When there is a tumor in the metacarpal bone of the back of the hand, there can be pain at the bones of the back of the hand, and there can be obvious percussive pain, which should be diagnosed and treated by early physical examination and early examination of the X-ray, CT and MRI of the hand. Second, tenosynovitis, when the tendons of the back of the hand have chronic tenosynovitis, there can also be pain in the back of the hand at the tendon walk, then early physical examination to diagnose, early oral medication, physical therapy and closed treatment. Third, gout, part of the patient’s gout can involve the back of the hand and lead to pain in the back of the hand, can be accompanied by swelling and skin redness, serious cases will have gout stone formation, then the blood uric acid check and hand x-ray to diagnose and treatment.