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Published on: 11/18/2024

Why Are My Fingers Swollen When I Wake Up in the Morning?

Swollen fingers in the morning can occur for several reasons, including fluid retention, inflammation, and underlying medical conditions. Understanding the potential causes can help in managing and alleviating the swelling.

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Explanation

Physiological Nocturnal Swelling:

One common reason for morning finger swelling is physiological nocturnal swelling. During sleep, the body can retain fluid, especially in the hands and fingers. This is a normal process that occurs as the body changes position and circulation patterns while resting. As a result, you may wake up to find your fingers feeling puffy or swollen.

Fluid Retention:

Fluid retention can be influenced by various factors, including diet, hydration levels, and hormonal changes. Consuming a high-salt diet can lead to increased fluid retention, which may be more noticeable in the fingers upon waking. Additionally, hormonal fluctuations, such as those occurring during the menstrual cycle, can also contribute to temporary swelling.

Inflammation and Arthritis:

Inflammation is another potential cause of swollen fingers in the morning. Conditions such as rheumatoid arthritis or osteoarthritis can lead to joint inflammation, resulting in swelling, stiffness, and pain, particularly after periods of inactivity, such as overnight sleep. If the swelling is accompanied by pain or stiffness that lasts for a significant time after waking, it may indicate an underlying inflammatory condition.

Other Medical Conditions:

Certain medical conditions, such as kidney or heart issues, can also lead to fluid retention and swelling in the extremities. If you notice persistent swelling, especially if it is accompanied by other symptoms like shortness of breath, fatigue, or changes in urination, it is important to seek medical attention for a thorough evaluation.

Lifestyle Factors:

Lifestyle factors, such as prolonged sitting or standing, can also contribute to swelling in the fingers. If you tend to keep your hands in a fixed position for long periods, this can affect circulation and lead to swelling.

(References)

  • Warrender WJ, Salmons HI, Pham P, Watkins C, Jones C, Rivlin M. Physiological Nocturnal Hand Swelling: A Prospective Evaluation of Healthy Volunteers. J Hand Surg Am. 2019 Mar;44(3):245.e1-245.e5. doi: 10.1016/j.jhsa.2018.05.032. Epub 2018 Jul 7. PMID: 30853063.

  • Hasham S, Burke FD. Diagnosis and treatment of swellings in the hand. Postgrad Med J. 2007 May;83(979):296-300. doi: 10.1136/pgmj.2005.043992. Erratum in: Postgrad Med J. 2007 Nov;83(985):722. PMID: 17488856; PMCID: PMC2600075.

  • Soberon, C. (2023, April 10). Why are my fingers swollen in the morning? Hand & Microsurgery.

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Dr. Kenji Taylor

Family Medicine, Primary Care Roots Community Health Center, Hippo Education, Kameda Medical Center

Kenji Taylor, MD

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