic Surgery, Xuanwu Hospital, Beijing, China: Hello, if the pain is still obvious after half a month, it is recommended to go to the outpatient clinic for rechecking, and rechecking the tablets if necessary. Varicose veins are not very common in this part of the body, and there are no obvious vein tortuosity and purple blood vessels. If the cause, we can consider local injury, rheumatic diseases, osteoarthritis and so on to identify. At present, you can continue to use these drugs, soft tissue injury is more likely, need more than 3 weeks time to relieve. But without seeing you in person, I can’t be sure. Don’t touch cold water lately, stick to some topical medicines, and if there is swelling and you are worried about it, you’d better talk to your doctor face to face. If the pain is prolonged, you can also consider closed treatment. Patient: Thank you!