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Swelling or puffiness of the hands. Swelling is another typical early symptom of scleroderma, and this may be especially noticeable upon waking up in the morning due to muscle inactivity at night. The skin of the fingers may look full and sausage-like, making it difficult to close the hand into a fist.
Answer Wiki. There could be a few reasons why this is occurring, the combination of swelling and pain could be related to your circulation whilst you are sleeping. Look at it's behaviour, is it just when you wake up in the morning, could it be the way you sleep, such as sleeping on your hands?