A 37-year-old patient presented to us with a painful left index finger tip for the past 12 years. The pain was excruciating with waxing and waning episodes, pain increases in cold weather and not relieved by any analgesics. The patient had consulted many doctors for the above complaints. On examination, there was severe point tenderness at eponychial region of the left index finger. Love's Pin test and Hildreth's test were positive. There was no nail discolouration and no nail deformity.