There are several possible causes of finger headache after waking up: first, tendovaginitis, tendovaginitis patients often have pain on the palmar side of a finger joint, after waking up can appear pain, stiffness symptoms, serious cases can be accompanied by popping and finger movement restrictions, then early examination for diagnosis, if necessary, closed and surgical treatment. Second, rheumatoid diseases, rheumatoid arthritis patients can also appear after waking up finger joint pain, often multiple, bilateral symmetrical onset, then early blood tests and hand x-ray examination, to carry out early diagnosis and early treatment. Third, ankylosing spondylitis, if ankylosing spondylitis is serious, it can also involve the fingers, can appear after waking up finger pain symptoms, then we need to carry out finger joint x-ray and blood tests, sacroiliac joint x-ray examination for diagnosis and treatment.