Getting up in the morning with swelling and pain in the middle finger of the right hand, not daring to bend back may be due to osteoarthritis of the hand, acute gouty arthritis and so on. Treatment methods include medication and surgery. 1. Osteoarthritis of the hand: the distal interphalangeal joints of the fingers are often involved, usually not easy to detect the onset of the disease, slow progress, which can be manifested in the damaged joints of the middle finger of the right hand and the surrounding pain, stiffness, swelling. Sodium hyaluronate can be injected into the joint cavity to lubricate and protect the articular cartilage. Ibuprofen extended-release capsules can be used to relieve pain. 2. Acute gouty arthritis: caused by urate crystals deposited in the joints, inducing local inflammation. The first attack, single joint is common, can occur in the right middle finger joint, redness, swelling and pain in and around the joints, limited movement. Colchicine tablets, prednisolone can control the symptoms. When it seriously affects your life, surgery can be performed to remove the gout stone. There may be other reasons for the swelling and pain in the middle finger of the right hand when you wake up in the morning, so it is recommended to go to the hospital in time to improve the examination to clarify the cause of the disease, and then give targeted treatment or therapy. All of the above drugs should be used under the guidance of a doctor, avoid self-medication.