The cause of middle finger tip pain may be caused by trauma, local infection, cervical spondylosis, nerve endings disease and occupational lesions. 1. Trauma: after the middle finger is hit by collision or extrusion and other traumatic injuries, it can cause local soft tissue injury or phalangeal fracture, which can cause middle finger tip pain, and it can be accompanied by localized swelling, pressure and pain, and impaired finger movement. 2. Local infection: excessive nail trimming, tearing barbs or trauma can lead to local skin breakage, causing local infections such as onychomycosis, purulent dactylitis, etc., which can cause symptoms of middle finger tip pain, accompanied by localized redness and swelling, and even throbbing pain. 3. Cervical spondylosis: If the nerve root of cervical spondylosis patients is compressed, it can trigger pain in the hand innervated by the brachial plexus nerve, which then radiates to the tip of the middle finger with a tingling sensation. At the same time can be accompanied by neck pain, pain in the same side of the upper limbs, numbness and other symptoms. 4. Diseases of nerve endings: such as diabetic neuropathy, peripheral neuritis and other factors, can lead to damage to the peripheral nerves of the fingers, manifested as tingling in the end of the fingers, ants and so on, as well as sensory loss and other symptoms. 5. Occupying lesions: if the patient has tumor lesions in soft tissue or bone tissue, it can also trigger middle finger tip pain. A hard mass can be detected locally. Middle finger tip pain can also be seen in other causes, patients should go to the hospital in time, after a clear diagnosis for targeted treatment.