Swollen and painful fingers in the elderly may be gout, but it may also be related to osteoarthritis, rheumatoid arthritis, tenosynovitis and so on. Joint swelling and pain is one of the common symptoms of gout, especially in the acute phase of gout attacks, fingers are prone to redness, swelling, pain and other manifestations. If the elderly finger swelling and pain at the same time, there are blood uric acid level exceeds the standard, dual source CT examination found urate crystals, etc., can be judged that the kind of finger swelling and pain caused by gout. Finger swelling and pain in the elderly may also be caused by other reasons, such as osteoarthritis, rheumatoid arthritis, tenosynovitis and so on. Therefore, after the occurrence of finger swelling and pain, can go to the relevant departments, through the blood uric acid examination, rheumatoid factor examination, finger joint X examination, joint fluid content examination and other auxiliary diagnosis, to clarify the specific causes of the symptoms. If the elderly finger swelling and pain, should go to the hospital in time to improve the examination, clear diagnosis, standardized treatment under the guidance of the physician, so as not to delay the condition.