There are several common causes of finger joint swelling and pain when you get up from sleep: i. Squeezing of the fingers during sleep or due to cold, resulting in swelling and pain in the fingers in the morning. Rheumatoid arthritis, due to inflammation of the joints resulting in morning stiffness, swelling and pain in the finger joints, which is a more common symptom of rheumatoid arthritis. Tendonitis, due to chronic strain or acute injury after poor recovery, local inflammation of the tendon sheath, will also appear in the morning when the finger joints appear swelling and pain. Fourth, the more common gouty arthritis in middle-aged obese men, will also appear in bed when the finger joints swelling pain. This situation should be braked to rest, can take anti-inflammatory symptomatic treatment, including oral diclofenac, celecoxib, topical fotarine latex, observe 3-5 days if the symptoms do not see relief, to promptly go to the hospital for medical consultation.