On my right hand at the first knuckle to the right of the top of my nail on my ring finger , I keep getting a pocket of puss and I am force to lance it to keep it from swelling and hurting. I spoke to my doctor briefly about it and she said it has something to do with arthritis . I not sure what she said is correct. She is a great doctor, but it was just a quick look. When it swells it hurts so bad I can barely use my hand until I lance it, than the pain goes away and won t return until it returns. I probably will lance it twice a week and the puss is clear with a gooey texture.